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

Disability and Rehabilitation
Carolyn A UnsworthMatthew Browne

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 f...Continue Reading

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Citations

Nov 9, 2019·Topics in Stroke Rehabilitation·Marie-Andrée OuelletLise Poissant
Nov 11, 2019·Disability and Rehabilitation. Assistive Technology·Juan EsparzaCarolyn A Unsworth
Aug 12, 2020·Disability and Rehabilitation. Assistive Technology·Rikiya ShiratoShiho Mishina
Aug 3, 2020·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Carolyn A UnsworthMatthew Browne
Jan 6, 2021·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Eric ChauW Ben Mortenson

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