Predicting fitness-to-drive following stroke using the Occupational Therapy – Driver Off Road Assessment Battery

Journal article

Unsworth, Carolyn A., Baker, Anne, Lannin, Natasha, Harries, Priscilla, Strahan, Janene and Browne, Matthew. (2019). Predicting fitness-to-drive following stroke using the Occupational Therapy – Driver Off Road Assessment Battery. Disability and Rehabilitation. 41(15), pp. 1797 - 1802. https://doi.org/10.1080/09638288.2018.1445784
AuthorsUnsworth, Carolyn A., Baker, Anne, Lannin, Natasha, Harries, Priscilla, Strahan, Janene and Browne, Matthew
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. Aim: Examine the predictive validity of the Occupational Therapy – Driver Off Road Assessment Battery for on-road performance among people with stroke. 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. 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%). 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.

Keywordsautomobile driving; driver assessment; clinical screening; occupational therapist; cerebrovascular accident
Year2019
JournalDisability and Rehabilitation
Journal citation41 (15), pp. 1797 - 1802
PublisherTaylor & Francis
ISSN0963-8288
Digital Object Identifier (DOI)https://doi.org/10.1080/09638288.2018.1445784
Scopus EID2-s2.0-85042907872
Page range1797 - 1802
Research GroupSchool of Allied Health
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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