触屏版 DriveSafe DriveAware 的重测信度。

Test-retest reliability of touchscreen DriveSafe DriveAware.

机构信息

Department of Clinical Medicine, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.

Occupational Therapy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

出版信息

Aust Occup Ther J. 2021 Apr;68(2):106-114. doi: 10.1111/1440-1630.12706. Epub 2020 Dec 27.

DOI:10.1111/1440-1630.12706

PMID:33368324

Abstract

INTRODUCTION

This prospective study examines the test-retest reliability of touchscreen DriveSafe DriveAware (DSDA). In a future study, the authors intend assessing the usefulness of DSDA to measure progress of patients undergoing treatment for neurological conditions. Evidence of test-retest reliability is required first.

METHODS

Australian adults with current driver's licences (N = 39) aged 20 to 91 years (M = 58) recruited from a convenience sample were assessed with DSDA. The assessment was repeated 6 weeks, 6 months, and 12 months later to match planned assessments of patients undergoing neurosurgical treatment in future research. DSDA classification, DriveSafe subtest score, and DriveAware subtest scores were analysed as a whole sample, and in three age groups.

RESULTS

DSDA classification and DriveAware scores were consistent over repeated tests. DriveSafe scores increased between test 1 and 2 (p = .006), and thereafter no significant change from test 2 to 4. DriveSafe scores of older participants (70+ years) increased between test 1 and 2 more notably than younger participants' scores. No DriveSafe scores decreased over time.

CONCLUSION

DSDA classification and DriveAware scores demonstrated test-retest reliability for all age groups. DriveSafe scores did not demonstrate test-retest reliability between test 1 and 2 for participants 70+ years. However, DriveSafe scores demonstrated test-retest reliability after test 2, possibly indicating an initial learning effect for the DriveSafe score only. The authors posit that this result may have been influenced by older adults' reduced familiarity with iPad technology at first assessment. Further longitudinal research is required to confirm whether these results are consistent in a sample population with diagnosed cognitive impairment. Future research will assess whether repeated assessment of DSDA may be useful for monitoring and screening cognitive fitness to drive in patients who have undergone neurosurgical treatment and whether declining scores may indicate cognitive changes in ability to drive.

摘要

简介

本前瞻性研究考察了触屏式 DriveSafe DriveAware（DSDA）的重测信度。在未来的研究中，作者旨在评估 DSDA 测量接受神经疾病治疗的患者进展的有用性。首先需要有重测信度的证据。

方法

从方便样本中招募了年龄在 20 至 91 岁（M=58）、有当前驾驶执照的澳大利亚成年人（N=39），用 DSDA 对他们进行评估。评估在 6 周、6 个月和 12 个月后重复进行，以匹配未来神经外科治疗患者的计划评估。对整个样本以及三个年龄组的 DSDA 分类、DriveSafe 子测试得分和 DriveAware 子测试得分进行了分析。

结果

DSDA 分类和 DriveAware 分数在重复测试中保持一致。与测试 1 相比，测试 2 的 DriveSafe 分数有所增加（p=0.006），此后，测试 2 与测试 4 之间没有明显变化。与年轻参与者相比，年龄较大的参与者（70 岁以上）的 DriveSafe 分数在测试 1 和测试 2 之间增加更为明显。随着时间的推移，没有 DriveSafe 分数下降。

结论

DSDA 分类和 DriveAware 分数在所有年龄组中均表现出重测信度。在 70 岁以上的参与者中，DriveSafe 分数在测试 1 和测试 2 之间没有表现出重测信度。然而，在测试 2 之后，DriveSafe 分数表现出重测信度，这可能表明 DriveSafe 分数仅存在初始学习效应。作者推测，这一结果可能是由于在首次评估时，老年人对 iPad 技术的熟悉程度较低所致。需要进一步的纵向研究来确认这些结果在具有诊断性认知障碍的样本人群中是否一致。未来的研究将评估重复评估 DSDA 是否可用于监测和筛查接受神经外科治疗的患者的认知驾驶能力，以及分数下降是否可能表明驾驶能力的认知变化。