Office-Based Assessment of At-Risk Driving in Older Adults With and Without Cognitive Impairment

Robert A Stern, Linda M Abularach, Daniel R Seichepine, Michael L Alosco, Brandon E Gavett, Yorghos Tripodis

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


BACKGROUND: A multitest approach is optimal for the identification of at-risk driving among older adults. This study examined the predictive validity of a combination of office-based screening tests for on-road driving performance in older adults with and without mild cognitive impairment (MCI)/dementia.

METHODS: Forty-four normal control, 20 participants with MCI, and 20 participants with dementia completed a battery of office-based assessments. On-road driving evaluation classified participants as not at-risk (n = 65) or at-risk drivers (n = 19).

RESULTS: Logistic regression revealed age and 2 tests of visual attention abilities (Useful Field of View [UFOV] Divided Attention and Neuropsychological Assessment Battery [NAB] Driving Scenes) best predicted at-risk drivers ( C statistic = 0.90); no cutoff score had both sensitivity and specificity >80%.

CONCLUSIONS: Future research on larger and more clinically representative neurological samples will improve understanding of the utility of the UFOV Divided Attention and NAB Driving Scenes in detecting at-risk older adult drivers in the clinic.

Original languageEnglish
Pages (from-to)352-360
Number of pages9
JournalJournal of Geriatric Psychiatry and Neurology
Issue number6
Publication statusPublished - 1 Nov 2016
Externally publishedYes


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