Development of a standardised Occupational Therapy – Driver Off‐Road Assessment Battery to assess older and/or functionally impaired drivers

Unsworth, Carolyn A.; Baker, Anne; Taitz, Carla; Chan, Siew‐Pang; Pallant, Julie; Russell, Kay; Odell, Morris

doi:10.1111/j.1440-1630.2011.00979.x

Cited by 36 publications

(32 citation statements)

References 50 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An additional multiple choice questionnaire (DriveSafe Intersections) assessed knowledge of road law. The 14-item Road Rules and Road Craft test (Road Law) comprises 14 questions about road safety and has been shown to correlate with ORT performance in a clinical sample and researchsamples [32]. …”

Section: Methodsmentioning

confidence: 99%

Assessment of Driving Safety in Older Adults with Mild Cognitive Impairment

Anstey

Eramudugolla

Chopra

et al. 2017

JAD

View full text Add to dashboard Cite

Background: With population aging, drivers with mild cognitive impairment (MCI) are increasing; however, there is little evidence available regarding their safety.Objective: We aimed to evaluate risk of unsafe on-road driving performance among older adults with MCI.Method: The study was a cross-sectional observational study, set in Canberra, Australia. Participants were non-demented, current drivers (n = 302) aged 65 to 96 years (M = 75.7, SD = 6.18, 40% female) recruited through the community and primary and tertiary care clinics. Measures included a standardized on-road driving test (ORT), a battery of screening measures designed to evaluate older driver safety (UFOV®, DriveSafe, Multi-D), a neurocognitive test battery, and questionnaires on driving history and behavior.Results: Using Winblad criteria, 57 participants were classified as having MCI and 245 as cognitively normal (CN). While the MCI group had a significantly lower overall safety rating on the ORT (5.61 versus 6.05, p = 0.03), there was a wide range of driving safety scores in the CN and MCI groups. The MCI group performed worse than the CN group on the off-road screening tests. The best fitting model of predictors of ORT performance across the combined sample included age, the Multi-D, and DriveSafe, classifying 90.4% of the sample correctly.Conclusion: Adults with MCI exhibit a similar range of driving ability to CN adults, although on average they scored lower on off-road and on-road assessments. Driving specific tests were more strongly associated with safety ratings than traditional neuropsychological tests.

show abstract

Section: Methodsmentioning

confidence: 99%

Assessment of Driving Safety in Older Adults with Mild Cognitive Impairment

Anstey

Eramudugolla

Chopra

et al. 2017

JAD

View full text Add to dashboard Cite

show abstract

“…While many individual assessments of cognition, perception, and vision are available for OTDAs to use, the Occupational Therapy -Driver Off Road Assessment (OT-DORA) Battery [18][19][20][21] was developed to comprehensively screen a person's strengths and weaknesses, prior to an on-road assessment. The Battery includes an initial Interview, medical history, medication screen, four standardized sensory assessments, four standardized physical assessments, and three standardized cognitive/perceptual assessments.…”

Section: Introductionmentioning

confidence: 99%

“…All standardized assessments are included as part of the Battery with permission from the various developers, except for the Mini Mental Status Examination [23] which can be purchased separately. The process of evaluating the psychometric properties of the OT-DORA Battery has begun on both the individual tests [24,25] and the Battery as a whole [19]. Further work is required to validate the use of this Battery and specifically determine its predictive validity with a stroke population.…”

Section: Introductionmentioning

confidence: 99%

Predicting fitness-to-drive following stroke using the Occupational Therapy – Driver Off Road Assessment Battery

Unsworth

Baker

Lannin

et al. 2018

Disability and Rehabilitation

Self Cite

View full text Add to dashboard Cite

The three cognitive subtests from the Occupational Therapy - Driver Off Road Assessment Battery and potentially one of the physical tests have good predictive validity for client fitness-to-drive. These tests can be used to screen client suitability for proceeding to an on-road test following stroke. Implications for Rehabilitation: Following stroke, drivers should be counseled (including consideration of local legislation) concerning return to driving. The Occupational Therapy - Driver Off Road Assessment Battery can be used in the clinic to screen people for suitability to undertake on road assessment. Scores on four of the Occupational Therapy - Driver Off Road Assessment Battery subtests are predictive of resumption of driving following stroke.

show abstract

“…Current research examining off‐road assessments used in Australia indicates that many off‐road tests either require further research (such as the Maze Test (Snellgrove, )); lack face validity by not assessing driving skills (the Rey‐Osterrieth Complex Figure Test (Unworth et al ., )); or are valid only for use with people with a single diagnosis (such as the Stroke Drivers’ Screening Assessment (George & Crotty, )). DriveSafe and DriveAware (Kay et al ., ) assess drivers’ awareness of the environment and of their own driving ability, respectively.…”

Section: Introductionmentioning

confidence: 99%