Assessment Tools for Evaluating Fitness to Drive: A Critical Appraisal of Evidence

Vrkljan, Brenda; McGrath, Colleen; Letts, Lori

doi:10.2182/cjot.2011.78.2.3

Cited by 45 publications

(47 citation statements)

References 61 publications

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“…Unsworth (2011) describes the results of a pilot study, investigating the use of a head mounted video camera, which records an occupational therapist's comments during a driving evaluation, as a means of prompting recall of clinical reasoning. Vrkljan, McGrath, and Letts (2011) provide a review of assessments, identified as appropriate for evaluating safe driving behaviours. Winters and colleagues (2011) present a safe driving assessment model that guides the comprehensive evaluation of driving behaviours.…”

Section: T He Canadian Association Of Occupational Therapists' Nationmentioning

confidence: 99%

Enabling Community Mobility is an Opportunity to Practice Social Occupational Therapy

Polgar¹

2011

Can J Occup Ther

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Section: T He Canadian Association Of Occupational Therapists' Nationmentioning

confidence: 99%

Enabling Community Mobility is an Opportunity to Practice Social Occupational Therapy

Polgar¹

2011

Can J Occup Ther

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“…Edwards et al (2008) also found that, as expected, older drivers performed worse than younger drivers on the DHI. Other validation and reliability information for driver screening for the individual measures included in the DHI are summarized in detail by Vrkljan, McGrath, and Letts (2011).…”

mentioning

confidence: 99%

The DrivingHealth® Inventory as a Clinical Screening Tool—Assessment of Face Validity and Acceptance

Crisler

Brooks²,

Drouin

et al. 2013

Occupational Therapy In Health Care

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To investigate the use and potential for patient acceptance of the DrivingHealth(®) Inventory (DHI) in clinical practice, we administered the DHI to 360 community dwelling volunteers over age 50 at a Southeastern US rehabilitation hospital. Volunteers also completed surveys to document their health, driving habits, and impressions of the DHI. Volunteers reported strong agreement with statements that indicated that they believe the DHI measures abilities important for safe driving and that they would be willing to listen to advice about driving and safe mobility from medical professionals; however, responses to some items were more positive among drivers whose DHI results indicated no apparent loss of function that could impair driving. These results support the use of the DHI in clinical practice as a tool to raise awareness of factors that correlate to driving; however, further research will be necessary to investigate how the DHI may benefit diverse clinical populations. Experiences with using DHI as part of clinical practice are also discussed.

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“…Assessing a person's ability to return to driving is complex even professionally, and there is still a lack of consensus in determining driving fitness and capacity (Vrkljan et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…The resumption of driving and the process of assessing an individual's fitness to drive is another area where there is a lack of standardisation of protocols and guidelines (Bottari et al, 2012;Classen et al, 2009;Vrkljan, McGrath, & Letts, 2011). Fitness to drive can be defined as having the ability to manage, anticipate and act on traffic situations and demands without risk (Austroads, 2012;Johnston, Goverover, & Dijkers, 2005).…”

Section: Assessment Of Fitness To Drivementioning

confidence: 99%

“…However, one limitation identified by the researchers was that the interviews were not structured, hence, there was a lack of standardisation amongst assessors in this assessment procedure (Lundqvist et al, 2011). Despite ongoing research regarding predictors of fitness to drive, there is still a lack of consensus or gold standard assessment to comprehensively assess all factors that can affect one's driving abilities (Vrkljan et al, 2011). This lack of standardisation can create uncertainty amongst individuals with ABI, families and healthcare professionals who may all have different views regarding an individual's fitness to drive.…”

Section: Assessment Of Fitness To Drivementioning

confidence: 99%

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Family members’ needs and experiences related to driving disruption following acquired brain injury

Liang¹

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Family members often assume the caregiving role after an individual sustains an acquired brain injury (ABI). A mandated period of driving disruption following an ABI means that individuals will often rely heavily on family members for transport and emotional support.However, research on driving disruption has largely focused on the impact, assessment and rehabilitation of the individual with ABI, with little attention given to family members. In order to develop an understanding for approaches to support family members better, this thesis aimed to explore the needs and experiences of family members during driving disruption following an ABI.The first aim of the thesis was to gain a broader understanding of the issue by conducting a scoping review of the literature on family members' needs and experiences during driving disruption across all health conditions. The scoping review found that driving disruption is a stressful and complex issue with communication and emotional implications for family members. The review highlighted differences in experiences according to health condition, permanence of driving disruption and nature of the caregiver occupation, and identified the need for further research on the issue of driving disruption for family members of individuals with ABI.A prospective, mixed methods, longitudinal study, with a phenomenological approach was conducted with family members of individuals with ABI who were experiencing driving disruption. Recruitment was stratified according to time post-ABI to gain a range of perspectives. Data were collected from 15 family members at three time-points: recruitment to study, 3 and 6 months later. Self-report questionnaires measuring family members' quality of life and well-being were administered at the first time-point, and semistructured interviews were conducted at each time-point. All interviews incorporated the use of a map to elicit qualitative and quantitative data about family members' current travel patterns as a result of driving disruption. The data were analysed using different approaches in a series of four studies.The first two studies aimed to gain an in-depth understanding about the experiences of family members of individuals experiencing driving disruption due to ABI across the recovery continuum. Both studies examined the mixed methods cross-sectional data from the first time-point. The first study explored the differences in family members' experiences iii at the early (<1 year post-ABI) and later stages (>1 year post-ABI) using a mixed methods, phenomenological approach. Family members in the later group reported more challenges with greater intensity. These challenges included changes in everyday activities, the impact on their emotions, consequences for the whole family, and effects on physical health. The later group had lower ratings of health and well-being, and higher caregiver strain.The second study investigated the specific changes family members experienced in everyday activities with a focus on the impact of driving disru...

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Assessment Tools for Evaluating Fitness to Drive: A Critical Appraisal of Evidence

Cited by 45 publications

References 61 publications

Enabling Community Mobility is an Opportunity to Practice Social Occupational Therapy

Enabling Community Mobility is an Opportunity to Practice Social Occupational Therapy

The DrivingHealth® Inventory as a Clinical Screening Tool—Assessment of Face Validity and Acceptance

Family members’ needs and experiences related to driving disruption following acquired brain injury

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