scholarly journals Driver Self-Regulation Practices in Older Drivers with and Without Mild Cognitive Impairment

2020 ◽  
Vol Volume 15 ◽  
pp. 217-224
Author(s):  
Ying Ru Feng ◽  
Lynn Meuleners ◽  
Mark Stevenson ◽  
Jane Heyworth ◽  
Kevin Murray ◽  
...  

2021 ◽  
Vol Volume 16 ◽  
pp. 2069-2078
Author(s):  
Ying Ru Feng ◽  
Lynn Meuleners ◽  
Mark Stevenson ◽  
Jane Heyworth ◽  
Kevin Murray ◽  
...  


2021 ◽  
Vol 79 (1) ◽  
pp. 401-414
Author(s):  
Max Toepper ◽  
Philipp Schulz ◽  
Thomas Beblo ◽  
Martin Driessen

Background: On-road driving behavior can be impaired in older drivers and particularly in drivers with mild cognitive impairment (MCI). Objective: To determine whether cognitive and non-cognitive risk factors for driving safety may allow an accurate and economic prediction of on-road driving skills, fitness to drive, and prospective accident risk in healthy older drivers and drivers with MCI, we examined a representative combined sample of older drivers with and without MCI (N = 74) in an observational on-road study. In particular, we examined whether non-cognitive risk factors improve predictive accuracy provided by cognitive factors alone. Methods: Multiple and logistic hierarchical regression analyses were utilized to predict different driving outcomes. In all regression models, we included cognitive predictors alone in a first step and added non-cognitive predictors in a second step. Results: Results revealed that the combination of cognitive and non-cognitive risk factors significantly predicted driving skills (R2adjusted = 0.30) and fitness to drive (81.2% accuracy) as well as the number (R2adjusted = 0.21) and occurrence (88.3% accuracy) of prospective minor at-fault accidents within the next 12 months. In all analyses, the inclusion of non-cognitive risk factors led to a significant increase of explained variance in the different outcome variables. Conclusion: Our findings suggest that a combination of the most robust cognitive and non-cognitive risk factors may allow an economic and accurate prediction of on-road driving performance and prospective accident risk in healthy older drivers and drivers with MCI. Therefore, non-cognitive risk factors appear to play an important role.



2016 ◽  
Vol 70 (2) ◽  
pp. 7002270030p1 ◽  
Author(s):  
Sophia Vardaki ◽  
Anne E. Dickerson ◽  
Ion Beratis ◽  
George Yannis ◽  
Sokratis G. Papageorgiou


2016 ◽  
Vol 24 (3) ◽  
pp. 351-361
Author(s):  
Evangelos C Karademas ◽  
Panagiotis Simos ◽  
Ioannis Zaganas ◽  
Sofia Tziraki ◽  
Simeon Panagiotakis ◽  
...  


2019 ◽  
Vol 20 (6) ◽  
pp. 630-635 ◽  
Author(s):  
Sophia Vardaki ◽  
Anne E. Dickerson ◽  
Ion Beratis ◽  
George Yannis ◽  
Sokratis G. Papageorgiou


Author(s):  
Ranmalee Eramudugolla ◽  
Md Hamidul Huque ◽  
Joanne Wood ◽  
Kaarin J. Anstey


2021 ◽  
pp. 1-15
Author(s):  
Linda L. Chao ◽  
Jennifer A. Lee ◽  
Steven Martinez ◽  
Cody Barlow ◽  
Margaret A. Chesney ◽  
...  

Background: Preventing Loss of Independence through Exercise (PLIÉ) is a group movement program initially developed for people with mild-to-moderate dementia that integrates principles from several well-established traditions to specifically addresses the needs of people with cognitive impairment. Objective: To investigate whether PLIÉ would benefit cognitive and behavioral outcomes and functional brain connectivity in older adults with milder forms of cognitive impairment. Methods: Participants (≥55 y) with subjective memory decline (SMD) or mild cognitive impairment (MCI) were assessed with tests of cognitive and physical function, self-report questionnaires, and resting state functional magnetic resonance imaging (rs-fMRI) on a 3 Tesla scanner before and after participating in twice weekly PLIÉ classes for 12 weeks at the San Francisco Veterans Affairs Medical Center. Results: Eighteen participants completed the pre-post intervention pilot trial. We observed significant improvements on the Alzheimer’s Disease Assessment Scale cognitive subscale (ADAS-cog; effect size 0.34, p = 0.002) and enhanced functional connections between the medial prefrontal cortex (mPFC) and other nodes of the default mode network (DMN) after PLIÉ. Improvements (i.e., lower scores) on ADAS-cog were significantly correlated with enhanced functional connectivity between the mPFC and left lateral parietal cortex (Spearman’s ρ= –0.74, p = 0.001) and between the mPFC and right hippocampus (Spearman’s ρ= –0.83, p = 0.001). After completing PLIÉ, participants reported significant reductions in feelings of social isolation and improvements in well-being and interoceptive self-regulation. Conclusion: These preliminary findings of post-PLIÉ improvements in DMN functional connectivity, cognition, interoceptive self-regulation, well-being and reduced feelings of social isolation warrant larger randomized, controlled trials of PLIÉ in older adults with SMD and MCI.



2021 ◽  
Vol Volume 16 ◽  
pp. 1473-1483
Author(s):  
Ying Ru Feng ◽  
Lynn Meuleners ◽  
Mark Stevenson ◽  
Jane Heyworth ◽  
Kevin Murray ◽  
...  


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