Development of a driving readiness program for adolescents and young adults with cerebral palsy and spina bifida / Marie-Elaine Lafrance in The British Journal of Occupational Therapy, Vol.80 Issue 3 (March 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 3 (March 2017) . - p. 173-182 Titre : Development of a driving readiness program for adolescents and young adults with cerebral palsy and spina bifida Type de document : texte imprimé Auteurs : Marie-Elaine Lafrance ; Dana Benoit ; Noémi Dahan-Oliel ; Isabelle Gélinas Année de publication : 2017 Article en page(s) : p. 173-182 Langues : Anglais (eng) Mots-clés : conduite  paralysie cérébrale  spina bifida  handicap  ergothérapie Résumé : Introduction Occupational therapists are amongst the certified driving rehabilitation specialists providing driving rehabilitation and training. This study aimed at gathering information on driving readiness in adolescents and young adults with physical and/or cognitive impairments related to cerebral palsy and spina bifida to guide the development of a driving readiness program for this clientele. Method A review of the scientific literature was performed. Seventy-four driving rehabilitation specialists across North America were surveyed, of whom eight were subsequently interviewed. Results Learner drivers with cerebral palsy and spina bifida lack the basic skills (such as information processing, visual memory, attention span) for and familiarity with community mobility and self-efficacy, often resulting in a lengthy and difficult learning process for automobile driving. The literature findings were corroborated by a survey and interview of specialized driving rehabilitation therapists. There is a therapist-driven desire to improve pre-requisite skills for driving through a driving readiness program tailored to this population’s specific needs. An outline of such a program was developed based on the person–environment–occupation model. Conclusion A driving readiness program may act as an important clinical tool intended to optimize pre-driving skills in adolescents with cerebral palsy or spina bifida in order to facilitate the driving training process and ensure greater community independence in this population. Permalink : ./index.php?lvl=notice_display&id=48271 [article] Development of a driving readiness program for adolescents and young adults with cerebral palsy and spina bifida [texte imprimé] / Marie-Elaine Lafrance ; Dana Benoit ; Noémi Dahan-Oliel ; Isabelle Gélinas . - 2017 . - p. 173-182. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 3 (March 2017) . - p. 173-182 Mots-clés : conduite  paralysie cérébrale  spina bifida  handicap  ergothérapie Résumé : Introduction Occupational therapists are amongst the certified driving rehabilitation specialists providing driving rehabilitation and training. This study aimed at gathering information on driving readiness in adolescents and young adults with physical and/or cognitive impairments related to cerebral palsy and spina bifida to guide the development of a driving readiness program for this clientele. Method A review of the scientific literature was performed. Seventy-four driving rehabilitation specialists across North America were surveyed, of whom eight were subsequently interviewed. Results Learner drivers with cerebral palsy and spina bifida lack the basic skills (such as information processing, visual memory, attention span) for and familiarity with community mobility and self-efficacy, often resulting in a lengthy and difficult learning process for automobile driving. The literature findings were corroborated by a survey and interview of specialized driving rehabilitation therapists. There is a therapist-driven desire to improve pre-requisite skills for driving through a driving readiness program tailored to this population’s specific needs. An outline of such a program was developed based on the person–environment–occupation model. Conclusion A driving readiness program may act as an important clinical tool intended to optimize pre-driving skills in adolescents with cerebral palsy or spina bifida in order to facilitate the driving training process and ensure greater community independence in this population. Permalink : ./index.php?lvl=notice_display&id=48271

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Predictive validity of the Montreal Cognitive Assessment (MoCA) as a screening tool for on-road driving performance / Jade Chiu Wai Kwok in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 100-108 Titre : Predictive validity of the Montreal Cognitive Assessment (MoCA) as a screening tool for on-road driving performance Titre original : Jade Chiu Wai Kwok, Isabelle Gélinas, Dana Benoit Type de document : texte imprimé Auteurs : Jade Chiu Wai Kwok, Auteur ; Isabelle Gélinas, Auteur ; Dana Benoit, Auteur Année de publication : 2015 Article en page(s) : p. 100-108 Langues : Anglais (eng) Mots-clés : Driving  Montreal Cognitive Assessment  Screening Résumé : Introduction The objectives of this study are to determine (1) the ability of the Montreal Cognitive Assessment to predict on-road driving performance in drivers with a neurological condition and elderly drivers with suspected cognitive decline, and (2) the association between the performance on the Useful Field of View and the performance on the Montreal Cognitive Assessment. Method This study used a retrospective design. Clients were included who had completed the Montreal Cognitive Assessment and the on-road driving evaluation from November 2006 to May 2009 (n = 154) in a driving rehabilitation program in the Montreal Area. Total scores on the Montreal Cognitive Assessment, Useful Field of View risk categories, pass or fail outcomes from an on-road evaluation, as well as demographic and clinical characteristics were recorded from participants’ medical charts. Results The Montreal Cognitive Assessment was found to have a sensitivity of 84.5% and a specificity of 50% with a cut-off of ≤25. It was significantly associated with the Useful Field of View risk category. Conclusion The Montreal Cognitive Assessment could be a valuable screening tool. However, its predictive validity is not strong enough to recommend its use as the sole instrument for identifying unfit drivers. En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35929 [article] Predictive validity of the Montreal Cognitive Assessment (MoCA) as a screening tool for on-road driving performance = Jade Chiu Wai Kwok, Isabelle Gélinas, Dana Benoit [texte imprimé] / Jade Chiu Wai Kwok, Auteur ; Isabelle Gélinas, Auteur ; Dana Benoit, Auteur . - 2015 . - p. 100-108. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 100-108 Mots-clés : Driving  Montreal Cognitive Assessment  Screening Résumé : Introduction The objectives of this study are to determine (1) the ability of the Montreal Cognitive Assessment to predict on-road driving performance in drivers with a neurological condition and elderly drivers with suspected cognitive decline, and (2) the association between the performance on the Useful Field of View and the performance on the Montreal Cognitive Assessment. Method This study used a retrospective design. Clients were included who had completed the Montreal Cognitive Assessment and the on-road driving evaluation from November 2006 to May 2009 (n = 154) in a driving rehabilitation program in the Montreal Area. Total scores on the Montreal Cognitive Assessment, Useful Field of View risk categories, pass or fail outcomes from an on-road evaluation, as well as demographic and clinical characteristics were recorded from participants’ medical charts. Results The Montreal Cognitive Assessment was found to have a sensitivity of 84.5% and a specificity of 50% with a cut-off of ≤25. It was significantly associated with the Useful Field of View risk category. Conclusion The Montreal Cognitive Assessment could be a valuable screening tool. However, its predictive validity is not strong enough to recommend its use as the sole instrument for identifying unfit drivers. En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35929

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