Driving errors in Parkinson's disease: moving closer to predicting on-road outcomes.
Identifieur interne : 000801 ( PubMed/Corpus ); précédent : 000800; suivant : 000802Driving errors in Parkinson's disease: moving closer to predicting on-road outcomes.
Auteurs : Sherrilene Classen ; Babette Brumback ; Miriam Monahan ; Irene I. Malaty ; Ramon L. Rodriguez ; Michael S. Okun ; Nikolaus R. McfarlandSource :
- The American journal of occupational therapy : official publication of the American Occupational Therapy Association [ 1943-7676 ]
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- KwdEn :
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Abstract
Age-related medical conditions such as Parkinson's disease (PD) compromise driver fitness. Results from studies are unclear on the specific driving errors that underlie passing or failing an on-road assessment. In this study, we determined the between-group differences and quantified the on-road driving errors that predicted pass or fail on-road outcomes in 101 drivers with PD (mean age = 69.38 ± 7.43) and 138 healthy control (HC) drivers (mean age = 71.76 ± 5.08). Participants with PD had minor differences in demographics and driving habits and history but made more and different driving errors than HC participants. Drivers with PD failed the on-road test to a greater extent than HC drivers (41% vs. 9%), χ²(1) = 35.54, HC N = 138, PD N = 99, p < .001. The driving errors predicting on-road pass or fail outcomes (95% confidence interval, Nagelkerke R² =.771) were made in visual scanning, signaling, vehicle positioning, speeding (mainly underspeeding, t(61) = 7.004, p < .001, and total errors. Although it is difficult to predict on-road outcomes, this study provides a foundation for doing so.
DOI: 10.5014/ajot.2014.008698
PubMed: 24367958
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At the time of the study, she was Director, Institute for Mobility, Activity and Participation, and Associate Professor, Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville; sclassen@uwo.ca.</nlm:affiliation></affiliation></author><author><name sortKey="Brumback, Babette" sort="Brumback, Babette" uniqKey="Brumback B" first="Babette" last="Brumback">Babette Brumback</name><affiliation><nlm:affiliation>Babette Brumback, PhD, is Professor and Program Director, Department of Biostatistics, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Monahan, Miriam" sort="Monahan, Miriam" uniqKey="Monahan M" first="Miriam" last="Monahan">Miriam Monahan</name><affiliation><nlm:affiliation>Miriam Monahan, MS OT, CDRS, is Occupational Therapist and Certified Driving Rehabilitation Specialist, Department of Occupational Therapy and Institute for Mobility, Activity and Participation, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Malaty, Irene I" sort="Malaty, Irene I" uniqKey="Malaty I" first="Irene I" last="Malaty">Irene I. Malaty</name><affiliation><nlm:affiliation>Irene I. Malaty, MD, is Assistant Professor, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Rodriguez, Ramon L" sort="Rodriguez, Ramon L" uniqKey="Rodriguez R" first="Ramon L" last="Rodriguez">Ramon L. Rodriguez</name><affiliation><nlm:affiliation>Ramon L. Rodriguez, MD, is Director, Movement Disorders Clinic, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S" last="Okun">Michael S. Okun</name><affiliation><nlm:affiliation>Michael S. Okun, MD, is Co-Director, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Mcfarland, Nikolaus R" sort="Mcfarland, Nikolaus R" uniqKey="Mcfarland N" first="Nikolaus R" last="Mcfarland">Nikolaus R. Mcfarland</name><affiliation><nlm:affiliation>Nikolaus R. McFarland, MD, PhD, is Assistant Professor, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2014 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:24367958</idno><idno type="pmid">24367958</idno><idno type="doi">10.5014/ajot.2014.008698</idno><idno type="wicri:Area/PubMed/Corpus">000801</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000801</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Driving errors in Parkinson's disease: moving closer to predicting on-road outcomes.</title><author><name sortKey="Classen, Sherrilene" sort="Classen, Sherrilene" uniqKey="Classen S" first="Sherrilene" last="Classen">Sherrilene Classen</name><affiliation><nlm:affiliation>Sherrilene Classen, PhD, MPH, OTR/L, is Professor and Director, School of Occupational Therapy, Elborn College, Room 2555B, 1201 Western Road, Western University, London, Ontario N6G 1H1 Canada. At the time of the study, she was Director, Institute for Mobility, Activity and Participation, and Associate Professor, Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville; sclassen@uwo.ca.</nlm:affiliation></affiliation></author><author><name sortKey="Brumback, Babette" sort="Brumback, Babette" uniqKey="Brumback B" first="Babette" last="Brumback">Babette Brumback</name><affiliation><nlm:affiliation>Babette Brumback, PhD, is Professor and Program Director, Department of Biostatistics, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Monahan, Miriam" sort="Monahan, Miriam" uniqKey="Monahan M" first="Miriam" last="Monahan">Miriam Monahan</name><affiliation><nlm:affiliation>Miriam Monahan, MS OT, CDRS, is Occupational Therapist and Certified Driving Rehabilitation Specialist, Department of Occupational Therapy and Institute for Mobility, Activity and Participation, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Malaty, Irene I" sort="Malaty, Irene I" uniqKey="Malaty I" first="Irene I" last="Malaty">Irene I. Malaty</name><affiliation><nlm:affiliation>Irene I. Malaty, MD, is Assistant Professor, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Rodriguez, Ramon L" sort="Rodriguez, Ramon L" uniqKey="Rodriguez R" first="Ramon L" last="Rodriguez">Ramon L. Rodriguez</name><affiliation><nlm:affiliation>Ramon L. Rodriguez, MD, is Director, Movement Disorders Clinic, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S" last="Okun">Michael S. Okun</name><affiliation><nlm:affiliation>Michael S. Okun, MD, is Co-Director, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author><author><name sortKey="Mcfarland, Nikolaus R" sort="Mcfarland, Nikolaus R" uniqKey="Mcfarland N" first="Nikolaus R" last="Mcfarland">Nikolaus R. Mcfarland</name><affiliation><nlm:affiliation>Nikolaus R. McFarland, MD, PhD, is Assistant Professor, Department of Neurology, University of Florida, Gainesville.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The American journal of occupational therapy : official publication of the American Occupational Therapy Association</title><idno type="eISSN">1943-7676</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Automobile Driver Examination</term><term>Automobile Driving</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (psychology)</term><term>Predictive Value of Tests</term><term>Prospective Studies</term><term>Safety</term><term>Task Performance and Analysis</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Automobile Driver Examination</term><term>Automobile Driving</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Prospective Studies</term><term>Safety</term><term>Task Performance and Analysis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Age-related medical conditions such as Parkinson's disease (PD) compromise driver fitness. Results from studies are unclear on the specific driving errors that underlie passing or failing an on-road assessment. In this study, we determined the between-group differences and quantified the on-road driving errors that predicted pass or fail on-road outcomes in 101 drivers with PD (mean age = 69.38 ± 7.43) and 138 healthy control (HC) drivers (mean age = 71.76 ± 5.08). Participants with PD had minor differences in demographics and driving habits and history but made more and different driving errors than HC participants. Drivers with PD failed the on-road test to a greater extent than HC drivers (41% vs. 9%), χ²(1) = 35.54, HC N = 138, PD N = 99, p < .001. The driving errors predicting on-road pass or fail outcomes (95% confidence interval, Nagelkerke R² =.771) were made in visual scanning, signaling, vehicle positioning, speeding (mainly underspeeding, t(61) = 7.004, p < .001, and total errors. Although it is difficult to predict on-road outcomes, this study provides a foundation for doing so.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24367958</PMID><DateCreated><Year>2013</Year><Month>12</Month><Day>25</Day></DateCreated><DateCompleted><Year>2014</Year><Month>09</Month><Day>15</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1943-7676</ISSN><JournalIssue CitedMedium="Internet"><Volume>68</Volume><Issue>1</Issue><PubDate><MedlineDate>2014 Jan-Feb</MedlineDate></PubDate></JournalIssue><Title>The American journal of occupational therapy : official publication of the American Occupational Therapy Association</Title><ISOAbbreviation>Am J Occup Ther</ISOAbbreviation></Journal><ArticleTitle>Driving errors in Parkinson's disease: moving closer to predicting on-road outcomes.</ArticleTitle><Pagination><MedlinePgn>77-85</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5014/ajot.2014.008698</ELocationID><Abstract><AbstractText>Age-related medical conditions such as Parkinson's disease (PD) compromise driver fitness. Results from studies are unclear on the specific driving errors that underlie passing or failing an on-road assessment. In this study, we determined the between-group differences and quantified the on-road driving errors that predicted pass or fail on-road outcomes in 101 drivers with PD (mean age = 69.38 ± 7.43) and 138 healthy control (HC) drivers (mean age = 71.76 ± 5.08). Participants with PD had minor differences in demographics and driving habits and history but made more and different driving errors than HC participants. Drivers with PD failed the on-road test to a greater extent than HC drivers (41% vs. 9%), χ²(1) = 35.54, HC N = 138, PD N = 99, p < .001. The driving errors predicting on-road pass or fail outcomes (95% confidence interval, Nagelkerke R² =.771) were made in visual scanning, signaling, vehicle positioning, speeding (mainly underspeeding, t(61) = 7.004, p < .001, and total errors. Although it is difficult to predict on-road outcomes, this study provides a foundation for doing so.</AbstractText><CopyrightInformation>Copyright © 2014 by the American Occupational Therapy Association, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Classen</LastName><ForeName>Sherrilene</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Sherrilene Classen, PhD, MPH, OTR/L, is Professor and Director, School of Occupational Therapy, Elborn College, Room 2555B, 1201 Western Road, Western University, London, Ontario N6G 1H1 Canada. At the time of the study, she was Director, Institute for Mobility, Activity and Participation, and Associate Professor, Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville; sclassen@uwo.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brumback</LastName><ForeName>Babette</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Babette Brumback, PhD, is Professor and Program Director, Department of Biostatistics, University of Florida, Gainesville.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Monahan</LastName><ForeName>Miriam</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Miriam Monahan, MS OT, CDRS, is Occupational Therapist and Certified Driving Rehabilitation Specialist, Department of Occupational Therapy and Institute for Mobility, Activity and Participation, University of Florida, Gainesville.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Malaty</LastName><ForeName>Irene I</ForeName><Initials>II</Initials><AffiliationInfo><Affiliation>Irene I. Malaty, MD, is Assistant Professor, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodriguez</LastName><ForeName>Ramon L</ForeName><Initials>RL</Initials><AffiliationInfo><Affiliation>Ramon L. Rodriguez, MD, is Director, Movement Disorders Clinic, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Okun</LastName><ForeName>Michael S</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Michael S. Okun, MD, is Co-Director, Center for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida, Gainesville.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McFarland</LastName><ForeName>Nikolaus R</ForeName><Initials>NR</Initials><AffiliationInfo><Affiliation>Nikolaus R. McFarland, MD, PhD, is Assistant Professor, Department of Neurology, University of Florida, Gainesville.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R21 PAR-06-247</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Occup Ther</MedlineTA><NlmUniqueID>7705978</NlmUniqueID><ISSNLinking>0272-9490</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Mov Disord. 2006 Dec;21(12):2096-100</RefSource><PMID 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Version="1">17178820</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Disabil Rehabil. 2004 Jan 21;26(2):65-70</RefSource><PMID Version="1">14668141</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001333" MajorTopicYN="N">Automobile Driver Examination</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001334" MajorTopicYN="Y">Automobile Driving</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012449" MajorTopicYN="Y">Safety</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013647" MajorTopicYN="Y">Task Performance and Analysis</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3871971</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>12</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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