@article{ref1,
title="Exploring the predictive ability of the Motor-Free Visual Perception Test (MVPT) and Trail Making Test (TMT) for on-road driving performance",
journal="American journal of occupational therapy",
year="2020",
author="Holowaychuk, Ana and Parrott, Yolan and Leung, Ada W. S.",
volume="74",
number="5",
pages="7405205070p1-7405205070p8",
abstract="IMPORTANCE: Resuming driving after a change in functional ability is challenging for patients with a neurological condition. Although a combination of assessment tools has been suggested for use in driving evaluation, resources and availability of tools have been a problem.   OBJECTIVE: To examine the predictive ability of two commonly used tools, the Motor-Free Visual Perception Test (MVPT) and the Trail Making Test, Parts A and B (TMTA and TMTB), on on-road driving performance.   DESIGN: Retrospective chart review of 82 patient charts between 2015 and 2016.   SETTING: Local rehabilitation hospital.   PARTICIPANTS: Eighty-two patients with a primary neurological diagnosis (general neurological condition, n = 13; spinal cord injury, n = 11; stroke, n = 58).   OUTCOMES AND MEASURES: MVPT, TMTA, and TMTB.   RESULTS: Among the patients, 36 passed and 46 failed the on-road evaluation. The TMTA and TMTB scores were significantly different between those who passed or failed the on-road evaluation. Logistic regression analyses revealed that the TMTB completion time was the only significant predictor of on-road driving performance (for the all-patient model, 66% prediction accuracy, -2 log-likelihood [LL] = 93.47, exp β = 0.98; for the stroke-only model, 76% prediction accuracy, -2LL = 59.61, exp β = 0.97).   CONCLUSIONS AND RELEVANCE: Our findings suggest that the TMTB is a better predictor of on-road driving performance for patients with a neurological condition than the MVPT. The findings shed light on the importance of selecting proper tools when assessing driving performance. Future prospective studies with a wider array of predictive variables are recommended to support the present findings.   WHAT THIS ARTICLE ADDS: Occupational therapists should revisit the use of the MVPT in driving assessment and consider multiple assessment tools when evaluating and predicting driving performance.<p /> <p>Language: en</p>",
language="en",
issn="0272-9490",
doi="10.5014/ajot.119.040626",
url="http://dx.doi.org/10.5014/ajot.119.040626"
}