title: Office-Based Assessment of At-Risk Driving in Older Adults With and Without Cognitive Impairment.
abstract: 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.
authors.affiliation: 1 Boston University Alzheimer's Disease and CTE Center, Boston, MA, USA.|2 Departments of Neurology, Neurosurgery, and Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Stern
authors.affiliation: 1 Boston University Alzheimer's Disease and CTE Center, Boston, MA, USA.
authors.forename: Linda M
authors.initials: LM
authors.lastname: Abularach
authors.affiliation: 1 Boston University Alzheimer's Disease and CTE Center, Boston, MA, USA.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Seichepine
authors.affiliation: 1 Boston University Alzheimer's Disease and CTE Center, Boston, MA, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Alosco
authors.affiliation: 3 Department of Psychology, University of Colorado at Colorado Springs, Springs, CO, USA.
authors.forename: Brandon E
authors.initials: BE
authors.lastname: Gavett
authors.affiliation: 1 Boston University Alzheimer's Disease and CTE Center, Boston, MA, USA.|4 Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Yorghos
authors.initials: Y
authors.lastname: Tripodis
keywords: Alzheimer disease; cognitive function; dementia; on-road driving