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Using Social Judgment Theory method to examine how experienced occupational therapy driver assessors use information to make fitness-to-drive recommendations / Carolyn Unsworth in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)
[article]
Titre : Using Social Judgment Theory method to examine how experienced occupational therapy driver assessors use information to make fitness-to-drive recommendations Type de document : texte imprimé Auteurs : Carolyn Unsworth, Auteur ; Priscilla Harries, Auteur ; Miranda Davies, Auteur Année de publication : 2015 Article en page(s) : p. 109-120 Langues : Anglais (eng) Mots-clés : Automobile driving Decision-making Cue use Driver assessment Résumé : Introduction As people with a range of disabilities strive to increase their community mobility, occupational therapy driver assessors are increasingly required to make complex recommendations regarding fitness-to-drive. However, very little is known about how therapists use information to make decisions. The aim of this study was to model how experienced occupational therapy driver assessors weight and combine information when making fitness-to-drive recommendations and establish their level of decision agreement.
Method Using Social Judgment Theory method, this study examined how 45 experienced occupational therapy driver assessors from the UK, Australia and New Zealand made fitness-to-drive recommendations for a series of 64 case scenarios. Participants completed the task on a dedicated website, and data were analysed using discriminant function analysis and an intraclass correlation coefficient.
Results Accounting for 87% of the variance, the cues central to the fitness-to-drive recommendations made by assessors are the client’s physical skills, cognitive and perceptual skills, road law craft skills, vehicle handling skills and the number of driving instructor interventions. Agreement (consensus) between fitness-to-drive recommendations was very high: intraclass correlation coefficient = .97, 95% confidence interval .96–.98).
Conclusion Findings can be used by both experienced and novice driver assessors to reflect on and strengthen the fitness-to-drive recommendations made to clients.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35930
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 109-120[article] Using Social Judgment Theory method to examine how experienced occupational therapy driver assessors use information to make fitness-to-drive recommendations [texte imprimé] / Carolyn Unsworth, Auteur ; Priscilla Harries, Auteur ; Miranda Davies, Auteur . - 2015 . - p. 109-120.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 109-120
Mots-clés : Automobile driving Decision-making Cue use Driver assessment Résumé : Introduction As people with a range of disabilities strive to increase their community mobility, occupational therapy driver assessors are increasingly required to make complex recommendations regarding fitness-to-drive. However, very little is known about how therapists use information to make decisions. The aim of this study was to model how experienced occupational therapy driver assessors weight and combine information when making fitness-to-drive recommendations and establish their level of decision agreement.
Method Using Social Judgment Theory method, this study examined how 45 experienced occupational therapy driver assessors from the UK, Australia and New Zealand made fitness-to-drive recommendations for a series of 64 case scenarios. Participants completed the task on a dedicated website, and data were analysed using discriminant function analysis and an intraclass correlation coefficient.
Results Accounting for 87% of the variance, the cues central to the fitness-to-drive recommendations made by assessors are the client’s physical skills, cognitive and perceptual skills, road law craft skills, vehicle handling skills and the number of driving instructor interventions. Agreement (consensus) between fitness-to-drive recommendations was very high: intraclass correlation coefficient = .97, 95% confidence interval .96–.98).
Conclusion Findings can be used by both experienced and novice driver assessors to reflect on and strengthen the fitness-to-drive recommendations made to clients.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35930 Exemplaires (1)
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Exclu du prêtDetermining fitness to drive among drivers with Alzheimer’s disease or cognitive decline / Carolyn Unsworth in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)
[article]
Titre : Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline Type de document : texte imprimé Auteurs : Carolyn Unsworth ; Siew-Pang Chan Année de publication : 2016 Article en page(s) : p.102-110 Langues : Anglais (eng) Mots-clés : automobile driving driver assessment evaluation mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery).
Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail.
Results A total of 63 clients were assessed, and n = 40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome.
Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment.Permalink : ./index.php?lvl=notice_display&id=42391
in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110[article] Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline [texte imprimé] / Carolyn Unsworth ; Siew-Pang Chan . - 2016 . - p.102-110.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110
Mots-clés : automobile driving driver assessment evaluation mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery).
Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail.
Results A total of 63 clients were assessed, and n = 40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome.
Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment.Permalink : ./index.php?lvl=notice_display&id=42391 Exemplaires (1)
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Exclu du prêtDetermining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury / Ann Baker in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)
[article]
Titre : Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury Type de document : texte imprimé Auteurs : Ann Baker, Auteur ; Carolyn Unsworth, Auteur ; Natasha A. Lannin, Auteur Année de publication : 2015 Article en page(s) : p. 73-83 Langues : Anglais (eng) Mots-clés : Driving Driver assessment Fitness to drive Mild traumatic brain injury Résumé : Introduction Limited evidence is available to support knowledge of the time-frame and capacity for fitness to drive after mild traumatic brain injury. The aim of this systematic review was to identify what methods and assessments are, or could be used to determine fitness to drive for this population.
Method We undertook a systematic search of six electronic databases. Two authors rated all studies for methodological content and quality, and standardised data were extracted. Narrative analysis was conducted to understand the content of eligible studies.
Findings A total of 2022 articles were retrieved; seven articles met the inclusion criteria. Self-reported questionnaires, non-standardised assessments, questionnaires completed by next-of-kin, and simulator tests were the primary methods used to determine fitness to drive. Only one assessment has been used to aid recommendations about fitness to drive in the acute hospital setting. Six additional standardised assessments were identified that have the potential to predict fitness to drive in this population group; however, these assessments require further psychometric testing prior to use.
Conclusion While a variety of methods and assessments are currently used, there is little research evidence to suggest when individuals are able to return to driving after mild traumatic brain injury. Research is urgently required to determine a consistent and standardised approach to assessing fitness to drive following mild traumatic brain injury.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35926
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 73-83[article] Determining fitness to drive: A systematic review of the methods and assessments used after mild traumatic brain injury [texte imprimé] / Ann Baker, Auteur ; Carolyn Unsworth, Auteur ; Natasha A. Lannin, Auteur . - 2015 . - p. 73-83.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 73-83
Mots-clés : Driving Driver assessment Fitness to drive Mild traumatic brain injury Résumé : Introduction Limited evidence is available to support knowledge of the time-frame and capacity for fitness to drive after mild traumatic brain injury. The aim of this systematic review was to identify what methods and assessments are, or could be used to determine fitness to drive for this population.
Method We undertook a systematic search of six electronic databases. Two authors rated all studies for methodological content and quality, and standardised data were extracted. Narrative analysis was conducted to understand the content of eligible studies.
Findings A total of 2022 articles were retrieved; seven articles met the inclusion criteria. Self-reported questionnaires, non-standardised assessments, questionnaires completed by next-of-kin, and simulator tests were the primary methods used to determine fitness to drive. Only one assessment has been used to aid recommendations about fitness to drive in the acute hospital setting. Six additional standardised assessments were identified that have the potential to predict fitness to drive in this population group; however, these assessments require further psychometric testing prior to use.
Conclusion While a variety of methods and assessments are currently used, there is little research evidence to suggest when individuals are able to return to driving after mild traumatic brain injury. Research is urgently required to determine a consistent and standardised approach to assessing fitness to drive following mild traumatic brain injury.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35926 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt