{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:25Z","timestamp":1787013805610,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:00:00Z","timestamp":1640217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008710","name":"Dementia Australia Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008710","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe current practice and outcomes relating to fitness to drive for people with mild cognitive impairment (MCI) attending a specialist driving clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective medical record audit from a driving fitness assessment clinic at a tertiary medical centre, South Australia, from 2015 to 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 100 notes audited,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a040\u00a0had a documented diagnosis of MCI and\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a060\u00a0had subjective cognitive concerns characteristic of MCI. Participants mean age was 80.0 years (SD 6.7), and mean Mini\u2010Mental State Examination score was 26.1 (SD 2.1). Medical practitioners completed a comprehensive initial assessment relating to medical fitness to drive, considering scores from a cognitive assessment battery and non\u2010cognitive factors (driving history, current driving needs, vision, physical abilities and collateral from family). After the initial assessment, most participants (84%) were referred for a practical on\u2010road assessment, before receiving a final driving recommendation. Over half of participants continued driving (51%), most with conditions, while 35% ceased driving. Outcomes for the remaining 14% are unknown as we were unable to determine whether the practical assessment (11%) or lessons (3%) were completed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Driving outcomes for people with MCI with questionable driving capabilities are variable, with both cognitive and non\u2010cognitive factors important in guiding medical fitness to drive recommendations. There is a need for more driving clinics to provide in\u2010depth assessment for people with MCI who demonstrate uncertain driving capabilities and improved support for decision\u2010making in other non\u2010driving specialist settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.13024","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T16:22:38Z","timestamp":1640276558000},"page":"282-292","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Mild cognitive impairment and fitness to drive: An audit of practice in a driving specialist clinic in Australia"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1003-0911","authenticated-orcid":false,"given":"Claire","family":"Spargo","sequence":"first","affiliation":[{"name":"College of Nursing and Health Sciences Caring Futures Institute Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Laver","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders Health and Medical Research Institute Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Adey\u2010Wakeling","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders Health and Medical Research Institute Flinders University  Adelaide South Australia Australia"},{"name":"Flinders Medical Centre Rehabilitation Aged and Palliative Care  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Berndt","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"George","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences Caring Futures Institute Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0142388"},{"key":"e_1_2_10_3_1","unstructured":"World Health Organisation.International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD\u201011) version: 2020;2020. 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