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A cross-sectional multicenter design compares drivers over 65 referred for cognitive assessment with healthy younger controls, using a computer-based driving theory test and self-evaluation. Regression analyses relate theory-test performance to neuropsychological measures while adjusting for age, gender, and cognition. Results show lower theory-test performance in cognitively impaired patients and significant associations with MoCA and DSST.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/driving-knowledge-assessment-in-cognitively-impaired-older-adults-evidence-from-geriatric-day-hospitals/450170/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/driving-knowledge-assessment-in-cognitively-impaired-older-adults-evidence-from-geriatric-day-hospitals/450170.png","ImageObject",300,407,{"name":42,"@type":43},"Noah","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What study population and comparison groups were used to assess driving knowledge?","Question",{"text":63,"@type":64},"The study included older drivers over 65 with cognitive complaints undergoing comprehensive neuropsychological assessment, and compared their results with healthy younger control subjects.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was driving knowledge measured in this research?",{"text":68,"@type":64},"Driving knowledge was assessed using a computer-based driving theory test covering driving laws and road rules, along with self-evaluation of driving abilities.",{"name":70,"@type":61,"acceptedAnswer":71},"Which cognitive tests were associated with driving knowledge?",{"text":72,"@type":64},"Driving knowledge showed a significant association with the Montreal Cognitive Assessment (MoCA) and the Digit Symbol Substitution Test (DSST) independent of age, gender, and overall cognitive 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(2026) 38:19  \n[https://doi.org/10.1007/s40520-025-03223-0](https://doi.org/10.1007/s40520-025-03223-0)  \nRESEARCH  \nDriving knowledge assessment in cognitively impaired older adults: evidence from geriatric day hospitals  \nClémentine Rivière1 · Karl Götze2 · Sophie Lacaille2 · Claire Paquet1 · Julien Dumurgier1 · Capucine Diard3 · Marie Laure Seux4 · Charlotte Tomeo5 · Antoine Lynch6 · Sandrine Greffard1 · Agathe Raynaud Simon2 · Théodore Decaix1,7 · Matthieu Lilamand1,7  \nReceived: 8 July 2025 / Revised: 12 September 2025 / Accepted: 22 September 2025 © The Author(s) 2025  \nAbstract  \nBackground Evidence and appropriate tools are often lacking to support the decision of driving discontinuation in cognitively impaired older adults by Alzheimer’s disease and related disorders. Maintaining strong driving knowledge as individuals age is crucial for ensuring their fitness to drive. The objectives of this study were to describe the driving knowledge of older drivers >65 referred for cognitive assessment compared to control subjects. We also analyzed the relationship between neuropsychological tests and driving knowledge assessment.  \nMethods Cross-sectional, observational, multicenter study in geriatric day hospitals including older drivers with cognitive complaints who underwent a comprehensive neuropsychological assessment. Their performance on a driving theory test (knowledge of driving laws and road rules) and self-evaluation of driving abilities were assessed via a computer-based exam and compared to those of healthy younger drivers. Regression models were used to examine the relationship between driving knowledge and the neuropsychological examination scores with adjustment for age, gender and cognitive performance. Results We included 144 patients (mean age 79.6 ± 4.9) and 249 controls (mean age 28.1 ± 6.6). Performance in the driving theory test was significantly lower in patients than in controls (p\u003C 0.001) . We showed a significative association between driving knowledge, the Montreal Cognitive Assessment (MoCA) and the Digit Symbol Substitution Test (DSST) independent from age, gender and cognitive performance.  \nConclusion Our study has raised concerns regarding the overall poor theoretical driving skills in older drivers and their low self-evaluation ability. The MoCA and the DSTT may be useful for guiding driving discontinuation in cognitively impaired older adults.  \nKeywords Driving skills · Older drivers · Cognitive disorders · Alzheimer’s disease  \n􀀍 Clémentine Rivière [clementine.riviere@aphp.fr](clementine.riviere@aphp.fr)  \n1 AP-HP. Nord, Université Paris Cité, Hôpital Lariboisière Fernand WidalAP-HP, Paris, France  \n2 AP-HP. Nord, Université Paris Cité, Hôpital Bichat Bretonneau AP-HP, Paris, France  \n3 AP-HP, Université Paris Saclay, Hôpital Sainte Périne APHP, Paris, France  \n4 AP-HP. Centre Université Paris Cité, Hôpital Broca AP-HP, Paris, France  \n5 AP-HP. Sorbonne, Hôpital Rothschild AP-HP, Paris, France  \n6 Hôpital Rives de Seine, Courbevoie, France  \n7 INSERM UMR-S 1144 Université Paris Cité, Paris, France  \nAbbreviations  \nADL Activities of Daily Living  \nAD Alzheimer’s disease  \nBMI Body mass index  \nDSST Development of the Digit Symbol Substitution Test  \nDMS 48 Delayed Matching-to-Sample Task 48  \nFCSRT Free and Cued Selective Reminding Test IADL Instrumental Activities of Daily Living MMSE Mini Mental Status Examination MoCA Montreal Cognitive Assessment  \nTMTA Trail Making tests A  \nTMT B Trail Making tests B  \n1 3  \nIntroduction  \nDriving is crucial for maintaining the independence of older adults, supporting both daily commuting and long-distance travel needs [1] . Also driving cessation was strongly associated with an increased risk of functional limitations [2] . However, many age-related conditions increase the risk of driving impairment in this population. Studies show that crash rates increase with age due to older driver responsibility, and the ol","cbCaijyc20bLV2Mv","https://ap.wps.com/l/cbCaijyc20bLV2Mv","pdf",1164542,"English","# Introduction\n## Background and rationale\n## Challenge of assessing driving capacity\n# Methods\n# Results\n# Conclusion","[{\"question\":\"What study population and comparison groups were used to assess driving knowledge?\",\"answer\":\"The study included older drivers over 65 with cognitive complaints undergoing comprehensive neuropsychological assessment, and compared their results with healthy younger control subjects.\"},{\"question\":\"How was driving knowledge measured in this research?\",\"answer\":\"Driving knowledge was assessed using a computer-based driving theory test covering driving laws and road rules, along with self-evaluation of driving abilities.\"},{\"question\":\"Which cognitive tests were associated with driving knowledge?\",\"answer\":\"Driving knowledge showed a significant association with the Montreal Cognitive Assessment (MoCA) and the Digit Symbol Substitution Test (DSST) independent of age, gender, and overall cognitive performance.\"}]","Driving knowledge assessment in cognitively impaired older adults: evidence from geriatric day hospitals | PDF",1790732331,25]