Using Serial Trichotomization With Common Cognitive Tests to Screen for Fitness to Drive. / Carrie GIBBONS in American Journal of Occupational Therapy, Vol. 71/2 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-8 Titre : Using Serial Trichotomization With Common Cognitive Tests to Screen for Fitness to Drive. Type de document : texte imprimé Auteurs : Carrie GIBBONS, Auteur ; Nathan Smith, Auteur ; Randy Middleton, Auteur Année de publication : 2017 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : Conduite automobile  Troubles de la cognition  Évaluation des résultats des patients  Tests neuropsychologiques Résumé : OBJECTIVE. The aim of this study was to illustrate the use of serial trichotomization with five common tests of cognition to achieve greater precision in screening for fitness to drive. METHOD. We collected data (using the Montreal Cognitive Assessment, Motor-Free Visual Perception Test, Clock-Drawing Test, Trail Making Test Part A and B [Trails B], and an on-road driving test) from 83 people referred for a driving evaluation. We identified cutpoints for 100% sensitivity and specificity for each test; the driving test was the gold standard. Using serial trichotomization, we classified drivers as either "Pass," "Fail," or "Indeterminate." RESULTS. Trails B had the best sensitivity and specificity (66.3% of participants correctly classified). After applying serial trichotomization, we correctly identified the driving test outcome for 78.3% of participants. CONCLUSION. A screening strategy using serial trichotomization of multiple test results may reduce uncertainty about fitness to drive. Permalink : ./index.php?lvl=notice_display&id=49282 [article] Using Serial Trichotomization With Common Cognitive Tests to Screen for Fitness to Drive. [texte imprimé] / Carrie GIBBONS, Auteur ; Nathan Smith, Auteur ; Randy Middleton, Auteur . - 2017 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/2 (2017) . - pp.1-8 Mots-clés : Conduite automobile  Troubles de la cognition  Évaluation des résultats des patients  Tests neuropsychologiques Résumé : OBJECTIVE. The aim of this study was to illustrate the use of serial trichotomization with five common tests of cognition to achieve greater precision in screening for fitness to drive. METHOD. We collected data (using the Montreal Cognitive Assessment, Motor-Free Visual Perception Test, Clock-Drawing Test, Trail Making Test Part A and B [Trails B], and an on-road driving test) from 83 people referred for a driving evaluation. We identified cutpoints for 100% sensitivity and specificity for each test; the driving test was the gold standard. Using serial trichotomization, we classified drivers as either "Pass," "Fail," or "Indeterminate." RESULTS. Trails B had the best sensitivity and specificity (66.3% of participants correctly classified). After applying serial trichotomization, we correctly identified the driving test outcome for 78.3% of participants. CONCLUSION. A screening strategy using serial trichotomization of multiple test results may reduce uncertainty about fitness to drive. Permalink : ./index.php?lvl=notice_display&id=49282

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