Validity of the cognitive behavioral driver's inventory in predicting driving outcome.

OBJECTIVE: This study seeks to (a) compare Cognitive Behavioral Driver's Inventory (CBDI) scores for clients who passed and failed a driving evaluation and for diagnostic groups (left cerebrovascular accident [CVA], right CVA, traumatic brain injury [TBI], and cognitive decline); (b) determine sensi...

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Publicado en:American Journal of Occupational Therapy Vol. 60; no. 4; pp. 420 - 428
Autores principales: Bouillon L, Mazer B, Gelinas I
Formato: research Journal Article
Publicado: American Occupational Therapy Association Jul/Aug2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2006
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      pub: American Occupational Therapy Association
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        atl: Validity of the cognitive behavioral driver's inventory in predicting driving outcome.
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        au:
          Bouillon L
          Mazer B
          Gelinas I
        affil: Occupational Therapist, Jewish Rehabilitation Hospital, 3205 Place Alton Goldbloom, Chomedey, Laval, Quebec, Canada H7V1R2
      sug:
        subj:
          Automobile Driving
          Rehabilitation, Cognitive
          Competence (Legal)
          Chi Square Test
          Cognition Disorders Etiology
          Confidence Intervals
          Demography
          Descriptive Statistics
          Female
          Logistic Regression
          Male
          Middle Age
          Neuropsychological Tests
          Odds Ratio
          P-Value
          Prospective Studies
          Psychomotor Performance
          Reproducibility of Results
          Research Instruments
          Sensitivity and Specificity
          T-Tests
          Human
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: This study seeks to (a) compare Cognitive Behavioral Driver's Inventory (CBDI) scores for clients who passed and failed a driving evaluation and for diagnostic groups (left cerebrovascular accident [CVA], right CVA, traumatic brain injury [TBI], and cognitive decline); (b) determine sensitivity, specificity, and positive and negative predictive values of the CBDI; (c) compare validity of the CBDI with other tools; and (d) identify factors associated with outcome. PARTICIPANTS: This historical cohort study included clients with neurological conditions who completed a driving evaluation. MEASURES: CBDI, Motor-Free Visual Perception Test (MVPT), Bells test, and driving results were extracted from the charts. RESULTS: Mean CBDI (p < 0.0001) and MVPT (p < 0.0001) scores were significantly worse for those failing compared to passing the driving evaluation. Sensitivity of the CBDI was 62%, specificity was 81%, positive predictive values were 73%, and negative predictive values were 71%. Results varied according to diagnostic group. CONCLUSIONS: The CBDI is not sufficiently predictive of outcome to replace a driving evaluation, and is predictive only for clients with R-CVA and TBI. Evaluation of driving should vary according to diagnosis.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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