@article{ref1,
title="Assessment tools for evaluating fitness to drive: a critical appraisal of evidence",
journal="Canadian journal of occupational therapy",
year="2011",
author="Vrkljan, Brenda H. and McGrath, Colleen E. and Letts, Lori J.",
volume="78",
number="2",
pages="80-96",
abstract="BACKGROUND: Many office-based assessment tools are used by occupational therapists to predict fitness to drive. PURPOSE: To appraise psychometric properties of such tools, specifically predictive validity for on-road performance. METHODS: A literature search was conducted to identify assessment tools and studies involving on-road outcomes (behind-the-wheel evaluation, crashes, traffic violations). Using a standardized appraisal process, reviewers rated each tool's psychometric properties, including its predictive validity with on-road performance. FINDINGS: Seventeen measures met the inclusion criteria. Evidence suggests many tools do not have cutoff scores linked with on-road outcomes, although some had stronger evidence than others. Implications. When making a determination regarding driver fitness, clinicians should consider the psychometric properties of the tool as well as existing evidence concerning its utility in predicting on-road performance. Caution is warranted in using any one office-based tool to predict driving fitness; rather, a multifactorial-based assessment approach that includes physical, cognitive, and visual-perceptual components, is recommended.<p /> <p>Language: en</p>",
language="en",
issn="0008-4174",
doi="",
url="http://dx.doi.org/"
}