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Journal Article

Citation

Dickerson AE. Am. J. Occup. Ther. 2013; 67(5): 564-573.

Affiliation

Anne E. Dickerson, PhD, OTR/L, FAOTA, is Professor, Program Director of Research for Older Adult Driver Initiative, Occupational Therapy Department, East Carolina University, 3305 Health Sciences Building, Greenville, NC 27858; dickersona@ecu.edu.

Copyright

(Copyright © 2013, American Occupational Therapy Association)

DOI

10.5014/ajot.2013.007823

PMID

23968795

Abstract

OBJECTIVE. This article describes the use of assessment tools by North American driver rehabilitation specialists (DRSs). PARTICIPANTS. Participants were 227 self-identified DRSs from the combined databases of two national associations. MEASURES. Information was solicited through a self-administered survey about the driving evaluation process, assessment tools, and process for making fitness-to-drive recommendations. RESULTS. More than 80% of the DRSs reported testing visual acuity, range of motion, muscle strength, and fine motor coordination. The most consistently used cognitive-perceptual tests were the Trail Making Tests, Motor-Free Visual Perception Test-Revised, and short cognitive screening tests. A client's behind-the-wheel performance was the main factor in making a fitness-to-drive recommendation. Few specialists are using computer-based tests or interactive driving simulators. CONCLUSION. Although use of the Useful Field of View(®) has increased, there continues to be no consistency in cognitive assessments or guidelines for behind-the-wheel assessment. Implications for practice are discussed.


Language: en

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