A novel computer test to assess driving-relevant cognitive functions - a pilot study

Bieri, Rahel; Jäger, Michael; Gruber, Nicole; Nef, Tobias; Müri, René Martin; Mosimann, Urs Peter (2014). A novel computer test to assess driving-relevant cognitive functions - a pilot study. International psychogeriatrics, 26(2), pp. 229-238. Cambridge University Press 10.1017/S104161021300183X

[img]
Preview
Text
download.pdf - Published Version
Available under License Publisher holds Copyright.

Download (363kB) | Preview
[img]
Preview
Text
S104161021300183X.pdf - Other
Available under License Publisher holds Copyright.

Download (385kB) | Preview

BACKGROUND: The assessment of driving-relevant cognitive functions in older drivers is a difficult challenge as there is no clear-cut dividing line between normal cognition and impaired cognition and not all cognitive functions are equally important for driving. METHODS: To support decision makers, the Bern Cognitive Screening Test (BCST) for older drivers was designed. It is a computer-assisted test battery assessing visuo-spatial attention, executive functions, eye-hand coordination, distance judgment, and speed regulation. Here we compare the performance in BCST with the performance in paper and pencil cognitive screening tests and the performance in the driving simulator testing of 41 safe drivers (without crash history) and 14 unsafe drivers (with crash history). RESULTS: Safe drivers performed better than unsafe drivers in BCST (Mann-Whitney U test: U = 125.5; p = 0.001) and in the driving simulator (Student's t-test: t(44) = -2.64, p = 0.006). No clear group differences were found in paper and pencil screening tests (p > 0.05; ns). BCST was best at identifying older unsafe drivers (sensitivity 86%; specificity 61%) and was also better tolerated than the driving simulator test with fewer dropouts. CONCLUSIONS: BCST is more accurate than paper and pencil screening tests, and better tolerated than driving simulator testing when assessing driving-relevant cognition in older drivers.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Geriatric Psychiatry and Psychotherapy
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Pavillon 52 > Forschungsgruppe Perzeption und Okulomotorik
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Gerontechnology and Rehabilitation

UniBE Contributor:

Bieri, Rahel; Jäger, Michael; Gruber, Nicole; Nef, Tobias; Müri, René Martin and Mosimann, Urs Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1041-6102

Publisher:

Cambridge University Press

Language:

English

Submitter:

Vanessa Vallejo

Date Deposited:

04 Jul 2014 09:04

Last Modified:

09 Nov 2019 03:33

Publisher DOI:

10.1017/S104161021300183X

Related URLs:

PubMed ID:

24169256

Uncontrolled Keywords:

Age, cognition, driving, computer-based tests, driving Simulator, paper and pencil tests, Screening, fitness-to-drive

BORIS DOI:

10.7892/boris.47697

URI:

https://boris.unibe.ch/id/eprint/47697

Actions (login required)

Edit item Edit item
Provide Feedback