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NZ Research Radar

Driving and capacity

 

Astell, H., Lee , H., & Sankaran, S. (2013). Review of capacity assessments and recommendations for examining capacity. New Zealand Medical Journal, 126(1383), 38-48.
Type:
Research article, education
Description:
This study reviewed capacity assessments at a New Zealand hospital over a three and a half year period. Most assessments were done on patients because of dementia.  A brief guideline on how to perform a capacity assessment is included. 
Keywords:
assessment, capacity
Link
Chacko, E. E., Wright, W. M., Worrall, R. C., Adamson, C., & Cheung, G. (2015). Reactions to driving cessation: a qualitative study of people with dementia and their families. Australasian Psychiatry, 23(5), 496-499.
Type:
Research article
Description:
This paper aims to explore the psychosocial and adjustment issues following driving cessation for New Zealanders with dementia and their supporters. For those who could remember the details of driving cessation, most were unhappy with the decision. 
Keywords:
dementia, driving, carers, assessment, cessation
Link
Douglass, A., & Ballantyne, A. (2019). From protectionism to inclusion: A New Zealand perspective on health‐related research involving adults incapable of giving informed consent. Bioethics, 33(3), 384-392.
Type:
Essay article
Description:
The revision of the Council of International Organizations of Medical Sciences (CIOMS) International ethical guidelines for health‐related research (2016) heralds a paradigm shift from the ‘protectionist’ policies towards a more nuanced and inclusive approach to research participation.  New Zealand law currently adopts a ‘best interests’ standard which significantly restricts the scope of permissible research that may be performed in this context. This article argues that the CIOMS 2016 should influence change to New Zealand’s legal framework for ethical review of research. .
Keywords:
best interests, capacity, disability, informed, consent, research, ethics, risk
Ask your library
Hoggarth, P A. (2013). Diagnosis of cognitive impairment and the assessment of driving safety in New Zealand: a survey of Canterbury GPs. New Zealand Medical Journal, 126(1387), 87-97.
Type:
Research article
Description:
A survey was conducted to assess how GPs in Canterbury (New Zealand) determine the driving ability of their older patients with cognitive impairment.
Keywords:
driving, assessment, safety
Link
Hoggarth, P., Innes, C., Dalrymple-Alford, J., Croucher, M., Severinsen, J., Gray, J., et al. (2011). Assessment of older drivers in New Zealand: The current system, research and recommendations. Australasian Journal on Ageing, 30(3), 148-155
Type:
Research article
Description:
The purpose of this article is to clarify the current New Zealand driving licensing requirements for older adults and to provide practical recommendations for those health professionals who make decisions regarding driving ability in older adults based on a review and consultation with health professionals involved in the assessment of older drivers.
Keywords:
driving, assessment, safety
Link
Hyslop, B. (2017). Fitness to drive in early dementia: A clinical ethics case. Clinical Ethics, 12(4), 217-221.
Type:
Case study / education
Description:
A 90-year-old man is diagnosed with early dementia. There are concerns about whether he is still fit to drive his car safely, but he is determined to continue driving. In this case, the clinician finds that this decision on fitness to drive is essentially evaluative and normative. Given the conflict of interests involved, how should the clinician attempt to manage this challenging ethical dilemma? 
Keywords:
driving, assessment, safety, ethics
Ask your library
Ma’u, E., & Cheung, G. (2015). Performance of the Maze Navigation Test in a sample of older New Zealanders. Australasian Psychiatry, 23(5), 503-506.
Type:
Research article
Description:
It is often difficult to assess the driving performance of people with mild dementia. The Maze Navigation Test (MNT) was developed in the USA and has been shown to predict driving performance. The aim of this study is to evaluate how the MNT is performed against three commonly used bedside cognitive screening tools and compare our findings with the US population using a convenience sample of 42 cognitively intact older people (age ≥65). The findings of this study were comparable with the initial US data. Further validation studies using the MNT and driving performance are warranted. 
Keywords:
Dementia, driving, maze navigation, neuropsychological
Link
Ma'u, E., & Cheung, G. (2020). Ability of the Maze Navigation Test, Montreal Cognitive Assessment, and Trail Making Tests A & B to predict on-road driving performance in current drivers diagnosed with dementia. New Zealand medical journal, 133(1513), 23-32.
Type:
Research article
Description:
This study aimed to evaluate the ability of the Maze Navigation Test,  Montreal Cognitive Assessment (MoCA) and Trail Making Tests A & B  to predict on-road driving performance in current drivers diagnosed with dementia. Results of this study indicate Maze Navigation Test completion time and the MoCA domains of attention and visuospatial/executive could be used to inform driving ability and further referral for a specialist driving assessment.
Keywords:
driving, assessment, safety
ASK YOUR LIBRARY
Neilson, D., Chacko, E., & Cheung, G. (2019). Assessing driving fitness in dementia: a challenge for old age psychiatrists. Australasian Psychiatry, 27(5), 501-505.
Type:
Research article
Description:
To investigate how old age psychiatrists consider the fitness of dementia patients to drive safely and the challenges they face. Thirteen participants were recruited. Most felt they were not experts in driving fitness. 
Keywords:
driving, assessment, psychiatrists
Ask your library
Walsh, L., Chacko, E., & Cheung, G. (2019). The process of determining driving safety in people with dementia: A review of the literature and guidelines from 5 English speaking countries. Australasian Psychiatry, 1039856219848828.
Type:
Review article
Description:
This article reviews literature and guidelines related to the process of determining driving safety in people with dementia in 5 countries including New Zealand.
Keywords:
driving, assessment, safety
Ask your library
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