@article{ref1,
title="Exploring the relationship between self-awareness of driving efficacy and that of a proxy when determining fitness to drive after stroke",
journal="Australian occupational therapy journal",
year="2012",
author="Stapleton, Tadhg and Connolly, Deirdre and O'neill, Desmond",
volume="59",
number="1",
pages="63-70",
abstract="Background/aim:  The inclusion of a driving specific self-awareness measure may assist the clinical screening process to determine fitness to drive after stroke. This article reports on the use of the Adelaide Driving Self-Efficacy Scale (ADSES) and a proxy ADSES for completion by a significant other in assessment of fitness to drive post-stroke. Method:  A prospective study among a clinical sample of stroke patients was conducted incorporating an off-road occupational therapy assessment, an on-road assessment and a six-month follow-up. Self and proxy driver efficacy ratings were compared with each other at off-road assessment and at six-month follow-up, both ratings were compared with structured on-road ratings of driving performance. Results:  Forty-six stroke patients (37 men), mean age 63.5 years, were recruited to the study. Thirty-five participants successfully completed the on-road test. ADSES and proxy ratings were high and a ceiling effect was noted. Self and proxy ratings were significantly correlated with each other and both correlated with the on-road assessment ratings. The ADSES ratings were sensitive to the final driving outcome with scores of the restricted driving group significantly lower than the unrestricted group. Proxy ratings showed a decrease at six-month follow-up. Conclusions:  The ADSES is an easy to administer tool that warrants further use in stroke rehabilitation. Scores on the ADSES differentiated between restricted and unrestricted driving recommendations post-stroke. These preliminary findings indicate its potential use as a proxy measure to assist in identifying patient who are not ready for formal driving assessment.<p /> <p>Language: en</p>",
language="en",
issn="0045-0766",
doi="10.1111/j.1440-1630.2011.00980.x",
url="http://dx.doi.org/10.1111/j.1440-1630.2011.00980.x"
}