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Development of a standardised Occupational Therapy - Driver Off-Road Assessment Battery to assess older and/or functionally impaired drivers
Jönköping University, School of Health Science. La Trobe Univ, Sch Occupat Therapy, Dept Occupat Therapy, Melbourne, Vic 3086, Australia.
Royal Childrens Hosp, Occupat Therapy Dept, Parkville, Vic 3052, Australia.
EPIC Ctr, Bundoora, Vic, Australia.
La Trobe Univ, Div Hlth Res, Melbourne, Vic 3086, Australia.
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2012 (English)In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 59, no 1, p. 23-36Article in journal (Refereed) Published
Abstract [en]

Introduction: Research has been conducted over several years to develop a new off-road assessment battery referred to as the Occupational Therapy - Driver Off-Road Assessment Battery. This article documents the development of the Battery, and provides preliminary research evidence to support its content and predictive validity. Methods: Literature reviews and a focus group with nine driver assessor occupational therapists were undertaken, as well as data collection using the Occupational Therapy Driver Off-Road Assessment Battery with 246 clients. A Classification and Regression Tree model was constructed to ascertain the predictive validity of the Battery, with fitness- to-drive as the outcome. Results: Twenty-one physical, 13 sensory and seven assessments of cognition / perception were identified as being reflective of the skills required for driving. Following rating of their psychometric properties, the best assessments were presented to focus group members. The driver assessors supported the inclusion of several assessments and encouraged the development of new assessments. A draft version of the Occupational Therapy -Driver Off-Road Assessment Battery was tested and found to have excellent predictive validity for client on-road performance of 82.6%. The Classification and Regression Tree model showed that client performance on tests included in the Battery should be used together, rather than in isolation, to support fitness-to-drive recommendations. Conclusion: This research identified the most suitable physical, sensory and cognitive assessments to include in the Occupational Therapy -Driver Off-Road Assessment Battery, and provided support for its validity. The development of this standardised battery assists driver assessors to accurately and consistently assess and report the offroad driving capacity of clients.

Place, publisher, year, edition, pages
2012. Vol. 59, no 1, p. 23-36
Keywords [en]
automobile, evaluation, driving
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-22035DOI: 10.1111/j.1440-1630.2011.00979.xISI: 000299415300005Local ID: HHJövrigtISOAI: oai:DiVA.org:hj-22035DiVA, id: diva2:650974
Available from: 2013-09-24 Created: 2013-09-24 Last updated: 2017-12-06Bibliographically approved

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