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Cognitive Tests Help Determine who can Drive Safely after a Stroke

The same way a brain fit­ness soft­ware pro­gram can help increase dri­ving safety for older adults, sim­ple cog­ni­tive tests may help deter­mine whether a per­son can drive safely after a stroke.

A recent study ana­lyzed 30 pre­vi­ous stud­ies in which the par­tic­i­pants’ dri­ving skills after a stroke were tested in an on-road eval­u­a­tion. 1,728 indi­vid­u­als with an aver­age age of 61 were involved. On aver­age, 9 months had passed between the stroke and the dri­ving eval­u­a­tion. Note that 54 per­cent of the par­tic­i­pants passed the on-road evaluation.

The authors of the analy­sis looked for tests scores that could pre­dict the actual dri­ving eval­u­a­tion out­come. They iden­ti­fied 3 sim­ple cog­ni­tive tests that did quite well:

  • a Road Sign Recog­ni­tion test (assess­ing traf­fic knowl­edge and visual comprehension)
  • a Com­pass task (assess­ing visual-perceptual and visual-spatial abil­i­ties and men­tal speed)
  • the Trail Mak­ing Test B (assess­ing visual-motor track­ing and visual scan­ning abilities)

Par­tic­i­pants’ scores in these tests cor­rectly pre­dicted whether the actual dri­ving test would be failed for 80 to 85 per­cent of the unsafe dri­vers. A very inter­est­ing alter­na­tive to time-consuming and expen­sive on-road tests.

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Categories: Cognitive Neuroscience, Health & Wellness

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2 Responses

  1. Fritz Mayr says:

    We car­ried out a sim­i­lar study: Cog­ni­tive and Per­son­al­ity Deter­mi­nants of Post-injury Dri­ving Fit­ness (M. Som­mer et al 2010)
    Pub­lished in Clin­i­cal Neu­ropsy­chol­ogy (Oxford Jour­nals)
    Abstract
    Increas­ingly often, prac­ti­tion­ers in neu­ropsy­cho­log­i­cal reha­bil­i­ta­tion cen­ters are called upon to assess patients’ fit­ness to drive after brain
    injury. There is, there­fore, a need for valid and reli­able psy­cho­me­t­ric test bat­ter­ies that enable unsafe dri­vers to be iden­ti­fied. This arti­cle
    inves­ti­gates the con­tri­bu­tion of five driving-related per­son­al­ity traits to the pre­dic­tion of fit­ness to drive in patients suf­fer­ing from trau­matic
    brain injuries (TBI) or strokes over and above cog­ni­tive abil­ity traits that have already shown to be related to safe dri­ving. A total of 178
    patients suf­fer­ing from either strokes or TBI par­tic­i­pated in this study. All the par­tic­i­pants com­pleted a stan­dard­ized psy­cho­me­t­ric test
    bat­tery and sub­se­quently took a stan­dard­ized dri­ving test. The con­tri­bu­tion of the driving-related abil­ity and per­son­al­ity traits to the pre­dic­tion
    of fit­ness to drive was inves­ti­gated by means of a logis­tic regres­sion analy­sis and an arti­fi­cial neural net­work. The results indi­cate that
    both cog­ni­tive abil­ity and per­son­al­ity fac­tors are impor­tant in pre­dict­ing fit­ness to drive, although cog­ni­tive abil­ity fac­tors con­tribute slightly
    more to the pre­dic­tion of patients’ actual fit­ness to drive than per­son­al­ity fac­tors. Fur­ther­more, even though there are sub­tle dif­fer­ences in the
    pre­dic­tive mod­els obtained for the two sub­sam­ples (stroke and TBI patients), these dif­fer­ences are ade­quately accounted for by a more uni­tary
    model cal­cu­lated by means of an arti­fi­cial neural net­work that is capa­ble of tak­ing account of mod­er­at­ing effects between the pre­dic­tor
    variables.

  2. Pascale says:

    Thanks for shar­ing Fritz: Very inter­est­ing study!

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