Predicting fitness to drive following stroke using the Occupational Therapy Driver Off Road Assessment Battery CQU.pdf (1.61 MB)
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Predicting fitness-to-drive following stroke using the Occupational Therapy – Driver Off Road Assessment Battery

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journal contribution
posted on 03.08.2022, 02:20 authored by Carolyn UnsworthCarolyn Unsworth, A Baker, N Lannin, P Harries, J Strahan, Matthew BrowneMatthew Browne
Introduction: It is difficult to determine if, or when, individuals with stroke are ready to undergo on-road fitness-to-drive assessment. The Occupational Therapy – Driver Off Road Assessment Battery was developed to determine client suitability to resume driving. The predictive validity of the Battery needs to be verified for people with stroke. Aim: Examine the predictive validity of the Occupational Therapy – Driver Off Road Assessment Battery for on-road performance among people with stroke. Method: Off-road data were collected from 148 people post stroke on the Battery and the outcome of their on-road assessment was recorded as: fit-to-drive or not fit-to-drive. Results: The majority of participants (76%) were able to resume driving. A classification and regression tree (CART) analysis using four subtests (three cognitive and one physical) from the Battery demonstrated an area under the curve (AUC) of 0.8311. Using a threshold of 0.5, the model correctly predicted 98/112 fit-to-drive (87.5%) and 26/36 people not fit-to-drive (72.2%). Conclusion: 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. © 2018 Informa UK Limited, trading as Taylor & Francis Group

Funding

Category 3 - Industry and Other Research Income

History

Volume

41

Issue

15

Start Page

1797

End Page

1802

Number of Pages

6

eISSN

1464-5165

ISSN

0963-8288

Publisher

Taylor & Francis, UK

Additional Rights

CC BY-NC-ND 4.0

Peer Reviewed

Yes

Open Access

Yes

Acceptance Date

23/02/2018

External Author Affiliations

Brunel University London; La Trobe University; Australian Catholic University; Alfred Health, Vic.; , University of Sydney

Era Eligible

Yes

Journal

Disability and Rehabilitation