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Driver rehabilitation: A systematic review of the types and effectiveness of interventions used by occupational therapists to improve on-road fitness-to-drive
Jönköping University, School of Health and Welfare. Faculty of Health Sciences, La Trobe University, Melbourne 3086, VIC, Australia.
Faculty of Health Sciences, La Trobe University, Melbourne 3086, VIC, Australia.
2014 (English)In: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 71, 106-114 p.Article, review/survey (Refereed) Published
Abstract [en]

Objective: Driver rehabilitation has the potential to improve on-road safety and is commonly recommended to clients. The aim of this systematic review was to identify what intervention approaches are used by occupational therapists as part of driver rehabilitation programmes, and to determine the effectiveness of these interventions. Method: Six electronic databases (MEDLINE, CINAHL, Psycinfo, Embase, The Cochrane Library, and OTD-Base) were searched. Two authors independently reviewed studies reporting all types of research designs and for all patient populations, provided the interventions could be administered by occupational therapists. The methodological quality of studies was assessed using the 'Downs and Black Instrument', and the level of evidence for each intervention approach was established using 'Centre for Evidence Based Medicine' criteria. Results: Sixteen studies were included in the review. The most common type of intervention approach used was computer-based driving simulator training (n=8), followed by off-road skill-specific training (n=4), and off-road education programmes (n=3). Car adaptations/modifications were used in one of the included studies. There was significant variability between studies with regards to frequency, duration, and total number of intervention sessions, and the diagnoses of the participants. Of the four intervention approaches, there is evidence to support the effectiveness of off-road skill-specific training (with older clients), and computer-based driving simulator training (with both older clients and participants with acquired brain injury). Conclusion: Three types of intervention approaches are commonly reported, however, there is limited evidence to determine to effectiveness of these in improving fitness-to-drive. Further research is required, with clients from a range of diagnostic groups to establish evidence-based interventions and determine their effectiveness in improving these clients' on-road fitness-to-drive. Crown Copyright (C) 2014 Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2014. Vol. 71, 106-114 p.
Keyword [en]
Driver intervention, Driver rehabilitation, Fitness-to-drive, On-road, Systematic review
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:hj:diva-25903DOI: 10.1016/j.aap.2014.04.017ISI: 000340304000012PubMedID: 24906164Scopus ID: 2-s2.0-84901913988Local ID: HHJÖvrigtISOAI: oai:DiVA.org:hj-25903DiVA: diva2:789267
Available from: 2015-02-18 Created: 2015-02-18 Last updated: 2016-10-19Bibliographically approved

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