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Previous issue date: 2017-06-21 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / With seniors increasing faster than younger populations, the average
age of car drivers has gone up, and ageing-associated cognitive decline may
interfere with the skills needed for safe driving. However, driving provides autonomy
and quality of life, and being considered unfit to perform this task may restrict social
life and lead to depression. As such, any restrictive measures should be based on
careful assessment; however, the instruments available to evaluate the cognitive
functions and the driving performance of the elderly need to be largely improved.
Objective: To investigate the cognitive functions of elderly drivers and relate them to
performance in a driving simulator, and to identify the most effective parameters of
evaluation, thus contributing to traffic safety and to the creation of public policies.
Method: This is a cross-sectional, descriptive-analytic study, involving 34 elderly
drivers evaluated by a driving simulator and cognitive tests (Wechsler Intelligence
Scale Codes, Divided Attention Test - TEADI, Trail Making test, Revised
Addenbrooke Cognitive Examination - ACE-R and Rey Verbal Learning Test -
RAVLT). Results: The tests that evaluate the cognitive functioning, especially those
of verbal memory and the visuoconstructive abilities were the ones that demonstrated
more relation with the performance in the driving simulator. Conclusions: The
comparison between performance in cognitive tests and scores in the drive simulator
shows a correlation between both, indicating that the worst performance in the
simulator is associated with worse cognitive performance, proving to be a useful
instrument to contribute to the evaluation of elderly drivers. / Com o aumento expressivo da popula??o idosa, cresce o n?mero de
condutores automotivos em uma faixa et?ria frequentemente acometida por decl?nios
cognitivos que podem interferir nas habilidades para uma condu??o segura. Sendo a
condu??o automotiva essencial para a manuten??o da autonomia e qualidade de
vida e sua interrup??o associada a efeitos negativos como restri??o ? vida social e
aumento de sintomas depressivos, sua continuidade ou n?o deveria basear-se em
uma avalia??o criteriosa. No entanto, apesar de relevante, ainda n?o foram
estabelecidos os instrumentos mais eficazes para avaliar as fun??es cognitivas e o
desempenho de idosos na condu??o automotiva. Objetivo: investigar as fun??es
cognitivas de motoristas idosos e relacionar com o desempenho em um simulador de
dire??o, buscando identificar os par?metros mais eficazes de avalia??o, contribuindo
para seguran?a no tr?nsito e para a cria??o de pol?ticas p?blicas. M?todo: estudo do
tipo transversal com abordagem descritivo-anal?tica, envolvendo 34 condutores
idosos avaliados atrav?s de um simulador de dire??o e testes cognitivos (C?digos,
da Escala de intelig?ncia Wechsler, Teste de aten??o Dividida-TEADI, Trail Making
teste-TMT, Exame Cognitivo de Addenbrooke Revisado-ACE-R e Teste de
aprendizado Verbal de Rey- RAVLT). Resultados: os testes que avaliam o
funcionamento cognitivo, especialmente os de mem?ria verbal e as habilidades
visuoconstrutivas foram os que mais demonstraram rela??o com o desempenho no
simulador de condu??o. Conclus?es: a compara??o entre o desempenho nos testes
cognitivos e os escores no simulador de dire??o, evidencia correla??o entre ambos,
indicando que o pior desempenho no simulador associa-se ao pior desempenho
cognitivo, revelando-se um instrumento ?til para contribuir na avalia??o de
condutores idosos.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7625 |
| Date | 21 June 2017 |
| Creators | Vasques, Adriana Machado |
| Contributors | Portuguez, Mirna Wetters, Pinho, M?rcio Sarroglia |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, Brasil, Instituto de Geriatria e Gerontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 4438661476953179033, 500, 500, 500, 600, 2296420844541114010, -969369452308786627, 2075167498588264571 |
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