{"id":"https://openalex.org/W2911237372","doi":"https://doi.org/10.3233/jhd-180323","title":"Cognitive Fitness to Drive in Huntington\u2019s Disease: Assessing the Clinical Utility of DriveSafe DriveAware","display_name":"Cognitive Fitness to Drive in Huntington\u2019s Disease: Assessing the Clinical Utility of DriveSafe DriveAware","publication_year":2019,"publication_date":"2019-02-13","ids":{"openalex":"https://openalex.org/W2911237372","doi":"https://doi.org/10.3233/jhd-180323","mag":"2911237372","pmid":"https://pubmed.ncbi.nlm.nih.gov/30776017"},"language":"en","primary_location":{"id":"doi:10.3233/jhd-180323","doi":"https://doi.org/10.3233/jhd-180323","is_oa":false,"landing_page_url":"https://doi.org/10.3233/jhd-180323","pdf_url":null,"source":{"id":"https://openalex.org/S2764536931","display_name":"Journal of Huntington s Disease","issn_l":"1879-6397","issn":["1879-6397","1879-6400"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Huntington's Disease","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://figshare.com/articles/journal_contribution/Cognitive_fitness_to_drive_in_Huntington_s_disease_assessing_the_clinical_utility_of_DriveSafe_DriveAware/20768893","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5033741579","display_name":"Hayden J. Farrell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Hayden J. Farrell","raw_affiliation_strings":["School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040775010","display_name":"Sophie C. Andrews","orcid":"https://orcid.org/0000-0002-2103-7748","observed_orcids":["https://orcid.org/0000-0002-2103-7748"]},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Sophie C. Andrews","raw_affiliation_strings":["School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032598311","display_name":"Nicholas P. Ryan","orcid":"https://orcid.org/0000-0002-0878-8889","observed_orcids":["https://orcid.org/0000-0002-0878-8889"]},"institutions":[{"id":"https://openalex.org/I149704539","display_name":"Deakin University","ror":"https://ror.org/02czsnj07","country_code":"AU","type":"education","lineage":["https://openalex.org/I149704539"]},{"id":"https://openalex.org/I4210111621","display_name":"Calvary Health Care Bethlehem","ror":"https://ror.org/028a34j67","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210111621"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Nicholas P. Ryan","raw_affiliation_strings":["Calvary Health Care Bethlehem, Statewide Progressive Neurological Disease Service, Caulfield South, VIC, Australia","Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Calvary Health Care Bethlehem, Statewide Progressive Neurological Disease Service, Caulfield South, VIC, Australia","institution_ids":["https://openalex.org/I4210111621"]},{"raw_affiliation_string":"Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC, Australia","institution_ids":["https://openalex.org/I149704539"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108824667","display_name":"Marie\u2010Claire Davis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111621","display_name":"Calvary Health Care Bethlehem","ror":"https://ror.org/028a34j67","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210111621"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Marie-Claire Davis","raw_affiliation_strings":["Calvary Health Care Bethlehem, Statewide Progressive Neurological Disease Service, Caulfield South, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Calvary Health Care Bethlehem, Statewide Progressive Neurological Disease Service, Caulfield South, VIC, Australia","institution_ids":["https://openalex.org/I4210111621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016904522","display_name":"Stephanie Frances Gordon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Stephanie Gordon","raw_affiliation_strings":["School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079461535","display_name":"Julie C. Stout","orcid":"https://orcid.org/0000-0001-9637-8590","observed_orcids":["https://orcid.org/0000-0001-9637-8590"]},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Julie C. Stout","raw_affiliation_strings":["School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Psychological Sciences, and, Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040902463","display_name":"Fiona Fisher","orcid":"https://orcid.org/0000-0002-0534-6081","observed_orcids":["https://orcid.org/0000-0002-0534-6081"]},"institutions":[{"id":"https://openalex.org/I4210111621","display_name":"Calvary Health Care Bethlehem","ror":"https://ror.org/028a34j67","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210111621"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Fiona Fisher","raw_affiliation_strings":["Calvary Health Care Bethlehem, Statewide Progressive Neurological Disease Service, Caulfield South, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Calvary Health Care Bethlehem, Statewide Progressive Neurological Disease Service, Caulfield South, VIC, Australia","institution_ids":["https://openalex.org/I4210111621"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5040902463"],"corresponding_institution_ids":["https://openalex.org/I4210111621"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":0.1748,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.52813134,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"8","issue":"1","first_page":"87","last_page":"95"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12315","display_name":"Older Adults Driving Studies","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12315","display_name":"Older Adults Driving Studies","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10370","display_name":"Traffic and Road Safety","score":0.00419999985024333,"subfield":{"id":"https://openalex.org/subfields/2213","display_name":"Safety, Risk, Reliability and Quality"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10949","display_name":"Genetic Neurodegenerative Diseases","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2804","display_name":"Cellular and Molecular Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/huntington-s-disease","display_name":"Huntington's disease","score":0.9929999709129333},{"id":"https://openalex.org/keywords/driving-fitness-assessment","display_name":"driving fitness assessment","score":0.6639999747276306},{"id":"https://openalex.org/keywords/cognitive-impairment","display_name":"cognitive impairment","score":0.6600000262260437},{"id":"https://openalex.org/keywords/disease-progression","display_name":"disease progression","score":0.765999972820282},{"id":"https://openalex.org/keywords/attention","display_name":"attention","score":0.9229999780654907},{"id":"https://openalex.org/keywords/processing-speed","display_name":"processing speed","score":1.0},{"id":"https://openalex.org/keywords/planning","display_name":"planning","score":0.7699999809265137},{"id":"https://openalex.org/keywords/visuoperception","display_name":"visuoperception","score":0.9120000004768372},{"id":"https://openalex.org/keywords/on-road-driving-assessment","display_name":"on-road driving assessment","score":0.6420000195503235},{"id":"https://openalex.org/keywords/ipad-apps","display_name":"iPad apps","score":0.5849999785423279}],"concepts":[{"id":"https://openalex.org/C2780647506","wikidata":"https://www.wikidata.org/wiki/Q190564","display_name":"Huntington's disease","level":3,"score":0.7809058427810669},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.5727019906044006},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.546790361404419},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4030817151069641},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39610445499420166},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3347502052783966},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.27103495597839355},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.15197238326072693}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003071","descriptor_name":"Cognition","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006816","descriptor_name":"Huntington Disease","qualifier_ui":"Q000235","qualifier_name":"genetics","is_major_topic":true},{"descriptor_ui":"D006816","descriptor_name":"Huntington Disease","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D006816","descriptor_name":"Huntington Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009483","descriptor_name":"Neuropsychological Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011597","descriptor_name":"Psychomotor Performance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018450","descriptor_name":"Disease Progression","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000235","qualifier_name":"genetics","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.3233/jhd-180323","doi":"https://doi.org/10.3233/jhd-180323","is_oa":false,"landing_page_url":"https://doi.org/10.3233/jhd-180323","pdf_url":null,"source":{"id":"https://openalex.org/S2764536931","display_name":"Journal of Huntington s Disease","issn_l":"1879-6397","issn":["1879-6397","1879-6400"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Huntington's Disease","raw_type":"journal-article"},{"id":"pmid:30776017","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30776017","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Huntington's disease","raw_type":"Journal Article"},{"id":"pmh:oai:figshare.com:article/20768893","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/journal_contribution/Cognitive_fitness_to_drive_in_Huntington_s_disease_assessing_the_clinical_utility_of_DriveSafe_DriveAware/20768893","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:figshare.com:article/20768893","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/journal_contribution/Cognitive_fitness_to_drive_in_Huntington_s_disease_assessing_the_clinical_utility_of_DriveSafe_DriveAware/20768893","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":27,"referenced_works":["https://openalex.org/W145250835","https://openalex.org/W611723161","https://openalex.org/W1484511947","https://openalex.org/W1883338435","https://openalex.org/W1969952263","https://openalex.org/W1977156770","https://openalex.org/W1980898362","https://openalex.org/W1983182638","https://openalex.org/W1990878760","https://openalex.org/W1994384194","https://openalex.org/W2009192120","https://openalex.org/W2021732037","https://openalex.org/W2024708034","https://openalex.org/W2025034135","https://openalex.org/W2035159174","https://openalex.org/W2062024018","https://openalex.org/W2067845159","https://openalex.org/W2078320135","https://openalex.org/W2081158854","https://openalex.org/W2119775559","https://openalex.org/W2139818156","https://openalex.org/W2149807210","https://openalex.org/W2341607380","https://openalex.org/W2606710341","https://openalex.org/W2952779163","https://openalex.org/W4236105899","https://openalex.org/W4239458425"],"related_works":["https://openalex.org/W3091522506","https://openalex.org/W2067845159","https://openalex.org/W2620960639","https://openalex.org/W3021242506","https://openalex.org/W1484511947","https://openalex.org/W1977156770","https://openalex.org/W2313603358","https://openalex.org/W4295260315","https://openalex.org/W2021732037","https://openalex.org/W2525522981"],"abstract_inverted_index":{"BACKGROUND:":[0],"DriveSafe":[1],"DriveAware":[2],"(DSDA)":[3],"has":[4],"been":[5],"validated":[6],"as":[7],"an":[8],"off-road":[9],"screening":[10,236],"tool":[11,237],"for":[12,212,241],"predicting":[13],"on-road":[14,175,231],"driving":[15,67,232],"performance":[16,59,141,225],"in":[17,23,41,70,182,216,223],"clinical":[18],"populations,":[19],"but":[20,180],"its":[21],"utility":[22,38],"people":[24,42,71],"with":[25,43,72,89,144,168,243],"Huntington's":[26],"disease":[27,100],"(HD)":[28],"is":[29],"unknown.":[30],"OBJECTIVE:":[31],"Our":[32,208],"aim":[33],"was":[34,93,142],"to":[35,51,66,83,110,131,173,193,196,203,229],"evaluate":[36],"the":[37,77,127,153,183,197,217,235],"of":[39,48,81,97,129,155,166,214],"DSDA":[40,49,58,82,130,140,202,215],"HD":[44,52,132,146,169,218,244],"by":[45,201],"demonstrating":[46],"sensitivity":[47,128],"scores":[50],"progression":[53,92,133],"and":[54,60,68,86,102,122,134,148,159],"exploring":[55],"associations":[56],"between":[57],"cognitive":[61,112,135,150,188,224],"functions":[62],"that":[63,137],"are":[64],"essential":[65],"impaired":[69,184],"HD.":[73,90],"METHODS:":[74],"We":[75],"administered":[76],"iPad":[78],"application":[79],"version":[80],"26":[84],"pre-symptomatic":[85],"symptomatic":[87],"participants":[88,167,191],"Disease":[91],"assessed":[94],"via":[95],"measures":[96],"motor":[98],"impairment,":[99],"burden":[101],"functional":[103],"capacity.":[104],"Standardised":[105],"neuropsychological":[106],"tests":[107],"were":[108,171],"used":[109,200],"assess":[111],"function":[113],"across":[114,152],"several":[115],"domains":[116,154],"including":[117],"attention,":[118,156],"processing":[119,157],"speed,":[120,158],"planning,":[121],"visuoperception.":[123],"RESULTS:":[124],"Results":[125],"underscore":[126],"impairment;":[136],"is,":[138],"poorer":[139,149],"associated":[143],"greater":[145],"severity":[147],"ability":[151],"planning.":[160],"Nevertheless,":[161],"we":[162],"identified":[163],"a":[164],"proportion":[165],"who":[170],"predicted":[172,228],"pass":[174],"testing":[176],"based":[177],"on":[178,186],"DSDA,":[179],"scored":[181],"range":[185],"multiple":[187],"tests.":[189],"These":[190],"tended":[192],"score":[194,199],"closer":[195],"cut-off":[198],"categorise":[204],"pass/fail":[205],"outcomes.":[206],"CONCLUSIONS:":[207],"findings":[209],"demonstrate":[210],"potential":[211],"use":[213,242],"population,":[219],"however,":[220],"significant":[221],"variability":[222],"among":[226],"those":[227],"'pass'":[230],"assessment":[233],"suggests":[234],"requires":[238],"further":[239],"development":[240],"drivers.":[245]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2019-02-21T00:00:00"}