Ann-Helen Patomella, Anita Bundy; P-Drive: Implementing an Assessment of On-Road Driving in Clinical Settings and Investigating Its Internal and Predictive Validity. Am J Occup Ther 2015;69(4):6904290010. https://doi.org/10.5014/ajot.2015.015131
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© 2020 American Occupational Therapy Association
We investigated (1) the psychometric properties of data gathered with the Performance Analysis of Driving Ability (P-Drive), an on-road assessment; (2) P-Drive’s predictive validity in relation to a summed decision of passing or failing a medical driving evaluation; and (3) the success of implementing P-Drive. Drivers (N = 99) with neurological impairment referred for a driving evaluation were observed on road and scored using P-Drive. Results showed evidence of person response validity and internal validity. P-Drive separated the drivers into four different strata (reliability coefficient = .92). A cutoff raw score of 81 was optimal, with sensitivity of 93% and specificity of 92%. Although only 9 occupational therapists (of 19 initially trained) contributed data for analysis, 17 reported using the assessment. Data gathered with P-Drive yielded evidence of excellent psychometric properties. Moreover, P-Drive was implemented successfully in clinical settings, although initial training to full implementation took longer than 1 yr.
P-Drive is an assessment tool that shows evidence of excellent psychometrics.
P-Drive could be implemented in clinical practice.
P-Drive could discriminate between pass and fail, but further studies are needed to confirm a suggested cutoff.
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