Assessing medically impaired older drivers in a licensing agency setting.

An exploratory study is being conducted jointly by the California Department of Motor Vehicles and the National Highway Traffic Safety Administration to develop a licensing agency assessment battery for elderly drivers with dementia or other aging-related medical conditions. A preliminary battery of nondriving tests and road tests is described; test results for a small pilot sample are presented, and the tests are evaluated in terms of their utility for detecting functional impairment and predicting driving performance. Some considerations that shape construction of a test battery for licensing agency use are discussed in relation to these goals and the givens of a driver licensing environment.

[1]  M K Janke,et al.  AGE-RELATED DISABILITIES THAT MAY IMPAIR DRIVING AND THEIR ASSESSMENT: LITERATURE REVIEW. , 1994 .

[2]  R A Hagge,et al.  AN EVALUATION OF THE VALIDITY OF CALIFORNIA'S DRIVING PERFORMANCE EVALUATION ROAD TEST , 1995 .

[3]  Jane C. Stutts,et al.  CAN SCREENING FOR COGNITIVE IMPAIRMENT AT LICENSE RENEWAL IDENTIFY HIGH RISK OLDER DRIVERS , 1996 .

[4]  M. J. Noruésis,et al.  SPSS-X advanced statistics guide , 1985 .

[5]  S. A. Karp,et al.  Psychological Differentiation: Studies of Development , 1963 .

[6]  J. Vernick,et al.  Relationship between driver's license renewal policies and fatal crashes involving drivers 70 years or older. , 1995, JAMA.

[7]  D J Winter,et al.  A GRADED LICENSE FOR SPECIAL OLDER DRIVERS: PREMISE AND GUIDELINES , 1990 .

[8]  Denis G. Pelli,et al.  THE DESIGN OF A NEW LETTER CHART FOR MEASURING CONTRAST SENSITIVITY , 1988 .

[9]  N. Nie.  SPSS-X User's Guide , 1983 .

[10]  R. Reitan.  The relation of the trail making test to organic brain damage. , 1955, Journal of consulting psychology.

[11]  R. Reitan.  Validity of the Trail Making Test as an Indicator of Organic Brain Damage , 1958 .

[12]  W. L. Mihal,et al.  Individual differences in perceptual information processing and their relation to automobile accident involvement. , 1976, The Journal of applied psychology.

[13]  L Staplin,et al.  Retrospective evaluation of alternative vision screening criteria for older and younger drivers. , 1993, Accident; analysis and prevention.

[14]  Kevin W Smith,et al.  An Evaluation of Mature Driver Performance , 1988 .

[15]  B Schlag,et al.  Elderly drivers in Germany--fitness and driving behavior. , 1993, Accident; analysis and prevention.

[16]  John W. Eberhard,et al.  SAFE MOBILITY FOR SENIOR CITIZENS , 1996 .

[17]  David F Hennessy,et al.  VISION TESTING OF RENEWAL APPLICANTS: CRASHES PREDICTED WHEN COMPENSATION FOR IMPAIRMENT IS INADEQUATE , 1995 .

[18]  R A Hagge.  THE CALIFORNIA DRIVER PERFORMANCE EVALUATION PROJECT: AN EVALUATION OF A NEW DRIVER LICENSING ROAD TEST , 1994 .

[19]  T. Galski,et al.  Driving after cerebral damage: a model with implications for evaluation. , 1992, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[20]  J Brown,et al.  PREDICTING ACCIDENTS AND INSURANCE CLAIMS AMONG OLDER DRIVERS , 1993 .