title: Driving assessment tools used by driver rehabilitation specialists: survey of use and implications for practice.
abstract: OBJECTIVE. This article describes the use of assessment tools by North American driver rehabilitation specialists (DRSs). PARTICIPANTS. Participants were 227 self-identified DRSs from the combined databases of two national associations. MEASURES. Information was solicited through a self-administered survey about the driving evaluation process, assessment tools, and process for making fitness-to-drive recommendations. RESULTS. More than 80% of the DRSs reported testing visual acuity, range of motion, muscle strength, and fine motor coordination. The most consistently used cognitive-perceptual tests were the Trail Making Tests, Motor-Free Visual Perception Test-Revised, and short cognitive screening tests. A client's behind-the-wheel performance was the main factor in making a fitness-to-drive recommendation. Few specialists are using computer-based tests or interactive driving simulators. CONCLUSION. Although use of the Useful Field of View(®) has increased, there continues to be no consistency in cognitive assessments or guidelines for behind-the-wheel assessment. Implications for practice are discussed.
authors: Research for Older Adult Driver Initiative, Occupational Therapy Department, East Carolina University, 3305 Health Sciences Building, Greenville, NC 27858, USA. dickersona@ecu.edu
authors: Anne E
authors: AE
authors: Dickerson
mesh_terms: D000328:Adult; D001333:Automobile Driver Examination; D001334:Automobile Driving; D003071:Cognition; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D053580:Muscle Strength; D009483:Neuropsychological Tests; D009788:Occupational Therapy / Q000379:methods*; D016059:Range of Motion, Articular; D014792:Visual Acuity