Validation of a short cognitive battery to screen for fitness‐to‐drive of people with multiple sclerosis.
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| Title: | Validation of a short cognitive battery to screen for fitness‐to‐drive of people with multiple sclerosis. |
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| Authors: | Akinwuntan, A. E., Backus, D., Grayson, J., Devos, H. |
| Source: | European Journal of Neurology. Oct2018, Vol. 25 Issue 10, p1250-1254. 5p. 3 Charts. |
| Subjects: | Cognitive balance, Multiple sclerosis, Neurological disorders, Parkinson's disease, Dementia, Patients |
| Abstract: | Background and purpose: Some symptoms of multiple sclerosis (MS) affect driving. In a recent study, performance on five cognitive tests predicted the on‐road test performance of individuals with relapsing‐remitting MS with 91% accuracy, 70% sensitivity and 97% specificity. However, the accuracy with which the battery will predict the driving performance of a different cohort that includes all types of MS is unknown. Methods: Participants (n = 118; 48 ± 9 years of age; 97 females) performed a comprehensive off‐road evaluation that lasted about 3 h and a standardized on‐road test that lasted approximately 45 min over a 2‐day period within the same week. Performance on the five cognitive tests was used to predict participants’ performance on the standardized on‐road test. Results: Performance on the five tests together predicted outcome of the on‐road test with 82% accuracy, 42% sensitivity and 90% specificity. Conclusions: The accuracy of predicting the on‐road performance of a new MS cohort using performance on the battery of five cognitive tests remained very high (82%). The battery, which was administrable in <45 min and cost ~$150, was better at identifying those who actually passed the on‐road test (90% specificity). The sensitivity (42%) of the battery indicated that it should not be used as the sole determinant of poor driving‐related cognitive skills. A fail performance on the battery should only imply that more comprehensive testing is warranted. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background and purpose: Some symptoms of multiple sclerosis (MS) affect driving. In a recent study, performance on five cognitive tests predicted the on‐road test performance of individuals with relapsing‐remitting MS with 91% accuracy, 70% sensitivity and 97% specificity. However, the accuracy with which the battery will predict the driving performance of a different cohort that includes all types of MS is unknown. Methods: Participants (n = 118; 48 ± 9 years of age; 97 females) performed a comprehensive off‐road evaluation that lasted about 3 h and a standardized on‐road test that lasted approximately 45 min over a 2‐day period within the same week. Performance on the five cognitive tests was used to predict participants’ performance on the standardized on‐road test. Results: Performance on the five tests together predicted outcome of the on‐road test with 82% accuracy, 42% sensitivity and 90% specificity. Conclusions: The accuracy of predicting the on‐road performance of a new MS cohort using performance on the battery of five cognitive tests remained very high (82%). The battery, which was administrable in <45 min and cost ~$150, was better at identifying those who actually passed the on‐road test (90% specificity). The sensitivity (42%) of the battery indicated that it should not be used as the sole determinant of poor driving‐related cognitive skills. A fail performance on the battery should only imply that more comprehensive testing is warranted. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 13515101 |
| DOI: | 10.1111/ene.13690 |
