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Cognitive training for older drivers can reduce the frequency of involvement in motor vehicle collisions

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Question

Question

Can cognitive training reduce the involvement of older drivers in motor vehicle collisions (MVCs)?

Participants

908 community dwelling residents with a mean age of 73.0 (range 65–91 years) participating in the ACTIVE trial (Advanced Cognitive Training for Independent and Vital Elderly). Inclusion criteria: anticipated availability throughout the study period, age 65 or above, no evidence of substantial decline in general or cognitive function (assessed by activities of daily living disabilities and the Mini-Mental State Examination (MMSE)). Exclusion criteria: self-reported diagnoses of health conditions likely to cause functional decline or increased mortality (eg, Alzheimer's disease), severe loss in sight or hearing, communication difficulties. Participants were paid for attending testing visits.

Setting

Sites in four US states (Alabama, Maryland, Indiana and Pennsylvania).

Intervention

Participants were randomised to one of three cognitive training interventions (memory, reasoning or speed-of-processing training) or no contact. Interventions were delivered in small, twice-weekly group sessions of around 70 min each for 5–6 weeks. Participants attended a maximum of 10 initial sessions. …

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