Research Article  |   September 2013
Driving Assessment Tools Used by Driver Rehabilitation Specialists: Survey of Use and Implications for Practice
Author Affiliations
  • Anne E. Dickerson, PhD, OTR/L, FAOTA, is Professor, Program Director of Research for Older Adult Driver Initiative, Occupational Therapy Department, East Carolina University, 3305 Health Sciences Building, Greenville, NC 27858; dickersona@ecu.edu
Article Information
Community Mobility and Driving / Productive Aging
Research Article   |   September 2013
Driving Assessment Tools Used by Driver Rehabilitation Specialists: Survey of Use and Implications for Practice
American Journal of Occupational Therapy, September/October 2013, Vol. 67, 564-573. doi:10.5014/ajot.2013.007823
American Journal of Occupational Therapy, September/October 2013, Vol. 67, 564-573. doi:10.5014/ajot.2013.007823
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.