DriveSafe DriveAware Ipad App: an objective measure of fitness to drive for use by health professionals.

This clinical assessment App is now available from Pearson

This clinical assessment App is now available from Pearson

how to purchase DSDA

This App was recommended to me by Professor Anita Bundy, UNSW

Check out the information provided on Pearson’s Website https://www.pearsonclinical.com.au/products/view/563

” Driving is an integral part of most adults’ lives and the question of cognitive fitness to drive in patients with dementia, stroke, brain injury or other neurological conditions is both difficult and emotive.

In the past however, research shows that health professionals have been asked to make recommendations regarding fitness to drive without reliable or ecologically valid assessment tools to guide them, which makes the assessment and delivery of a decision to a patient very difficult.

DriveSafe DriveAware (DSDA) is designed to bridge this gap. DSDA is an objective, evidence-based measure of cognitive fitness to drive that accurately predicts driving ability for older and/or cognitively impaired patients.

DSDA is a cognitive screening tool that measures a driver’s awareness of the driving environment and their own abilities related to driving. The test can be used with any patient whose ability to manage the cognitive aspects of driving may be impaired by a medical condition, injury, or the aging process. DSDA has excellent sensitivity and specificity and performance accurately predicts which patients require an on-road assessment, and which patients are most likely to pass or fail such an assessment.  

This user-friendly iPad app is designed for use by any health professional responsible for making decisions about cognitive fitness-to-drive including occupational therapists, psychologists, general practitioners, neurologists and other health and rehabilitation professionals. The app can also be used to monitor cognitive fitness to drive over time in the case of degenerative conditions. Occupational therapists that specialise in driver assessment and rehabilitation can utilise the touch screen DSDA as part of their off-road assessment of fitness to drive.”

 

Austroads : assessing fitness to drive

 

 

AFTD-cover

6.1 Dementia

This section focuses on dementia, being defined for the purposes of this publication, as a progressive deterioration of cognitive

function due to degenerative conditions of the central nervous system……..

Effects of dementia on driving

Dementia may affect driving ability in a number of ways including:

•errors with navigation, including forgetting routes and getting lost in familiar surroundings

 •limited concentration or ‘gaps’ in attention, such as failing to see or respond to ‘stop’ signs

 •errors in judgement, including misjudging the distance between cars and misjudging the speed of other cars

 •confusion when making choices, for example, difficulty choosing between the accelerator or brake pedals in stressful situations

 •poor decision making or problem solving, including failure to give way appropriately at intersections and inappropriate stopping

in traffic

 •poor insight and denial of deficits

 •slowed reaction time, including failure to respond in a timely fashion to instructions from passengers

 •poor hand–eye coordination.

 

Also see

Carmody, J., Traynor, V. & Iverson, D. C. (2012). Dementia and driving: An approach for general practice. Australian Family Physician, 41 (4), 230-233.

Driving Decisions Resources publically available


(i)           

About You: Information for People with Dementia: Driving Help Sheet

Alzheimer’s Australia (AA) 2005, About you: Information for people with dementia: Driving help sheet’, no. 8.4, AA, Canberra.

http://www.alzheimers.org.au/upload/8.4_AboutYou-Driving.pdf

 

(ii)         

At the Crossroads

Hartford Financial Group and MIT AgeLab 2007, At the Crossroads. http://hartfordauto.thehartford.com/UI/Downloads/Crossroads.pdf

 

(iii)        

Driving Decisions Workbook

University of Michigan Transportation Research Institute 2006, SAFER Driving: The Enhanced Driving Decisions Workbook. http://www.otnow.com/resource_files/driving_decisions_workbook.pdf

 

(iv)        

Driving Safely while Ageing Gracefully

National Highway Traffic Safety Administration (NHTSA) 2002, Driving Safely while Aging Gracefully. http://www.nhtsa.dot.gov/people/injury/olddrive/Driving%20Safely%20Aging%20Web

 

(v)          

Over 55 Rating Scale

TranSafety Inc 2001, Drivers 55 Plus: Self-Rating Form.

http://www.usroads.com/journals/rilj/0102/ri010202.htm