Comparing Caregiver and Clinician Predictions of Fitness to Drive in People With Alzheimer’s Disease / Kimberly BIXBY in American Journal of Occupational Therapy, Vol. 69/3 (mai -juin 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-7 Titre : Comparing Caregiver and Clinician Predictions of Fitness to Drive in People With Alzheimer’s Disease Type de document : texte imprimé Auteurs : Kimberly BIXBY ; Jennifer D. DAVIS ; Brian R. OTT Année de publication : 2015 Article en page(s) : p.1-7 Langues : Anglais (eng) Mots-clés : Démence Alzheimer  Conduite automobile  Profession santé  ConjointAlzheimer disease  Automobile driving  Caregivers  Observer variation  Physicians Résumé : This observational study investigated family caregiver and clinician ratings of 75 drivers with Alzheimer’s disease against scores on a standardized road test and a naturalistic driving evaluation. Clinician ratings by a physician specialized in dementia were significantly associated with road test error scores (r = .25, p = .03) but not naturalistic driving errors or global ratings of road test and naturalistic driving performance. Caregiver ratings were unrelated to either driving assessment, with two exceptions; adult child ratings of driving ability were correlated with road test error scores (r = .43, p = .02), and spousal ratings were inversely correlated with global ratings. Clinician ratings of driving competence were modestly correlated with road test performance, but caregiver ratings were more complex. Adult children may be more accurate reporters of driving ability than spouses, possibly because of less personal bias, but the reasons behind this discrepancy need further investigation. Permalink : ./index.php?lvl=notice_display&id=35892 [article] Comparing Caregiver and Clinician Predictions of Fitness to Drive in People With Alzheimer’s Disease [texte imprimé] / Kimberly BIXBY ; Jennifer D. DAVIS ; Brian R. OTT . - 2015 . - p.1-7. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-7 Mots-clés : Démence Alzheimer  Conduite automobile  Profession santé  ConjointAlzheimer disease  Automobile driving  Caregivers  Observer variation  Physicians Résumé : This observational study investigated family caregiver and clinician ratings of 75 drivers with Alzheimer’s disease against scores on a standardized road test and a naturalistic driving evaluation. Clinician ratings by a physician specialized in dementia were significantly associated with road test error scores (r = .25, p = .03) but not naturalistic driving errors or global ratings of road test and naturalistic driving performance. Caregiver ratings were unrelated to either driving assessment, with two exceptions; adult child ratings of driving ability were correlated with road test error scores (r = .43, p = .02), and spousal ratings were inversely correlated with global ratings. Clinician ratings of driving competence were modestly correlated with road test performance, but caregiver ratings were more complex. Adult children may be more accurate reporters of driving ability than spouses, possibly because of less personal bias, but the reasons behind this discrepancy need further investigation. Permalink : ./index.php?lvl=notice_display&id=35892

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Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment. / Brian R. OTT in American Journal of Occupational Therapy, Vol. 71/2 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-7 Titre : Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment. Type de document : texte imprimé Auteurs : Brian R. OTT, Auteur ; Jennifer D. DAVIS, Auteur ; Kimberly BIXBY, Auteur Année de publication : 2017 Article en page(s) : pp.1-7 Langues : Américain (ame) Mots-clés : Conduite automobile  Troubles de la cognition  Gestion du risque Résumé : OBJECTIVE. To demonstrate that g-force technology can be used to help older adults with cognitive impairment improve their driving safety as part of an in-car video feedback intervention. METHOD. Unsafe driving events triggered g-forces leading to capture of video clips. The program included 3 mo of monitoring without intervention, 3 mo of intervention (weekly written progress reports, a DVD of unsafe driving events, and weekly telephone contacts), and 3 mo of postintervention monitoring. RESULTS. Mean total unsafe driving events per 1,000 miles were reduced from baseline by 38% for 9 of 12 participants during the intervention and by 55% for 7 participants during postintervention monitoring. Mean total unsafe driving severity scores per 1,000 miles were reduced from baseline by 43% during the intervention and by 56% during postintervention monitoring. CONCLUSION. Preliminary results suggest that driving safety among older drivers with cognitive impairment can be improved using a behavior modification approach aimed at problem behaviors detected in their natural driving environment. Permalink : ./index.php?lvl=notice_display&id=49283 [article] Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment. [texte imprimé] / Brian R. OTT, Auteur ; Jennifer D. DAVIS, Auteur ; Kimberly BIXBY, Auteur . - 2017 . - pp.1-7. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-7 Mots-clés : Conduite automobile  Troubles de la cognition  Gestion du risque Résumé : OBJECTIVE. To demonstrate that g-force technology can be used to help older adults with cognitive impairment improve their driving safety as part of an in-car video feedback intervention. METHOD. Unsafe driving events triggered g-forces leading to capture of video clips. The program included 3 mo of monitoring without intervention, 3 mo of intervention (weekly written progress reports, a DVD of unsafe driving events, and weekly telephone contacts), and 3 mo of postintervention monitoring. RESULTS. Mean total unsafe driving events per 1,000 miles were reduced from baseline by 38% for 9 of 12 participants during the intervention and by 55% for 7 participants during postintervention monitoring. Mean total unsafe driving severity scores per 1,000 miles were reduced from baseline by 43% during the intervention and by 56% during postintervention monitoring. CONCLUSION. Preliminary results suggest that driving safety among older drivers with cognitive impairment can be improved using a behavior modification approach aimed at problem behaviors detected in their natural driving environment. Permalink : ./index.php?lvl=notice_display&id=49283

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