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Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults

For older adults living in rural/suburban communities, driving is often their only means of transportation. Although considered safe drivers, drivers older than 70 years have higher crash rates with fatality rates amplified due to the increased frailty/fragility. However, research evidence clearly i...

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Autor principal: Dickerson, Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7743857/
http://dx.doi.org/10.1093/geroni/igaa057.2596
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author Dickerson, Anne
author_facet Dickerson, Anne
author_sort Dickerson, Anne
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description For older adults living in rural/suburban communities, driving is often their only means of transportation. Although considered safe drivers, drivers older than 70 years have higher crash rates with fatality rates amplified due to the increased frailty/fragility. However, research evidence clearly indicates that cognitive factors contribute to driving impairment in older adults. Occupational therapists, as experts in observation of functional performance, use the Assessment of Motor and Process Skills (AMPS), for measurement of performance in everyday activities using two scales (motor and process). Previously demonstrated as a sensitive tool for cognitive changes, this presentation will summarize the research outcomes between older adults with cognitive impairment (N=57+) and without (N=53) who completed a comprehensive driving evaluation. Analysis of the two samples using receiving operating curves suggests the AMPS has potentially excellent specificity and sensitivity, specifically AUC = 0.826(0.73-0.92) for motor, AUC = 0.909(0.84-0.98) for process, and AUC = 0.936(0.88-0.99) together. Part of a symposium sponsored by Transportation and Aging Interest Group.
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spelling pubmed-77438572020-12-21 Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults Dickerson, Anne Innov Aging Abstracts For older adults living in rural/suburban communities, driving is often their only means of transportation. Although considered safe drivers, drivers older than 70 years have higher crash rates with fatality rates amplified due to the increased frailty/fragility. However, research evidence clearly indicates that cognitive factors contribute to driving impairment in older adults. Occupational therapists, as experts in observation of functional performance, use the Assessment of Motor and Process Skills (AMPS), for measurement of performance in everyday activities using two scales (motor and process). Previously demonstrated as a sensitive tool for cognitive changes, this presentation will summarize the research outcomes between older adults with cognitive impairment (N=57+) and without (N=53) who completed a comprehensive driving evaluation. Analysis of the two samples using receiving operating curves suggests the AMPS has potentially excellent specificity and sensitivity, specifically AUC = 0.826(0.73-0.92) for motor, AUC = 0.909(0.84-0.98) for process, and AUC = 0.936(0.88-0.99) together. Part of a symposium sponsored by Transportation and Aging Interest Group. Oxford University Press 2020-12-16 /pmc/articles/PMC7743857/ http://dx.doi.org/10.1093/geroni/igaa057.2596 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Dickerson, Anne
Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults
title Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults
title_full Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults
title_fullStr Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults
title_full_unstemmed Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults
title_short Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults
title_sort using a performance based assessment tool of everyday iadl to determine driving risk in older adults
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7743857/
http://dx.doi.org/10.1093/geroni/igaa057.2596
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