Driving Errors in Persons with Dementia
- Published: Journal of the American Geriatrics Society, July 2015
- Authors: P. Barco, C. M. Baum, B. R. Ott, S. Ice, A. Johnson, M. Wallendorf and D. B. Carr
- Date Added: 02 Jun 2017
- Last Update: 02 Jun 2017
To differentiate driving errors in persons with dementia who fail a performance- based road test from errors in persons who pass.
Active drivers diagnosed with dementia (n = 60) and older adult controls (n = 32).
All participants completed a standardized clinical and on-road driving assessment. The outcome variable was the number and types of driving errors according to the Record of Driving Errors (RODE), a standardized tool to record driving errors.
Sixty-two percent (n = 37) of individuals with dementia and 3% (n = 1) of controls failed the road test
Based on the RODE, individuals with dementia made twice as many driving errors as healthy controls
Within the dementia sample, individuals who failed the road test had more difficulties driving straight and making left and right turns than during lane changes
Dangerous actions occurred most often while driving straight and making left turns
Specific driving behaviours associated with road test failure in the sample with dementia included difficulties in lane positioning and usage, stopping the vehicle appropriately, attention, decision-making, and following rules of the road
Informants of participants with dementia who failed the road test reported more impairment with cognitive functioning on the Assessing Dementia 8 Screening Interview (AD8).
Conclusion: The report highlights the driving errors most common in people with dementia who fail a road test
The finding that most of the dangerous actions in the sample with dementia occurred while driving straight is novel
Driving on straight roads has not been considered a condition of “high challenge” in prior driving studies in individuals with dementia
This finding has potential implications for future interventions related to vehicle instrumentation and driving recommendations for people with dementia.
Driving performance, Dementia, Older drivers, Driving errors