@article{ref1,
title="Predicting fitness-to-drive following stroke using the Occupational Therapy - Driver Off Road Assessment Battery",
journal="Disability and rehabilitation",
year="2019",
author="Unsworth, Carolyn A. and Baker, Anne and Lannin, Natasha and Harries, Priscilla and Strahan, Janene and Browne, Matthew",
volume="41",
number="15",
pages="1797-1802",
abstract="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. <br><br>AIM: Examine the predictive validity of the Occupational Therapy - Driver Off Road Assessment Battery for on-road performance among people with stroke. <br><br>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. <br><br>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%). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0963-8288",
doi="10.1080/09638288.2018.1445784",
url="http://dx.doi.org/10.1080/09638288.2018.1445784"
}