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Elderly Drivers with Cognitive Impairment

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81. Simulated Driving Performance, Daytime Sedation and Cognition in Healthy Volunteers Taking Gralise, Neurontin or Lyrica

the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 40 Years to 80 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes (...) Criteria Inclusion Criteria: Between 40 and 80 years of age, inclusive. Body weight > 50 kg and BMI between 18 and 32 kg/m2, inclusive. Able to give informed consent. Licensed, experienced driver who had driven at least 3 times a week for the past 3 years and had visual acuity adequate for driving, as assessed by the investigator or designee. Able to complete a 1 hour simulated driving test and demonstrate satisfactory driving skills, as determined by the investigator or designee. Karolinska Sleep

2017 Clinical Trials

82. Age-Based Testing for Driver's License Renewal: Potential Implications for Older Australians. Full Text available with Trip Pro

renewal status, demographics, medical conditions, Mini-Mental State Examination (MMSE), and visual acuity.After accounting for significant demographic and health covariates, logistic regression analyses revealed that older adults required to undergo ABT were between 2.2 (95% confidence interval (CI)=1.35-3.57, P=.001) and 1.5 (95% CI=1.18-1.92, P=.001) times as likely to report not driving. Similar proportions of drivers with cognitive or visual impairments were found regardless of ABT status.Required (...) ABT for license renewal was associated with lower rates of driving. The proportion of drivers with probable cognitive or visual impairments was similar in those who had ABT and those who did not. Future investigation of the effect of current ABT policies on crash rates and the potential to use other scientifically designed ABT strategies is therefore needed.© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.

2011 Journal of the American Geriatrics Society

83. Optimal Method for Driving Assessment in Older Adults and in Patients who have had a Cerebrovascular Accident: Clinical Evidence, Cost-Effectiveness, and Guidelines

, Classen S, Bedard M, Lanford D, Winter S. MMSE as a predictor of on-road driving performance in community dwelling older drivers. Accid Anal Prev. 2012 Nov;49:287-92. PubMed: PM23036408 4. Ferreira IS, Simoes MR, Maroco J. The Addenbrooke's Cognitive Examination Revised as a potential screening test for elderly drivers. Accid Anal Prev. 2012 Nov;49:278-86. PubMed: PM23036407 5. Selander H, Johansson K, Lundberg C, Falkmer T. The Nordic stroke driver screening assessment as predictor for the outcome (...) Exp Neuropsychol. 2012;34(9):895-905. PubMed: PM22943767 13. Lincoln NB, Taylor J, Radford KA. Inter-rater reliability of the Nottingham Neurological Driving Assessment for people with dementia - a preliminary evaluation. Clin Rehabil. 2012 Sep;26(9):836-9. PubMed: PM22531717 14. Ott BR, Papandonatos GD, Davis JD, Barco PP. Naturalistic validation of an on-road driving test of older drivers. Hum Factors. 2012 Aug;54(4):663-74. PubMed: PM22908688 15. Siren A, Meng A. Cognitive screening of older

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

84. Validity of the Mini-Mental State Examination and the Montreal Cognitive Assessment in the Prediction of Driving Test Outcome Full Text available with Trip Pro

underwent assessment with the MMSE and MoCA as part of a comprehensive driving evaluation between 2010 and 2014 (N=92).MMSE and MoCA total scores were independent variables. The outcome measure was performance on a standardized road test.A preestablished diagnosis of cognitive impairment enhanced the validity of cognitive screening measures in the identification of at-risk drivers. In individuals with cognitive impairment there was a significant relationship between MoCA score and on-road outcome (...) Validity of the Mini-Mental State Examination and the Montreal Cognitive Assessment in the Prediction of Driving Test Outcome To evaluate the effectiveness of two cognitive screening measures, the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA), in predicting driving test outcome for individuals with and without cognitive impairment.Retrospective cohort study.A clinical driving evaluation program at a teaching hospital in the United States.Adult drivers who

2015 EvidenceUpdates

85. Can a novel web-based computer test predict poor simulated driving performance? a pilot study with healthy and cognitive-impaired participants. Full Text available with Trip Pro

Can a novel web-based computer test predict poor simulated driving performance? a pilot study with healthy and cognitive-impaired participants. Driving a car is a complex instrumental activity of daily living and driving performance is very sensitive to cognitive impairment. The assessment of driving-relevant cognition in older drivers is challenging and requires reliable and valid tests with good sensitivity and specificity to predict safe driving. Driving simulators can be used to test (...) fitness to drive. Several studies have found strong correlation between driving simulator performance and on-the-road driving. However, access to driving simulators is restricted to specialists and simulators are too expensive, large, and complex to allow easy access to older drivers or physicians advising them. An easily accessible, Web-based, cognitive screening test could offer a solution to this problem. The World Wide Web allows easy dissemination of the test software and implementation

2013 Journal of medical Internet research

86. The Relationship between Older Drivers’ Performance on the Driving Observation Schedule (eDOS) and Cognitive Performance Full Text available with Trip Pro

relationship observed between participants' overall eDOS driving task scores and age (r (144) = -0.17, p > 0.05), and performance on various cognitive assessments including: MoCA (r (144) = 0.07, p > 0.1), MMSE (r (144) = 0.03, p > 0.5), Trail Making Test B (r (144) = 0.09, p > 0.1).Preliminary analyses of the eDOS driving task revealed a high level of appropriate driving behavior among Ozcandrive older drivers. Despite some participants' cognitive performance suggesting impairment, participants' overall (...) eDOS driving task scores were not significantly related to cognitive performance. This finding is consistent with previous research suggesting some older drivers are able to compensate well for age-related cognitive impairment.

2013 Annals of Advances in Automotive Medicine

87. Neuroscience of Alcohol and Marijuana Impaired Driving

marijuana, using paced inhalation that employees a vaporizer. Participants will comprise 10 regular alcohol and marijuana consumers aged 21 to 40 years of age; all participants must report smoking marijuana and drinking alcohol together. Of the 10, 5 will be occasional marijuana smokers and 5 frequent marijuana smokers. Following this dosing, we will assess impairment through cognitive testing as well as a simulated driving test through fMRI and neuropsychological tests. Samples of breath, blood (...) will administer a moderate inhaled dose of THC marijuana or placebo marijuana, using paced inhalation that employees a vaporizer. Participants will comprise 10 regular alcohol and marijuana consumers aged 21 to 40 years of age; all participants must report smoking marijuana and drinking alcohol together. Of the 10, 5 will be occasional marijuana smokers and 5 frequent marijuana smokers. Following this dosing, we will assess impairment through cognitive testing as well as a simulated driving test through fMRI

2018 Clinical Trials

88. Detection of Risky Driving Behaviors in the Naturalistic Environment in Healthy Older Adults and Mild Alzheimer’s Disease Full Text available with Trip Pro

Detection of Risky Driving Behaviors in the Naturalistic Environment in Healthy Older Adults and Mild Alzheimer’s Disease Analyzing naturalistic driving behavior recorded with in-car cameras is an ecologically valid method for measuring driving errors, but it is time intensive and not easily applied on a large scale. This study validated a semi-automated, computerized method using archival naturalistic driving data collected for drivers with mild Alzheimer's disease (AD; n = 44) and age (...) . The sensitivity and specificity were compared among the event-based method, on-road test, and composite ratings of two weeks of recorded driving. The logistic model derived from the event-based method had the best overall accuracy (91.7%) and sensitivity (97.7%) and high specificity (75.0%) compared to the other methods. Review of driving situations where risk is highest appears to be a sensitive data reduction method for detecting cognitive impairment associated driving behaviors and may be a more cost

2018 Geriatrics (Basel, Switzerland)

89. Guidelines for Psychological Practice With Older Adults

to persons 65 years of age and older and is widely used by gerontological researchers and policymak- ers. We use older adults in this document since it is commonly used by geropsychologists and is the recom- mended term in American Psychological Association (APA) publications (APA, 2010b). The speci?c goals of these professional practice guidelines are to provide prac- titioners with (a) a frame of reference for engaging in clinical work with older adults and (b) basic information and further references (...) specialist (Bogner, de Vries, Maulik, & Unützer, 2009; Institute of Medicine, 2012; Karlin, Duffy, & Gleavs, 2008; Klap, Unroe, & Unützer, 2003; Wang et al., 2005). Unquestionably, the demand for psychologists with a substantial understanding of later-life wellness, cultural, and clinical issues will expand in future years as the older population grows and becomes more diverse and as cohorts of middle-aged and younger individuals who are receptive to psychological services move into old age (Karel, Gatz

2014 American Psychological Association

90. Driving Ability Among People With Mild Cognitive Impairment

are:diagnosis of MCI (given by a neurologist), valid driver's license and driving experience of at least a year. the exclusion criteria are: people diagnosed with other neurological damage such as: dementia, CVA and head injury, people with sensory or motor impairment. Healthy people Men and women, ages 50-70. the inclusion criteria are: healthy people with out neurological disease or psychiatric illness, have valid driver's license and driving experience of at least a year. Outcome Measures Go (...) for Study: All Accepts Healthy Volunteers: No Sampling Method: Probability Sample Study Population primary care clinic Criteria Inclusion Criteria: diagnosis of Mild Cognitive Impairment(given by a neurologist), valid driver's license and driving experience of at least a year. Exclusion Criteria: people diagnosed with other neurological damage such as: dementia, CVA and head injury, people with sensory or motor impairment Contacts and Locations Go to Information from the National Library of Medicine

2012 Clinical Trials

91. Predicting Road Test Performance in Adults with Cognitive or Visual Impairment Referred to a Veterans Affairs Medical Center Driving Clinic. Full Text available with Trip Pro

, Missouri.Seventy-seven individuals aged 23 to 91 with diagnoses of cognitive or visual impairment or both referred to an occupational therapy based driving clinic by VAMC providers because of concerns regarding driving safety.Predictor variables included tests of visual and cognitive functioning and activities of daily living. The major outcome was pass or fail on a standardized performance-based on-road driving test.Thirty percent of the referrals failed the road test. The best predictors of driving (...) Predicting Road Test Performance in Adults with Cognitive or Visual Impairment Referred to a Veterans Affairs Medical Center Driving Clinic. To develop a screening battery for office-based clinicians that would assist with the prediction of impaired driving performance and deciding who should proceed to road testing in a sample of adults with cognitive or visual deficits.Prospective observational study.Driving evaluation clinic at a Veterans Affairs Medical Center (VAMC) in St. Louis

2012 Journal of the American Geriatrics Society

92. Alcohol Effects on Driving-related Skills of Young Drivers

17, 2016 Last Update Posted: January 29, 2019 Last Verified: January 2019 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Keywords provided by Robert Mann, Centre for Addiction and Mental Health: Alcohol impaired driving Driving simulation Residual effects of alcohol Acute psychomotor effects of alcohol Young drivers Additional relevant MeSH terms: Layout table for MeSH terms Psychomotor Disorders Neurobehavioral Manifestations Neurologic Manifestations Nervous System (...) Alcohol Effects on Driving-related Skills of Young Drivers Alcohol Effects on Driving-related Skills of Young Drivers - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Alcohol Effects on Driving-related

2016 Clinical Trials

93. Antioxidants and Zinc Improving Minimal Hepatic Encephalopathy In Truck Drivers; a Pilot Study

-Probability Sample Study Population Consecutive patients (truck drivers) with liver cirrhosis were screened for MHE. The patients attended the Tropical and Neurology Outpatient clinics in Mansoura university Hospital, Mansoura Criteria Inclusion Criteria: Truck drivers with liver cirrhosis and minimal hepatic encephalopathy. Exclusion criteria: Overt hepatic encephalopathy. Sensory or motor deficits; neurological causes of impaired cognition Electrolyte imbalances (serum sodium level <125 mmol/L; serum (...) Antioxidants and Zinc Improving Minimal Hepatic Encephalopathy In Truck Drivers; a Pilot Study Antioxidants and Zinc Improving Minimal Hepatic Encephalopathy In Truck Drivers; a Pilot Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2015 Clinical Trials

94. Chaitanya Haldipur: Do we need to test the competency of older doctors?

of having a mandatory retirement age, older physicians, some even nonagenarians, work in various specialties all over the world—for the most part successfully and without any problems. Yet while many give up their license to practise willingly as they become aware of their limitations, there are those who continue to work despite impairment, causing alarm among colleagues. Many doctors have likely heard stories of such colleagues. We hear about them in the corridors or in the cafeterias, almost always (...) in sotto voce. But in these kinds of cases there may often be a reluctance among colleagues to report the impaired doctor to a licensing board or credentialing body, sometimes due to loyalty to a senior colleague who might have been, early in his or her career, a mentor or a teacher. We tend to revere our older colleagues for their clinical wisdom earnt after years of experience treating patients, but this should not become a compromising factor in patient care. And, with the number of practising

2018 The BMJ Blog

95. Examine the Feasibility of a Standardized Field Test for Marijuana Impairment: Laboratory Evaluations

will characterize the persistence of cannabis' (CNB's) acute effects on cognitive test performance and simulated driving over a several hour time period. The data obtained from simulated driving, cognitive tests, and biological assays of THC will be used in analyses aimed at identifying what tests or combination of tests predict both recent use and driving impairment risk. Eligible participants will undergo a full day screening visit, if still eligible they will come to Hartford Hospital in Hartford (...) Examine the Feasibility of a Standardized Field Test for Marijuana Impairment: Laboratory Evaluations Examine the Feasibility of a Standardized Field Test for Marijuana Impairment: Laboratory Evaluations - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2017 Clinical Trials

96. The Helping Older People Engage Project: Improving Social Well-Being in Later Life

, 2017 Last Update Posted : May 14, 2018 See Sponsor: University of Rochester Collaborator: National Institute on Aging (NIA) Information provided by (Responsible Party): Kimberly Van Orden, University of Rochester Study Details Study Description Go to Brief Summary: The many negative outcomes associated with loneliness in older people have rendered loneliness itself a new public health target. Older adults who feel lonely carry increased risk for reduced quality of life, morbidity, and mortality (...) information, Layout table for eligibility information Ages Eligible for Study: 60 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Age 60 or older English-speaking UCLA Short Form Loneliness Scale score of 6 or more Ability to supply own transportation to care receiver's home; active drivers license and automobile insurance (or alternate transportation such as city bus) Exclusion Criteria: Current problem drinking Psychosis

2017 Clinical Trials

97. Self-Reported vs State-Recorded Motor Vehicle Collisions Among Older Community Dwelling Individuals Full Text available with Trip Pro

reporting and provide a more robust measure of the agreement between self-reported and state-recorded MVCs in a community dwelling population of older adults.A three-year prospective study was conducted in a population-based sample of 2000 licensed drivers aged 70 and older. At annual visits, participants were asked to self-report information on any MVC that occurred over the prior year where police were called to the scene. Information on police-reported MVCs was also ascertained from Alabama official (...) agreement between any self-report and state-recorded MVC (kappa=0.64). Cumulative number of self-reported and state-recorded MVCs was also compared, with agreement slightly reduced (kappa=0.55). The clinical characteristic resulting in the greatest variation in agreement with drivers was impaired contrast sensitivity showing better agreement between self-reported and state-recorded MVCs (kappa=0.9) than those with non-impaired contrast sensitivity (kappa=0.6).Study results showed substantial agreement

2017 Accident; analysis and prevention

98. A Systematic Evidence Review of the Signs and Symptoms of Dementia and Brief Cognitive Tests Available in VA

and long-term care insurance, employment discrimination, mistrust in the health care system in managing other medical conditions, institutionalization, and losing driving privileges. In a screening and diagnosis study led by the same investigator, nearly half of patients with positive screening results refused diagnostic workup for dementia. 8 In this study, 3,340 patients aged 65 and older received cognitive screening, regardless of whether cognitive complaints were present, in 7 primary care practice (...) . Inclusion/exclusion criteria 44 a pp Endix c. QUADAS criteria for evaluating diagnostic accuracy studies 45 a pp Endix d. Peer review comments 46 a pp Endix E. Glossary 551 A Systematic Evidence Review of the Signs and Symptoms of Dementia and Brief Cognitive Tests Available in VA Evidence-based Synthesis Program EXECUTIVE SUMMARY BACKGROUND The Veterans Health Administration (VHA) Office of Geriatrics and Extended Care (OGEC) in Patient Care Services has primary responsibility for coordination

2010 Veterans Affairs Evidence-based Synthesis Program Reports

99. Clinical Utility of the Trail-Making Tests as a Predictor of Driving Performance in Older Adults Full Text available with Trip Pro

TMTs (particularly TMT-A) may be useful as screens for driving impairment in older drivers in general practice settings, where most people are still safe drivers, but more-precise screening measures need to be analyzed critically in a variety of clinical settings for testing cognitively impaired older drivers.© 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society. (...) Clinical Utility of the Trail-Making Tests as a Predictor of Driving Performance in Older Adults To assess the clinical utility of the Trail-Making Tests (TMTs) as screens for impaired road-test performance.Secondary analyses of three data sets from previously published studies of impaired driving in older adults using comparable road test designs and outcome measures.Two academic driving specialty clinics.Older drivers (N = 392; 303 with cognitive impairment, 89 controls) from Rhode Island

2015 EvidenceUpdates

100. Occupational Therapy-Delivered Cognitive Behavioral Therapy for Symptomatic Knee Osteoarthritis

term benefits on pain and physical function in individuals with OA, but is not typically offered in clinical care. CBT could be taught in the context of clinical care by occupational therapists (OT). OTs help people manage chronic conditions by teaching behavioral strategies that promote health and function. The purpose of this study is to test the feasibility and efficacy of an OT-delivered cognitive behavioral therapy program to help people manage their knee OA. Condition or disease Intervention (...) much worse (7) Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 50 Years and older (Adult, Older Adult

2015 Clinical Trials

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