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[article]
Titre : |
Development of the Saskatchewan Psychiatric Occupational Therapy Driving Screen |
Type de document : |
texte imprimé |
Auteurs : |
Alicia Carey ; Carolyn Burton ; Aleksandra Grochulski ; Pinay Paige ; Aj Remillard |
Année de publication : |
2018 |
Article en page(s) : |
p. 187-195 |
Langues : |
Anglais (eng) |
Mots-clés : |
Activities of daily living ADLs screening automobile driving |
Résumé : |
Introduction
Screening driving ability is challenging in psychiatry due to the fluctuating nature of psychiatric diagnoses, psychosocial factors, and the impact of medications. An examination of best practice and a literature review yielded few results, highlighting the need for the development of a driving screening framework. The goal was to develop a clinical reasoning guide, agreed upon by psychiatric occupational therapists, to improve systematic driving screening for this population.
Method
A series of surveys distributed to occupational therapists examined the key components to consider, utilizing a modified Delphi technique. Data from 94 completed questionnaires over three rounds were filtered, analyzed, summarized, and redistributed. Survey distribution and guideline amendment continued until consensus was achieved.
Findings
The Saskatchewan Psychiatric Occupational Therapy Driving Screen (SPOT-DS) has been developed as the first comprehensive clinical reasoning guide for screening drivers with psychiatric conditions.
Conclusion
The SPOT-DS can assist in protecting clients’ driving privileges, while ensuring public safety on the roads by providing a systematic approach to screening drivers. Further testing on its validity is warranted. |
Permalink : |
./index.php?lvl=notice_display&id=80063 |
in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 187-195
[article] Development of the Saskatchewan Psychiatric Occupational Therapy Driving Screen [texte imprimé] / Alicia Carey ; Carolyn Burton ; Aleksandra Grochulski ; Pinay Paige ; Aj Remillard . - 2018 . - p. 187-195. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 187-195
Mots-clés : |
Activities of daily living ADLs screening automobile driving |
Résumé : |
Introduction
Screening driving ability is challenging in psychiatry due to the fluctuating nature of psychiatric diagnoses, psychosocial factors, and the impact of medications. An examination of best practice and a literature review yielded few results, highlighting the need for the development of a driving screening framework. The goal was to develop a clinical reasoning guide, agreed upon by psychiatric occupational therapists, to improve systematic driving screening for this population.
Method
A series of surveys distributed to occupational therapists examined the key components to consider, utilizing a modified Delphi technique. Data from 94 completed questionnaires over three rounds were filtered, analyzed, summarized, and redistributed. Survey distribution and guideline amendment continued until consensus was achieved.
Findings
The Saskatchewan Psychiatric Occupational Therapy Driving Screen (SPOT-DS) has been developed as the first comprehensive clinical reasoning guide for screening drivers with psychiatric conditions.
Conclusion
The SPOT-DS can assist in protecting clients’ driving privileges, while ensuring public safety on the roads by providing a systematic approach to screening drivers. Further testing on its validity is warranted. |
Permalink : |
./index.php?lvl=notice_display&id=80063 |
| ![Development of the Saskatchewan Psychiatric Occupational Therapy Driving Screen vignette](./images/vide.png) |
Exemplaires (1)
|
Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
[article]
Titre : |
Reliability of P-drive in occupational therapy following a short training session: A promising instrument measuring seniors’ on-road driving competencies |
Type de document : |
texte imprimé |
Auteurs : |
Paul Vaucher, Auteur ; Cyndia Di Biase, Auteur ; Emma Lobsiger, Auteur |
Année de publication : |
2015 |
Article en page(s) : |
p. 131-139 |
Langues : |
Anglais (eng) |
Mots-clés : |
Ageing Mild cognitive impairment Automobile driving On-road evaluation Reliability |
Résumé : |
Introduction Occupational therapists could play an important role in facilitating driving cessation for ageing drivers. This, however, requires an easy-to-learn, standardised on-road evaluation method. This study therefore investigates whether use of ‘P-drive’ could be reliably taught to occupational therapists via a short half-day training session.
Method Using the English 26-item version of P-drive, two occupational therapists evaluated the driving ability of 24 home-dwelling drivers aged 70 years or over on a standardised on-road route. Experienced driving instructors’ on-road, subjective evaluations were then compared with P-drive scores.
Results Following a short half-day training session, P-drive was shown to have almost perfect between-rater reliability (ICC2,1 = 0.950, 95% CI 0.889 to 0.978). Reliability was stable across sessions including the training phase even if occupational therapists seemed to become slightly less severe in their ratings with experience. P-drive’s score was related to the driving instructors’ subjective evaluations of driving skills in a non-linear manner (R 2 = 0.445, p = 0.021).
Conclusion P-drive is a reliable instrument that can easily be taught to occupational therapists and implemented as a way of standardising the on-road driving test. |
En ligne : |
http://bjo.sagepub.com/content/78/2.toc |
Permalink : |
./index.php?lvl=notice_display&id=35932 |
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 131-139
[article] Reliability of P-drive in occupational therapy following a short training session: A promising instrument measuring seniors’ on-road driving competencies [texte imprimé] / Paul Vaucher, Auteur ; Cyndia Di Biase, Auteur ; Emma Lobsiger, Auteur . - 2015 . - p. 131-139. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 131-139
Mots-clés : |
Ageing Mild cognitive impairment Automobile driving On-road evaluation Reliability |
Résumé : |
Introduction Occupational therapists could play an important role in facilitating driving cessation for ageing drivers. This, however, requires an easy-to-learn, standardised on-road evaluation method. This study therefore investigates whether use of ‘P-drive’ could be reliably taught to occupational therapists via a short half-day training session.
Method Using the English 26-item version of P-drive, two occupational therapists evaluated the driving ability of 24 home-dwelling drivers aged 70 years or over on a standardised on-road route. Experienced driving instructors’ on-road, subjective evaluations were then compared with P-drive scores.
Results Following a short half-day training session, P-drive was shown to have almost perfect between-rater reliability (ICC2,1 = 0.950, 95% CI 0.889 to 0.978). Reliability was stable across sessions including the training phase even if occupational therapists seemed to become slightly less severe in their ratings with experience. P-drive’s score was related to the driving instructors’ subjective evaluations of driving skills in a non-linear manner (R 2 = 0.445, p = 0.021).
Conclusion P-drive is a reliable instrument that can easily be taught to occupational therapists and implemented as a way of standardising the on-road driving test. |
En ligne : |
http://bjo.sagepub.com/content/78/2.toc |
Permalink : |
./index.php?lvl=notice_display&id=35932 |
| ![Reliability of P-drive in occupational therapy following a short training session: A promising instrument measuring seniors’ on-road driving competencies vignette](./images/vide.png) |
Exemplaires (1)
|
Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
![détail détail](./getgif.php?nomgif=plus)
[article]
Titre : |
Comparing Caregiver and Clinician Predictions of Fitness to Drive in People With Alzheimer’s Disease |
Type de document : |
texte imprimé |
Auteurs : |
Kimberly BIXBY ; Jennifer D. DAVIS ; Brian R. OTT |
Année de publication : |
2015 |
Article en page(s) : |
p.1-7 |
Langues : |
Anglais (eng) |
Mots-clés : |
Démence Alzheimer Conduite automobile Profession santé ConjointAlzheimer disease Automobile driving Caregivers Observer variation Physicians |
Résumé : |
This observational study investigated family caregiver and clinician ratings of 75 drivers with Alzheimer’s disease against scores on a standardized road test and a naturalistic driving evaluation. Clinician ratings by a physician specialized in dementia were significantly associated with road test error scores (r = .25, p = .03) but not naturalistic driving errors or global ratings of road test and naturalistic driving performance. Caregiver ratings were unrelated to either driving assessment, with two exceptions; adult child ratings of driving ability were correlated with road test error scores (r = .43, p = .02), and spousal ratings were inversely correlated with global ratings. Clinician ratings of driving competence were modestly correlated with road test performance, but caregiver ratings were more complex. Adult children may be more accurate reporters of driving ability than spouses, possibly because of less personal bias, but the reasons behind this discrepancy need further investigation. |
Permalink : |
./index.php?lvl=notice_display&id=35892 |
in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-7
[article] Comparing Caregiver and Clinician Predictions of Fitness to Drive in People With Alzheimer’s Disease [texte imprimé] / Kimberly BIXBY ; Jennifer D. DAVIS ; Brian R. OTT . - 2015 . - p.1-7. Langues : Anglais ( eng) in American Journal of Occupational Therapy > Vol. 69/3 (mai -juin 2015) . - p.1-7
Mots-clés : |
Démence Alzheimer Conduite automobile Profession santé ConjointAlzheimer disease Automobile driving Caregivers Observer variation Physicians |
Résumé : |
This observational study investigated family caregiver and clinician ratings of 75 drivers with Alzheimer’s disease against scores on a standardized road test and a naturalistic driving evaluation. Clinician ratings by a physician specialized in dementia were significantly associated with road test error scores (r = .25, p = .03) but not naturalistic driving errors or global ratings of road test and naturalistic driving performance. Caregiver ratings were unrelated to either driving assessment, with two exceptions; adult child ratings of driving ability were correlated with road test error scores (r = .43, p = .02), and spousal ratings were inversely correlated with global ratings. Clinician ratings of driving competence were modestly correlated with road test performance, but caregiver ratings were more complex. Adult children may be more accurate reporters of driving ability than spouses, possibly because of less personal bias, but the reasons behind this discrepancy need further investigation. |
Permalink : |
./index.php?lvl=notice_display&id=35892 |
| ![Comparing Caregiver and Clinician Predictions of Fitness to Drive in People With Alzheimer’s Disease vignette](./images/vide.png) |
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Disponible Disponible |
![détail détail](./getgif.php?nomgif=plus)
[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 |
| ![Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline vignette](./images/vide.png) |
Exemplaires (1)
|
Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
[article]
Titre : |
Knowledge and attitudes of occupational therapists to giving advice on fitness to drive |
Type de document : |
texte imprimé |
Auteurs : |
Carol Hawley, Auteur |
Année de publication : |
2015 |
Article en page(s) : |
p.339-348 |
Langues : |
Anglais (eng) |
Mots-clés : |
Automobile driving Transport Attitudes Knowledge Information |
Résumé : |
Introduction A range of medical conditions can affect driving, and health professionals should advise patients accordingly. This study examined the knowledge of occupational therapists, other therapists and psychologists regarding medical standards for driving, their attitudes to advising patients about driving, and barriers to giving that advice.
Method A structured questionnaire measured knowledge of medical standards and attitudes to advising patients about driving. Analyses compared responses of occupational therapists with those of other therapists and psychologists. Semi-structured interviews were carried out with therapists and psychologists after they had watched a video-taped clinical consultation with an actor–patient who was unfit to drive. Interviewees, unaware that the study was about driving, were asked how they would advise the patient. Focus groups were held with a range of health professionals to discuss facilitators and barriers to giving driving advice.
Results Eighty-two questionnaires were completed. Occupational therapists were most aware of driving guidelines and most likely to advise patients to stop driving (p < 0.01). A total of 98% of occupational therapists believed they should discuss driving compared with 68% of other therapists and psychologists (p < 0.01). Therapists were more likely than psychologists to spontaneously raise the issue of driving after viewing the video-consultation.
Conclusion Occupational therapists are well placed to expand their role in advising patients about fitness to drive. For this they require additional training and clarification of their role and legal responsibilities. |
En ligne : |
http://bjo.sagepub.com/content/78/6.toc |
Permalink : |
./index.php?lvl=notice_display&id=36564 |
in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.339-348
[article] Knowledge and attitudes of occupational therapists to giving advice on fitness to drive [texte imprimé] / Carol Hawley, Auteur . - 2015 . - p.339-348. Langues : Anglais ( eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.339-348
Mots-clés : |
Automobile driving Transport Attitudes Knowledge Information |
Résumé : |
Introduction A range of medical conditions can affect driving, and health professionals should advise patients accordingly. This study examined the knowledge of occupational therapists, other therapists and psychologists regarding medical standards for driving, their attitudes to advising patients about driving, and barriers to giving that advice.
Method A structured questionnaire measured knowledge of medical standards and attitudes to advising patients about driving. Analyses compared responses of occupational therapists with those of other therapists and psychologists. Semi-structured interviews were carried out with therapists and psychologists after they had watched a video-taped clinical consultation with an actor–patient who was unfit to drive. Interviewees, unaware that the study was about driving, were asked how they would advise the patient. Focus groups were held with a range of health professionals to discuss facilitators and barriers to giving driving advice.
Results Eighty-two questionnaires were completed. Occupational therapists were most aware of driving guidelines and most likely to advise patients to stop driving (p < 0.01). A total of 98% of occupational therapists believed they should discuss driving compared with 68% of other therapists and psychologists (p < 0.01). Therapists were more likely than psychologists to spontaneously raise the issue of driving after viewing the video-consultation.
Conclusion Occupational therapists are well placed to expand their role in advising patients about fitness to drive. For this they require additional training and clarification of their role and legal responsibilities. |
En ligne : |
http://bjo.sagepub.com/content/78/6.toc |
Permalink : |
./index.php?lvl=notice_display&id=36564 |
| ![Knowledge and attitudes of occupational therapists to giving advice on fitness to drive vignette](./images/vide.png) |
Exemplaires (1)
|
Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
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