Standardized on-road tests assessing fitness-to-drive in people with cognitive impairments: A systematic review.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_5DF5D25C6133
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Standardized on-road tests assessing fitness-to-drive in people with cognitive impairments: A systematic review.
Journal
PloS one
Author(s)
Bellagamba D., Vionnet L., Margot-Cattin I., Vaucher P.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2020
Peer-reviewed
Oui
Volume
15
Number
5
Pages
e0233125
Language
english
Notes
Publication types: Journal Article ; Systematic Review
Publication Status: epublish
Abstract
The on-road assessment is the gold standard because of its ecological validity. Yet existing instruments are heterogeneous and little is known about their psychometric properties. This study identified existing on-road assessment instruments and extracted data on psychometric properties and usability in clinical settings.
A systematic review identified studies evaluating standardized on-road evaluation instruments adapted for people with cognitive impairment. Published articles were searched on PubMed, CINHAL, PsycINFO, Web of Science, and ScienceDirect. Study quality and the level of evidence were assessed using the COSMIN checklist. The collected data were synthetized using a narrative approach. Usability was subjectively assessed for each instrument by extracting information on acceptability, access, cost, and training.
The review identified 18 published studies between 1994 and 2016 that investigated 12 different on-road evaluation instruments: the Performance-Based Driving Evaluation, the Washington University Road Test, the New Haven, the Test Ride for Practical Fitness to Drive, the Rhode Island Road Test, the Sum of Manoeuvres Score, the Performance Analysis of Driving Ability, the Composite Driving Assessment Scale, the Nottingham Neurological Driving Assessment, the Driving Observation Schedule, the Record of Driving Errors, and the Western University's On-road Assessment. Participants were mainly male (64%), between 48 and 80 years old, and had a broad variety of cognitive disorders. Most instruments showed reasonable psychometric values for internal consistency, criterion validity, and reliability. However, the level of evidence was poor to support any of the instruments given the low number of studies for each.
Despite the social and health consequences of decisions taken using these instruments, little is known about the value of a single evaluation and the ability of instruments to identify expected changes. None of the identified on-road evaluation instruments seem currently adapted for clinical settings targeting rehabilitation and occupational priorities rather than road security alone.
PROSPERO registration number CRD42018103276.
Keywords
Automobile Driver Examination, Automobile Driving, Cognitive Dysfunction, Humans, Psychometrics/methods
Pubmed
Web of science
Open Access
Yes
Create date
22/05/2020 17:15
Last modification date
29/08/2020 6:20
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