Predicting Fitness to Drive for Medically At-Risk Drivers Using Touchscreen DriveSafe DriveAware.
Importance: Occupational therapists require valid cognitive fitness-to-drive tools to advise drivers in this high-stakes area. Objective: To examine the psychometric properties and predictive validity of data gathered with the touchscreen DriveSafe DriveAware (DSDA). Design: Prospective study that c...
| Published in: | American Journal of Occupational Therapy Vol. 77; no. 1; pp. 1 - 11 |
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| Main Authors: | , , , , |
| Format: | pictorial research tables/charts Journal Article |
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American Occupational Therapy Association
Jan/Feb2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162168891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162168891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Jan/Feb2023 vid: 77 iid: 1 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 162168891 162168891 162168891 10.5014/ajot.2023.050048 162168891 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Predicting Fitness to Drive for Medically At-Risk Drivers Using Touchscreen DriveSafe DriveAware. aug: au: Cheal, Beth Bundy, Anita Patomella, Ann-Helen Kuang, Haijiang Scanlan, Justin Newton affil: Beth Cheal, PhD, is Lecturer, Occupational Therapy Program, School of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia. At the time of the research, Cheal was PhD Student, Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia sug: subj: Automobile Driving Evaluation Psychometrics Instrument Validation Occupational Therapy Human Prospective Studies Australia New Zealand Aged Male Female Cognition Disorders Rasch Analysis Goodness of Fit Chi Square Test Construct Validity Sensitivity and Specificity Aged: 65+ years Male Female ab: Importance: Occupational therapists require valid cognitive fitness-to-drive tools to advise drivers in this high-stakes area. Objective: To examine the psychometric properties and predictive validity of data gathered with the touchscreen DriveSafe DriveAware (DSDA). Design: Prospective study that compared a screening tool with a criterion standard. Setting: Ten community- and hospital-based driver assessment clinics in Australia and New Zealand. Participants: Older and cognitively impaired drivers (N = 134) ages 18 to 91 years (Mage= 68) who were referred for an assessment to determine the impact of a medical condition on driving. The inclusion criteria were a valid driver's license, vision within license authority guidelines, completion of at least 1 year of high school, and English as a first language. Outcomes and Measures: The results of the touchscreen DSDA, a standardized assessment of awareness of the driving environment and one's own driving abilities, were compared with those of a standardized occupational therapist–administered on-road assessment. Results: Rasch analysis provided evidence for the construct validity and internal reliability of data gathered with the touchscreen DSDA. Optimal upper and lower cutoff scores were set to trichotomize drivers into three categories: likely to pass an on-road assessment, likely to fail an on-road assessment, and further testing required. Specificity of the touchscreen DSDA was 86%, and sensitivity was 91%; positive predictive value was 83%, negative predictive value was 92%, and overall accuracy of classification was 88%. Conclusions and Relevance: Evidence supports the utility of the touchscreen DSDA for accurately predicting which participants require on-road assessment. What This Article Adds: The touchscreen DSDA is a promising screen for occupational therapists and other health professionals to use in conjunction with other clinical indicators to determine whether drivers require further assessment. Evidence supports the utility of the touchscreen DriveSafe DriveAware (DSDA) for occupational therapists to use in conjunction with other clinical indicators to determine accurately whether drivers require further assessment. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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