Citation

Vrkljan BH, McGrath CE, Letts LJ. Can. J. Occup. Ther. 2011; 78(2): 80-96.

Affiliation

Occupational Therapy Program, School of Rehabilitation Science, McMaster University, IAHS Bldg, Rm. 450,1400 Main St.W., Hamilton, ON, Canada L8S 1C7. vrkljan@mcmaster.ca

Copyright

(Copyright © 2011, Canadian Association of Occupational Therapists)

DOI

unavailable

PMID

21560912

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.

Language: en