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Using Social Judgment Theory Method to examine how experienced occupational therapy driver assessors use information to make fitness-to-drive recommendations

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journal contribution
posted on 06.12.2017, 00:00 authored by Carolyn UnsworthCarolyn Unsworth, P Harries, M Davies
Introduction: As people with a range of disabilities strive to increase their community mobility, occupational therapy driver assessors are increasingly required to make complex recommendations regarding fitness-to-drive. However, very little is knownabout how therapists use information to make decisions. The aim of this study was to model how experienced occupational therapy driver assessors weight and combine information when making fitness-to-drive recommendations and establish their level of decision agreement. Method: Using Social Judgment Theory method, this study examined how 45 experienced occupational therapy driver assessors from the UK, Australia and New Zealand made fitness-to-drive recommendations for a series of 64 case scenarios. Participants completed the task on a dedicated website, and data were analysed using discriminant function analysis and an intraclass correlation coefficient. Results: Accounting for 87% of the variance, the cues central to the fitness-to-drive recommendations made by assessors are the client’s physical skills, cognitive and perceptual skills, road law craft skills, vehicle handling skills and the number of driving instructor interventions. Agreement (consensus) between fitness-to-drive recommendations was very high: intraclass correlation coefficient¼.97, 95% confidence interval .96–.98).Conclusion: Findings can be used by both experienced and novice driver assessors to reflect on and strengthen the fitness-to-drive recommendations made to clients.

Funding

Category 3 - Industry and Other Research Income

History

Volume

78

Issue

2

Start Page

109

End Page

120

Number of Pages

12

eISSN

1477-6006

ISSN

0308-0226

Location

United Kingdom

Publisher

Sage Publications

Language

en-aus

Peer Reviewed

Yes

Open Access

Yes

Era Eligible

Yes

Journal

British journal of occupational therapy.