title: Gaining insights to the clinical reasoning that supports an on-road driver assessment.
abstract: BACKGROUND
  Researchers have yet to examine the clinical reasoning of occupational therapists undertaking driver assessments.
  
  
  OBJECTIVE
  Conduct pilot research exploring the kinds of clinical reasoning used during an on-road driver assessment and to determine if the quality of the data supports further inquiry into the use of head-mounted video camera footage to prompt recall of clinical reasoning.
  
  
  METHODS
  Using a single-case, qualitative design, head-mounted video camera was used to record the on-road assessment and the therapist subsequently provided her reasoning using video-prompted recall.
  
  
  RESULTS
  The video footage from the head-mounted camera provided an excellent prompt, and the therapist was able to give a thorough account of her clinical reasoning during the on-road assessment. Implications. This novel method of capturing on-road driver assessments and prompting recall of reasoning has the potential to aid expert and novice driver assessors understand and advance the clinical reasoning that guides fitness-to-drive recommendations.
authors.affiliation: School of Occupational Therapy, La Trobe University, Melbourne, Vict 3086, Australia. c.unsworth@latrobe.edu.au
authors.forename: Carolyn A
authors.initials: CA
authors.lastname: Unsworth
mesh_terms: D001333:Automobile Driver Examination; D006801:Humans; D008606:Mental Processes; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D010865:Pilot Projects; D011446:Prospective Studies; D013647:Task Performance and Analysis; D014741:Video Recording