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The relationship between neuropsychological functioning and driving ability in dementia: a meta-analysis
Mark A Reger1, Robert K Welsh, G Stennis Watson
1Geriatric Research, Education, and Clinical Center (GRECC), Veterans Affairs Puget Sound Health Care System (VAPSHCS), Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, WA, USA. mreger@u.washington.edu
Neuropsychology
|January 28, 2004
Summary
Neuropsychological tests significantly predict driving ability in adults with dementia, especially when using control groups. This research aids in driving safety recommendations for this population.
Area of Science:
- Neuroscience
- Gerontology
- Psychology
Background:
- Driving cessation is a critical issue for adults with dementia.
- Neuropsychological assessments are potential tools to evaluate driving competence.
Purpose of the Study:
- To systematically review and meta-analyze the relationship between neuropsychological functioning and driving ability in adults with dementia.
Main Methods:
- A meta-analysis of 27 primary studies was performed.
- Included studies examined cognitive measures and driving performance (on-road or non-road).
- Analyses considered studies with and without control groups.
Main Results:
- When control groups were used, significant correlations (mean r = .35–.65) were found between cognitive domains and driving measures.
- Caregiver reports correlated with mental status and visuospatial skills.
- Excluding control groups yielded moderate correlations for visuospatial skills and mental status with driving measures.
Conclusions:
- Neuropsychological testing demonstrates a significant relationship with driving ability in adults with dementia.
- Findings support the use of cognitive assessments in informing driving recommendations.
- Further research may refine the predictive utility of specific neuropsychological tests for driving safety.