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. 2025 May;88(5):314-323.
doi: 10.1177/03080226241299594. Epub 2024 Dec 2.

The value of using the Addenbrookes Cognitive Exam-III and the Rookwood Driving Battery to aid fitness-to-drive decisions with people who have dementia or mild cognitive impairment

Hazel R Douglas  1 , Jenna P Breckenridge  2 , Jane Foster  1 , Rebekah P Douglas  3 , Aileen C Gemmell  1 , Emma Lh Arblaster  1
Affiliations

The value of using the Addenbrookes Cognitive Exam-III and the Rookwood Driving Battery to aid fitness-to-drive decisions with people who have dementia or mild cognitive impairment

Hazel R Douglas et al. Br J Occup Ther. 2025 May.

Abstract

Introduction: Further evidence is required to support the use of a combination of a generalist cognitive screen Addenbrookes Cognitive Exam-III and a specialist neuropsychological driving screen Rookwood Driving Battery to aid occupational therapists in making fitness-to-drive decisions for people with dementia.

Method: An exploratory retrospective study was completed for drivers with dementia or mild cognitive impairment living within Scotland. Data were extracted from patient notes of drivers referred to occupational therapy, who had an ACE-III and RDB completed within a 6-month timeframe.

Results: The study sample included 98 participants. A significant negative correlation was identified between both assessments. Lower cut-off scores were identified on the ACE-III below which no participant scored Rookwood Driving Battery <6 (Addenbrookes Cognitive Exam-III cut-off = 65), or the upper Rookwood Driving Battery pass of ⩽10 (Addenbrookes Cognitive Exam-III cut-off = 54). A small subset of participants (n = 14) sat the on-road test. No participant passed on-road with a score >7 on the Rookwood Driving Battery.

Conclusion: The ACE-III is a useful guide for referral to occupational therapy for assessment using the Rookwood Driving Battery and subsequent fitness-to-drive decisions for people with dementia.

Keywords: Addenbrookes; Rookwood; dementia; driving; retrospective.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Allan CL, Behrman S, Baruch N, et al.. (2016) Driving and dementia: A clinical update for mental health professionals. Evidence Based Mental Health 19: 110–113. - PMC - PubMed
    1. Alzheimer Scotland (2016) Driving and dementia information sheet. Available at: https://www.alzscot.org/sites/default/files/2019-08/Driving%20and%20deme... (accessed 12 September 2023).
    1. Alzheimer Scotland (2023) Understanding the prevalence of dementia in Scotland. Available at: https://www.alzscot.org/our-work/campaigning-for-change/scotlands-nation... (accessed 12 September 2023).
    1. Alzheimer Society (2021) How many people have dementia in the UK? Available at: https://www.alzheimers.org.uk/blog/how-many-people-have-dementia-uk (accessed 12 September 2023).
    1. Bennett JM, Chekaluk E, Batchelor J. (2016) Cognitive tests and determining fitness-to-drive in dementia: A systematic review. Journal of the American Geriatrics Society 64: 1904–1917. - PubMed

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