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Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator

Intersections are one of the most complex and cognitively demanding driving situations. Individuals with dementia and, more precisely, Alzheimer’s disease (AD), may face additional challenges negotiating intersections given the nature of their cognitive decline, which often includes deficits of atte...

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Detalles Bibliográficos
Autores principales: Stinchcombe, Arne, Paquet, Stephanie, Yamin, Stephanie, Gagnon, Sylvain
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371174/
https://www.ncbi.nlm.nih.gov/pubmed/31022814
http://dx.doi.org/10.3390/geriatrics1030021
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author Stinchcombe, Arne
Paquet, Stephanie
Yamin, Stephanie
Gagnon, Sylvain
author_facet Stinchcombe, Arne
Paquet, Stephanie
Yamin, Stephanie
Gagnon, Sylvain
author_sort Stinchcombe, Arne
collection PubMed
description Intersections are one of the most complex and cognitively demanding driving situations. Individuals with dementia and, more precisely, Alzheimer’s disease (AD), may face additional challenges negotiating intersections given the nature of their cognitive decline, which often includes deficits of attention. We developed a comprehensive evaluation scheme to assess simulated driving performance at intersections. The evaluation scheme captured all types of errors that could occur during preparation (i.e., prior to the intersection), execution (i.e., during the intersection), and recovery (i.e., after the intersection). Using the evaluation scheme, intersection behaviour in a driving simulator among 17 drivers with mild AD was compared to that of 21 healthy controls. The results indicated that across all types of intersections, mild AD drivers exhibited a greater number of errors relative to controls. Drivers with mild AD made the most errors during the preparation period leading up to the intersection. These findings present a novel approach to analyzing intersection behaviour and contribute to the growing body of research on dementia and driving.
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spelling pubmed-63711742019-03-07 Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator Stinchcombe, Arne Paquet, Stephanie Yamin, Stephanie Gagnon, Sylvain Geriatrics (Basel) Article Intersections are one of the most complex and cognitively demanding driving situations. Individuals with dementia and, more precisely, Alzheimer’s disease (AD), may face additional challenges negotiating intersections given the nature of their cognitive decline, which often includes deficits of attention. We developed a comprehensive evaluation scheme to assess simulated driving performance at intersections. The evaluation scheme captured all types of errors that could occur during preparation (i.e., prior to the intersection), execution (i.e., during the intersection), and recovery (i.e., after the intersection). Using the evaluation scheme, intersection behaviour in a driving simulator among 17 drivers with mild AD was compared to that of 21 healthy controls. The results indicated that across all types of intersections, mild AD drivers exhibited a greater number of errors relative to controls. Drivers with mild AD made the most errors during the preparation period leading up to the intersection. These findings present a novel approach to analyzing intersection behaviour and contribute to the growing body of research on dementia and driving. MDPI 2016-08-31 /pmc/articles/PMC6371174/ /pubmed/31022814 http://dx.doi.org/10.3390/geriatrics1030021 Text en © 2016 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Stinchcombe, Arne
Paquet, Stephanie
Yamin, Stephanie
Gagnon, Sylvain
Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator
title Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator
title_full Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator
title_fullStr Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator
title_full_unstemmed Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator
title_short Assessment of Drivers with Alzheimer’s Disease in High Demand Driving Situations: Coping with Intersections in a Driving Simulator
title_sort assessment of drivers with alzheimer’s disease in high demand driving situations: coping with intersections in a driving simulator
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371174/
https://www.ncbi.nlm.nih.gov/pubmed/31022814
http://dx.doi.org/10.3390/geriatrics1030021
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