Assessing the driving performance of a person with epilepsy presurgery and postsurgery / Alexander M. CRIZZLE in American Journal of Occupational Therapy, Vol. 67/3 (mai-juin 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) Titre : Assessing the driving performance of a person with epilepsy presurgery and postsurgery Type de document : texte imprimé Auteurs : Alexander M. CRIZZLE ; Sherrilene Classen ; et al. ; Christina LAFRANCA Année de publication : 2013 Langues : Anglais (eng) Mots-clés : Conduite automobile  Ergothérapie  Epilepsie Résumé : Occupational therapists and certified driving rehabilitation specialists are uniquely skilled to assess functional abilities underlying driving performance. However, little information exists on the utility of clinical assessments to determine driving performance in people with epilepsy. This case study demonstrates how an occupational therapy evaluation battery was used to examine differences in visual and cognitive abilities and simulated driving performance before and after epilepsy surgery. Specifically, a 43-yr-old White man with right anterior lobe epilepsy underwent temporal lobectomy and had his driving-related abilities and simulated driving performance assessed pre- and postsurgery. The occupational therapy evaluation indicated improvements in executive skills, attention, and information processing speed postsurgery. Visuospatial abilities worsened after surgery, likely contributing to the modest increase in vehicle position errors on the driving simulator. Nevertheless, simulated driving performance improved after temporal lobectomy. Reductions in the number of visual scanning, lane maintenance, and speed regulation errors were recorded. Note de contenu : Oline Only Permalink : ./index.php?lvl=notice_display&id=14003 [article] Assessing the driving performance of a person with epilepsy presurgery and postsurgery [texte imprimé] / Alexander M. CRIZZLE ; Sherrilene Classen ; et al. ; Christina LAFRANCA . - 2013. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) Mots-clés : Conduite automobile  Ergothérapie  Epilepsie Résumé : Occupational therapists and certified driving rehabilitation specialists are uniquely skilled to assess functional abilities underlying driving performance. However, little information exists on the utility of clinical assessments to determine driving performance in people with epilepsy. This case study demonstrates how an occupational therapy evaluation battery was used to examine differences in visual and cognitive abilities and simulated driving performance before and after epilepsy surgery. Specifically, a 43-yr-old White man with right anterior lobe epilepsy underwent temporal lobectomy and had his driving-related abilities and simulated driving performance assessed pre- and postsurgery. The occupational therapy evaluation indicated improvements in executive skills, attention, and information processing speed postsurgery. Visuospatial abilities worsened after surgery, likely contributing to the modest increase in vehicle position errors on the driving simulator. Nevertheless, simulated driving performance improved after temporal lobectomy. Reductions in the number of visual scanning, lane maintenance, and speed regulation errors were recorded. Note de contenu : Oline Only Permalink : ./index.php?lvl=notice_display&id=14003

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Concurrent Criterion Validity of the Safe Driving Behavior Measure: A Predictor of On-Road Driving Outcomes / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 67/1 (janvier-février 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/1 (janvier-février 2013) . - p. 108-116 Titre : Concurrent Criterion Validity of the Safe Driving Behavior Measure: A Predictor of On-Road Driving Outcomes Type de document : texte imprimé Auteurs : Sherrilene Classen ; et al. ; Sandra M. WINTER ; Yanning WANG Année de publication : 2013 Article en page(s) : p. 108-116 Langues : Anglais (eng) Mots-clés : Personne âgée  Conduite automobile  Sécurité Résumé : We determined the concurrent criterion validity of the Safe Driving Behavior Measure (SDBM) for on-road outcomes (passing or failing the on-road test as determined by a certified driving rehabilitation specialist) among older drivers and their family members–caregivers. On the basis of ratings from 168 older drivers and 168 family members–caregivers, we calculated receiver operating characteristic curves. The drivers’ area under the curve (AUC) was .620 (95% confidence interval [CI] = .514–.725, p = .043). The family members–caregivers’ AUC was .726 (95% CI = .622–.829, p ≤ .01). Older drivers’ ratings showed statistically significant yet poor concurrent criterion validity, but family members–caregivers’ ratings showed good concurrent criterion validity for the criterion on-road driving test. Continuing research with a more representative sample is being pursued to confirm the SDBM’s concurrent criterion validity. This screening tool may be useful for generalist practitioners to use in making decisions regarding driving. Permalink : ./index.php?lvl=notice_display&id=14024 [article] Concurrent Criterion Validity of the Safe Driving Behavior Measure: A Predictor of On-Road Driving Outcomes [texte imprimé] / Sherrilene Classen ; et al. ; Sandra M. WINTER ; Yanning WANG . - 2013 . - p. 108-116. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/1 (janvier-février 2013) . - p. 108-116 Mots-clés : Personne âgée  Conduite automobile  Sécurité Résumé : We determined the concurrent criterion validity of the Safe Driving Behavior Measure (SDBM) for on-road outcomes (passing or failing the on-road test as determined by a certified driving rehabilitation specialist) among older drivers and their family members–caregivers. On the basis of ratings from 168 older drivers and 168 family members–caregivers, we calculated receiver operating characteristic curves. The drivers’ area under the curve (AUC) was .620 (95% confidence interval [CI] = .514–.725, p = .043). The family members–caregivers’ AUC was .726 (95% CI = .622–.829, p ≤ .01). Older drivers’ ratings showed statistically significant yet poor concurrent criterion validity, but family members–caregivers’ ratings showed good concurrent criterion validity for the criterion on-road driving test. Continuing research with a more representative sample is being pursued to confirm the SDBM’s concurrent criterion validity. This screening tool may be useful for generalist practitioners to use in making decisions regarding driving. Permalink : ./index.php?lvl=notice_display&id=14024

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Driving errors in Parkinson's disease: moving closer to predicting on-road outcomes / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 68/1 (janvier-février 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/1 (janvier-février 2014) . - p.77-85 Titre : Driving errors in Parkinson's disease: moving closer to predicting on-road outcomes Type de document : texte imprimé Auteurs : Sherrilene Classen ; Babette BRUMBACK ; Miriam MONAHAN ; et al. Année de publication : 2014 Article en page(s) : p.77-85 Langues : Anglais (eng) Mots-clés : Conduite automobile  Maladie Parkinson  Performance  Sécurité Résumé : Age-related medical conditions such as Parkinson’s disease (PD) compromise driver fitness. Results from studies are unclear on the specific driving errors that underlie passing or failing an on-road assessment. In this study, we determined the between-group differences and quantified the on-road driving errors that predicted pass or fail on-road outcomes in 101 drivers with PD (mean age = 69.38 + 7.43) and 138 healthy control (HC) drivers (mean age = 71.76 + 5.08). Participants with PD had minor differences in demographics and driving habits and history but made more and different driving errors than HC participants. Drivers with PD failed the on-road test to a greater extent than HC drivers (41% vs. 9%), χ2(1) = 35.54, HC N = 138, PD N = 99, p < .001. The driving errors predicting on-road pass or fail outcomes (95% confidence interval, Nagelkerke R2 =.771) were made in visual scanning, signaling, vehicle positioning, speeding (mainly underspeeding, t(61) = 7.004, p < .001, and total errors. Although it is difficult to predict on-road outcomes, this study provides a foundation for doing so. Permalink : ./index.php?lvl=notice_display&id=19437 [article] Driving errors in Parkinson's disease: moving closer to predicting on-road outcomes [texte imprimé] / Sherrilene Classen ; Babette BRUMBACK ; Miriam MONAHAN ; et al. . - 2014 . - p.77-85. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/1 (janvier-février 2014) . - p.77-85 Mots-clés : Conduite automobile  Maladie Parkinson  Performance  Sécurité Résumé : Age-related medical conditions such as Parkinson’s disease (PD) compromise driver fitness. Results from studies are unclear on the specific driving errors that underlie passing or failing an on-road assessment. In this study, we determined the between-group differences and quantified the on-road driving errors that predicted pass or fail on-road outcomes in 101 drivers with PD (mean age = 69.38 + 7.43) and 138 healthy control (HC) drivers (mean age = 71.76 + 5.08). Participants with PD had minor differences in demographics and driving habits and history but made more and different driving errors than HC participants. Drivers with PD failed the on-road test to a greater extent than HC drivers (41% vs. 9%), χ2(1) = 35.54, HC N = 138, PD N = 99, p < .001. The driving errors predicting on-road pass or fail outcomes (95% confidence interval, Nagelkerke R2 =.771) were made in visual scanning, signaling, vehicle positioning, speeding (mainly underspeeding, t(61) = 7.004, p < .001, and total errors. Although it is difficult to predict on-road outcomes, this study provides a foundation for doing so. Permalink : ./index.php?lvl=notice_display&id=19437

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Driving simulator sickness / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 65/2 (mars-avril 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 179-188 Titre : Driving simulator sickness : an evidence-based review of the literature Type de document : texte imprimé Auteurs : Sherrilene Classen ; Megan BEWERNITZ ; Orit SHECHTMAN Année de publication : 2011 Article en page(s) : p. 179-188 Langues : Anglais (eng) Mots-clés : Conduite automobile  Proprioception  Informatique  Sensation Résumé : OBJECTIVE. Guided by the Occupational Therapy Practice Framework: Domain and Process (2nd edition; American Occupational Therapy Association, 2008), we conducted an evidence-based review on simulator sickness (SS). METHOD. We searched Web of Science, PubMed, SafetyLit, Google Scholar, and recently published literature. We used the American Academy of Neurology’s classification criteria to extract data from 10 studies and assign each a level of 1–4, with “1” indicating the highest level of evidence. We grouped studies that addressed SS into client factors, context and environment factors, and activity demands. RESULTS. Client factors (i.e., older clients [>70 yr; Level B], women [Level B]) and context/environment factors (e.g., refresh rates, scenario design and duration, simulator configuration, and calibration; Level B) probably increase the rates of SS, whereas activity demands (vection, speed of driving, and postural instability; Level C) possibly contribute to SS. CONCLUSION. We classified factors contributing to SS and identified the need for randomized trials to identify causes of SS. Permalink : ./index.php?lvl=notice_display&id=14045 [article] Driving simulator sickness : an evidence-based review of the literature [texte imprimé] / Sherrilene Classen ; Megan BEWERNITZ ; Orit SHECHTMAN . - 2011 . - p. 179-188. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 179-188 Mots-clés : Conduite automobile  Proprioception  Informatique  Sensation Résumé : OBJECTIVE. Guided by the Occupational Therapy Practice Framework: Domain and Process (2nd edition; American Occupational Therapy Association, 2008), we conducted an evidence-based review on simulator sickness (SS). METHOD. We searched Web of Science, PubMed, SafetyLit, Google Scholar, and recently published literature. We used the American Academy of Neurology’s classification criteria to extract data from 10 studies and assign each a level of 1–4, with “1” indicating the highest level of evidence. We grouped studies that addressed SS into client factors, context and environment factors, and activity demands. RESULTS. Client factors (i.e., older clients [>70 yr; Level B], women [Level B]) and context/environment factors (e.g., refresh rates, scenario design and duration, simulator configuration, and calibration; Level B) probably increase the rates of SS, whereas activity demands (vection, speed of driving, and postural instability; Level C) possibly contribute to SS. CONCLUSION. We classified factors contributing to SS and identified the need for randomized trials to identify causes of SS. Permalink : ./index.php?lvl=notice_display&id=14045

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Evidence-Based Review of Interventions for Medically At-Risk Older Drivers / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 68/4 (juillet - août 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 463 Titre : Evidence-Based Review of Interventions for Medically At-Risk Older Drivers Type de document : texte imprimé Auteurs : Sherrilene Classen ; et al. ; Beth AUTEN ; Miriam MONAHAN Année de publication : 2014 Article en page(s) : p. 463 Langues : Anglais (eng) Résumé : OBJECTIVE. To conduct an evidence-based review of intervention studies of older drivers with medical conditions. METHOD. We used the American Occupational Therapy Association’s classification criteria (Levels I–V, I = highest level of evidence) to identify driving interventions. We classified studies using letters to represent the strength of recommendations: A = strongly recommend the intervention; B = recommend intervention is provided routinely; C = weak evidence that the intervention can improve outcomes; D = recommend not to provide the intervention; I = insufficient evidence to recommend for or against the intervention. RESULTS. For clients with stroke, we recommend a graded simulator intervention (A) and multimodal training in traffic theory knowledge and on-road interventions (B); we make no recommendation for or against Dynavision, Useful Field of View, or visual–perceptual interventions (I). For clients with visual deficits, we recommend educational intervention (A) and bioptic training (B); we make no recommendation for or against prism lenses (I). For clients with dementia, we recommend driving restriction interventions (C) and make no recommendation for or against use of compensatory driving strategies (I). CONCLUSION. Level I studies are needed to identify effective interventions for medically at-risk older drivers. Permalink : ./index.php?lvl=notice_display&id=34419 [article] Evidence-Based Review of Interventions for Medically At-Risk Older Drivers [texte imprimé] / Sherrilene Classen ; et al. ; Beth AUTEN ; Miriam MONAHAN . - 2014 . - p. 463. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 463 Résumé : OBJECTIVE. To conduct an evidence-based review of intervention studies of older drivers with medical conditions. METHOD. We used the American Occupational Therapy Association’s classification criteria (Levels I–V, I = highest level of evidence) to identify driving interventions. We classified studies using letters to represent the strength of recommendations: A = strongly recommend the intervention; B = recommend intervention is provided routinely; C = weak evidence that the intervention can improve outcomes; D = recommend not to provide the intervention; I = insufficient evidence to recommend for or against the intervention. RESULTS. For clients with stroke, we recommend a graded simulator intervention (A) and multimodal training in traffic theory knowledge and on-road interventions (B); we make no recommendation for or against Dynavision, Useful Field of View, or visual–perceptual interventions (I). For clients with visual deficits, we recommend educational intervention (A) and bioptic training (B); we make no recommendation for or against prism lenses (I). For clients with dementia, we recommend driving restriction interventions (C) and make no recommendation for or against use of compensatory driving strategies (I). CONCLUSION. Level I studies are needed to identify effective interventions for medically at-risk older drivers. Permalink : ./index.php?lvl=notice_display&id=34419

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Interrater reliability of Western University’s on-road assessment / Sherrilene Classen in Canadian Journal of Occupational Therapy, 83(5) (Décembre 2016)

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Predicting older driver on-road performance by means of the useful field of view and trail making test part B / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 67/5 (septembre-octobre 2013)

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Psychometrics of the self-report safe driving behavior measure for older adults / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

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Rater reliability and rater effects of the safe driving behavior measure / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 66/1 (janvier-février 2012)

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Simulated driving performance of combat veterans with mild traumatic brain injury and posttraumatic stress disorder / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 65/4 (juillet-août 2011)

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Usefulness of screening tools for predicting driving performance in people with Parkinson’s disease / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 65/5 (septembre-octobre 2011)

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Utility of an Occupational Therapy Driving Intervention for a Combat Veteran / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 68/4 (juillet - août 2014)

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