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Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Standardised neuropsychological test correlates of driving performance in mild cognitive impairment and dementia: A systematic review and meta-analysis
Journal of Transport & Health, Vol.44, pp.1-14
2025
Abstract
Aims/objectives
As the ageing population increases, and hence emergence of age-related diseases such as dementia, there is an urgent need to identify sensitive measures of reduced cognitive fitness to drive. Such knowledge can assist health practitioners to effectively triage those older adults requiring a formal fitness to drive assessment. Extending on previous work in healthy older adults, the present study synthesised evidence on the relationship between standardised neuropsychological test measures and driving performance among older adults with mild cognitive impairment and dementia.
Methods
Following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, this review focused on studies examining the relationship between standardised neuropsychological test measures and driving performance metrics (e.g., on-road test, driving simulator) in older adults aged 60 years and over with cognitive impairments (mild cognitive impairment or dementia).
Results/discussion
A total of 7 studies were eligible for review, resulting in the analysis of 14 standardised neuropsychological measures. Due to insufficient data, only one meta-analysis could be performed, with the remaining data being analysed qualitatively. Based on the limited evidence available, measures of attention, processing speed and global cognition, were found to correlate with driving performance, generally exhibiting moderate-to-large effects. Future research utilising standardised neuropsychological test measures in assessing the relationship between cognitive function and driving in MCI/dementia, is warranted.
Details
- Title
- Standardised neuropsychological test correlates of driving performance in mild cognitive impairment and dementia: A systematic review and meta-analysis
- Authors
- Kayla Stefanidis (Corresponding Author) - University of the Sunshine Coast, Queensland, Road Safety Research CollaborationTaren Mieran (Author) - University of the Sunshine Coast, Queensland, Road Safety Research CollaborationMathew Summers (Author) - University of the Sunshine Coast, Queensland, School of Health - Psychology
- Publication details
- Journal of Transport & Health, Vol.44, pp.1-14
- Publisher
- Elsevier BV
- Date published
- 2025
- DOI
- 10.1016/j.jth.2025.102141
- ISSN
- 2214-1413; 2214-1405
- Copyright note
- © 2025 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
- Data Availability
- Not applicable.
- Grant note
- This research was funded by the MAIC/UniSC Road Safety Research Collaboration Grant.
- Organisation Unit
- Road Safety Research Collaboration; Healthy Ageing Research Cluster; School of Health; School of Health - Psychology; School of Law and Society
- Language
- English
- Record Identifier
- 991150640202621
- Output Type
- Journal article
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