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Record W3018165628

Ability of the Maze Navigation Test, Montreal Cognitive Assessment, and Trail Making Tests A & B to predict on-road driving performance in current drivers diagnosed with dementia.

2020· article· en· W3018165628 on OpenAlexaboutno aff
Etuini Ma’u, Gary Cheung

Bibliographic record

VenuePubMed · 2020
Typearticle
Languageen
FieldHealth Professions
TopicOlder Adults Driving Studies
Canadian institutionsnot available
Fundersnot available
KeywordsMontreal Cognitive AssessmentMedicineDementiaTrail Making TestCognitionDriving simulatorTest (biology)Physical medicine and rehabilitationCognitive impairmentAudiologyPsychiatryInternal medicineSimulationDisease
DOInot available

Abstract

fetched live from OpenAlex

AIM: This study aimed to evaluate the ability of the Maze Navigation Test (MNT), Montreal Cognitive Assessment (MoCA) and Trail Making Tests A & B (TMT A & B) to predict on-road driving performance in current drivers diagnosed with dementia. METHODS: Current drivers with a diagnosis of dementia in whom there were clinical concerns about their driving safety were invited to participate between December 2014 and February 2018. Participants completed the MNT, MoCA and TMT A & B, then underwent a blinded specialist Occupational Therapy & Rehabilitation Service (OTRS) off-road and on-road driving assessment. RESULTS: Of the 34 participants, 19 (55.9%) retained their full license and 15 (44.1%) received driving restrictions (including cessation). Only completion time for the MNT (AUC .737, p=.019), the MoCA domain of attention (AUC .809, p=.003) and a combination of the MoCA domain of attention and visuospatial/executive (AUC .783, p=.006) predicted outcome. Derived optimal cut-scores were <443s for MNT completion time (sensitivity 73.3%, specificity 68.4%), <5/6 for MoCA-attention (sensitivity 73.3%, specificity 72.2%) and <8/11 for MoCA-visuospatial/executive+attention (sensitivity 80%, specificity 66.7%). Using these derived cut-scores, MNT completion time predicted poor performance during the on-road assessment in the domains of speed control (p=.039), planning/judgement (p=.004) and vehicle position (p=.028). CONCLUSION: Results of this study indicate MNT completion time and the MoCA domains of attention and visuospatial/executive could be used to inform driving ability and further referral for a specialist driving assessment.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.081
Threshold uncertainty score0.491

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.048
GPT teacher head0.352
Teacher spread0.304 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations9
Published2020
Admission routes1
Has abstractyes

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