Reliability of the Washington University Road Test. A performance-based assessment for drivers with dementia of the Alzheimer type

Archives of Neurology
L A HuntJ C Morris

Abstract

To assess the reliability and stability of a standardized road test for healthy aging people and those with dementia of the Alzheimer type (DAT). A prospective study involving patients with DAT and age-matched healthy controls in which subjects' driving performance was evaluated by several raters in an initial and a follow-up road test. Urban medical school and urban highways and streets. A convenience sample of 58 controls, 36 subjects with very mild DAT, and 29 subjects with mild DAT. Analysis of road test ability of controls (2 subjects [3%] failed the test), very mild DAT subjects (7 subjects [19%] failed), and mild DAT subjects (12 subjects [41%] failed) disclosed a significant association between driving performance and dementia status (chi 2[4] = 20.65 [N = 123]; P < .001; Kendall tau-b = 0.306). Interrater reliability for assessment of driving performance ranged from kappa = 0.85 to 0.96. One-month test-retest stability on the road test was 0.76 (quantitative scoring) and 0.53 (clinical judgment). Dementia adversely affects driving performance even in its mild stages, although some persons with DAT seem to drive safely for some time after disease onset. A traffic-interactive, performance-based road test that examines co...Continue Reading

Citations

Oct 1, 2013·Traffic Injury Prevention·Ann M HollisMargaret G O'Connor
Mar 11, 2005·Archives of Physical Medicine and Rehabilitation·Abiodun Emmanuel AkinwuntanCarlotte Kiekens
Sep 12, 2003·Journal of Geriatric Psychiatry and Neurology·Brian R OttMargaret A DiCarlo
Nov 10, 2004·Journal of Geriatric Psychiatry and Neurology·Laura B Brown, Brian R Ott
Jan 26, 2005·Journal of the American Geriatrics Society·Laura B BrownJohn C Morris
Feb 15, 2005·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Laura B BrownBrian R Ott
May 18, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·E Y UcJ D Dawson
Jun 3, 2005·Clinical Medicine & Research·Steven H YaleJohn Ehrfurth
Oct 27, 2005·Journal of the International Neuropsychological Society : JINS·Janet GraceBrian R Ott
Apr 20, 2007·Journal of General Internal Medicine·Richard A MarottoliPeter Peduzzi
Sep 14, 2007·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·M M AmickB R Ott
Feb 22, 2008·Journal of Geriatric Psychiatry and Neurology·Brian R OttWilliam C Heindel
Apr 29, 2010·JAMA : the Journal of the American Medical Association·David B Carr, Brian R Ott
Oct 7, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Emily D Richardson, Richard A Marottoli
Dec 6, 2005·The Gerontologist·David B CarrMartha Storandt
Oct 4, 2005·The Gerontologist·Margaret A PerkinsonJohn C Morris
Nov 26, 2003·Journal of Safety Research·Marilyn Di Stefano, Wendy Macdonald
Mar 13, 2009·Disability and Rehabilitation·Lynnette G KayLindy Clemson
May 24, 2006·Brain Injury : [BI]·Thomas A NovackDavid Salisbury
Oct 6, 2012·Accident; Analysis and Prevention·Inês S FerreiraJoão Marôco
Nov 18, 2008·Journal of Safety Research·Christopher M LoveDavid W Brokaw
Mar 11, 2008·Accident; Analysis and Prevention·Lynnette KayNeryla Jolly
Jan 1, 2007·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Rishi K BhallaBrian R Ott
Sep 27, 2005·Journal of the American Academy of Nurse Practitioners·Charlene Hoffman Snyder
May 10, 2005·Journal of the American Geriatrics Society·Brian R OttJohn C Morris
Dec 23, 2003·Journal of the American Geriatrics Society·Claire C WangUNKNOWN Older Drivers Project
Sep 27, 2003·Journal of the American Geriatrics Society·Janet M DuchekJohn C Morris
Jan 16, 2007·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·G WaldemarUNKNOWN EFNS
Aug 21, 2008·Australasian Journal on Ageing·Angela BerndtEsther May
Mar 30, 2016·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Alexandra JoukUNKNOWN Candrive II Research Team
Mar 30, 2016·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Sjaan KoppelShawn C Marshall
Jun 27, 2015·International Psychogeriatrics·David B Carr, Desmond O'Neill
Mar 4, 2014·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Peggy P BarcoDavid B Carr
Jan 21, 2000·Journal of the American Geriatrics Society·D B CarrJ C Morris
Aug 21, 2013·Accident; Analysis and Prevention·Alex R BowersTodd S Horowitz
Dec 12, 2003·Archives of Physical Medicine and Rehabilitation·Abiodun Emmanuel AkinwuntanCarlotte Kiekens
Mar 10, 2001·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·C PattersonD B Hogan
Nov 30, 1999·Applied Neuropsychology·J E MeyersJ Kaster-Bundgaard
Oct 17, 2016·OTJR : Occupation, Participation and Health·Sherrilene ClassenTim Danter
Jan 5, 2017·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Sherrilene ClassenTim Danter

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Rebecca WestJeremy M Silverman
Gerontology & Geriatrics Education
Margaret G O'ConnorAnn M Hollis
Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
Ghassan MoubarakAlain Cohen Solal
Accident; Analysis and Prevention
Geneviève DaigneaultJean-Yves Frigon
© 2021 Meta ULC. All rights reserved