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Driving with homonymous visual field loss: Does visual search performance predict hazard detection? / Matthew Smith in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)
[article]
Titre : Driving with homonymous visual field loss: Does visual search performance predict hazard detection? Type de document : texte imprimé Auteurs : Matthew Smith, Auteur ; Callum D. Mole, Auteur ; Georgios K. Kountouriotis, Auteur Année de publication : 2015 Article en page(s) : p. 85-95 Langues : Anglais (eng) Mots-clés : Stroke Hemianopia Driving Visual field Visual search Hazard detection Reaction times Compensation Résumé : Introduction Stroke often causes homonymous visual field loss, which can lead to exclusion from driving. Retention of a driving licence is sometimes possible by completing an on-road assessment, but this is not practical for all. It is important to find simple tests that can inform the assessment and rehabilitation of driving-related visual-motor function.
Method We developed novel computerised assessments: visual search; simple reaction and decision reaction to appearing pedestrians; and pedestrian detection during simulated driving. We tested 12 patients with stroke (seven left, five right field loss) and 12 controls.
Results The homonymous visual field defect group was split into adequately compensated or inadequately compensated groups based on visual search performance. The inadequately compensated group had problems with stimuli in their affected field: they tended to react more slowly than controls and in the driving task they failed to detect a number of pedestrians. In contrast, the adequately compensated group were better at detecting pedestrians, though reaction times were slightly slower than controls.
Conclusion We suggest that our search task can predict, to a limited extent, whether a person with stroke compensates for visual field loss, and may potentially identify suitability for specific rehabilitation to promote return to driving.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35927
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 85-95[article] Driving with homonymous visual field loss: Does visual search performance predict hazard detection? [texte imprimé] / Matthew Smith, Auteur ; Callum D. Mole, Auteur ; Georgios K. Kountouriotis, Auteur . - 2015 . - p. 85-95.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 85-95
Mots-clés : Stroke Hemianopia Driving Visual field Visual search Hazard detection Reaction times Compensation Résumé : Introduction Stroke often causes homonymous visual field loss, which can lead to exclusion from driving. Retention of a driving licence is sometimes possible by completing an on-road assessment, but this is not practical for all. It is important to find simple tests that can inform the assessment and rehabilitation of driving-related visual-motor function.
Method We developed novel computerised assessments: visual search; simple reaction and decision reaction to appearing pedestrians; and pedestrian detection during simulated driving. We tested 12 patients with stroke (seven left, five right field loss) and 12 controls.
Results The homonymous visual field defect group was split into adequately compensated or inadequately compensated groups based on visual search performance. The inadequately compensated group had problems with stimuli in their affected field: they tended to react more slowly than controls and in the driving task they failed to detect a number of pedestrians. In contrast, the adequately compensated group were better at detecting pedestrians, though reaction times were slightly slower than controls.
Conclusion We suggest that our search task can predict, to a limited extent, whether a person with stroke compensates for visual field loss, and may potentially identify suitability for specific rehabilitation to promote return to driving.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35927 Exemplaires (1)
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Exclu du prêt‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving / Carolyn Dun in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)
[article]
Titre : ‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving Type de document : texte imprimé Auteurs : Carolyn Dun, Auteur ; Kristan Baker, Auteur ; Jodie Swan, Auteur Année de publication : 2015 Article en page(s) : p.364-368 Langues : Anglais (eng) Mots-clés : Driving Mental illness Service improvement Résumé : Statement of context: Driving can be important for enabling community participation. Mental illness and its treatment may disrupt fitness to drive, or people’s opportunities for learning to drive. This paper reflects on practice improvements in an Australian mental health organization.
Critical reflection on practice: Occupational therapists identified gaps in knowledge among the multi-disciplinary workforce about service users’ driver status, how to identify and manage driving issues, and how to support their beginning or resuming driving during recovery.
Implications for practice: The key initiatives: policy and practice guidelines, workforce training, driver assessment and consultation services, and service user information resources — have become embedded supports within the organization for promoting safe driving.En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36566
in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.364-368[article] ‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving [texte imprimé] / Carolyn Dun, Auteur ; Kristan Baker, Auteur ; Jodie Swan, Auteur . - 2015 . - p.364-368.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.364-368
Mots-clés : Driving Mental illness Service improvement Résumé : Statement of context: Driving can be important for enabling community participation. Mental illness and its treatment may disrupt fitness to drive, or people’s opportunities for learning to drive. This paper reflects on practice improvements in an Australian mental health organization.
Critical reflection on practice: Occupational therapists identified gaps in knowledge among the multi-disciplinary workforce about service users’ driver status, how to identify and manage driving issues, and how to support their beginning or resuming driving during recovery.
Implications for practice: The key initiatives: policy and practice guidelines, workforce training, driver assessment and consultation services, and service user information resources — have become embedded supports within the organization for promoting safe driving.En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36566 Exemplaires (1)
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Exclu du prêtOn-road driving assessment and route design for drivers with dementia / Angela H. Berndt in The British Journal of Occupational Therapy, Volume 78 numéro 2 (Fébrier 2015)
[article]
Titre : On-road driving assessment and route design for drivers with dementia Type de document : texte imprimé Auteurs : Angela H. Berndt, Auteur ; Esther May, Auteur ; Peteris Darzins, Auteur Année de publication : 2015 Article en page(s) : p. 121-130 Langues : Anglais (eng) Mots-clés : Dementia Driving On-road assessment Route design Résumé : Introduction Dementia causes the progressive loss of cognitive capacities and thus impairs social and daily living skills. Dementia, to varying degrees, influences driver performance and safety. Eventually drivers affected by dementia must stop driving so they do not harm themselves or others. However, having to stop driving can result in loss of mobility and social connections. Therefore, assessing drivers with dementia is important. Driving assessment is susceptible to possible biases, including unreliable driving performance measures or driving routes that are inconsistent in the levels of difficulty of the driving tasks and manoeuvres. The aim of the study was to determine what measures of driving performance could optimally be applied to occupational therapy on-road driving assessments.
Method All drivers with dementia underwent a 60 minute, set route on-road driving assessment that consisted of 110 pre-programmed observation points.
Results The study identified 80 sufficiently challenging driving tasks and described the relationship of driving error to that task, for example, critical errors at unguided intersections.
Conclusion The results of the task-demand by error type analysis identified a list of task items that can be applied to assessment route design to increase consistency of on-road assessment for people with dementia.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35931
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 121-130[article] On-road driving assessment and route design for drivers with dementia [texte imprimé] / Angela H. Berndt, Auteur ; Esther May, Auteur ; Peteris Darzins, Auteur . - 2015 . - p. 121-130.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 121-130
Mots-clés : Dementia Driving On-road assessment Route design Résumé : Introduction Dementia causes the progressive loss of cognitive capacities and thus impairs social and daily living skills. Dementia, to varying degrees, influences driver performance and safety. Eventually drivers affected by dementia must stop driving so they do not harm themselves or others. However, having to stop driving can result in loss of mobility and social connections. Therefore, assessing drivers with dementia is important. Driving assessment is susceptible to possible biases, including unreliable driving performance measures or driving routes that are inconsistent in the levels of difficulty of the driving tasks and manoeuvres. The aim of the study was to determine what measures of driving performance could optimally be applied to occupational therapy on-road driving assessments.
Method All drivers with dementia underwent a 60 minute, set route on-road driving assessment that consisted of 110 pre-programmed observation points.
Results The study identified 80 sufficiently challenging driving tasks and described the relationship of driving error to that task, for example, critical errors at unguided intersections.
Conclusion The results of the task-demand by error type analysis identified a list of task items that can be applied to assessment route design to increase consistency of on-road assessment for people with dementia.En ligne : http://bjo.sagepub.com/content/78/2.toc Permalink : ./index.php?lvl=notice_display&id=35931 Exemplaires (1)
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Exclu du prêtPredictive 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)
[article]
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
in The British Journal of Occupational Therapy > Volume 78 numéro 2 (Fébrier 2015) . - p. 100-108[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 Exemplaires (1)
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Exclu du prêtA randomized clinical trial to determine effectiveness of driving simulator retraining on the driving performance of clients with neurological impairment / Barbara Mazer in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)
[article]
Titre : A randomized clinical trial to determine effectiveness of driving simulator retraining on the driving performance of clients with neurological impairment Type de document : texte imprimé Auteurs : Barbara Mazer, Auteur ; Isabelle Gélinas, Auteur ; Josee Duquette, Auteur Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Driving Simulator Neurological impairment Résumé : Introduction: Following a neurological event, returning to driving is an important activity contributing to improved participation within the community. The purpose of this study was to examine the effectiveness of driving simulator retraining on driving in clients with neurological impairment and to examine factors associated with treatment effectiveness.
Method: Individuals with non-degenerative brain injury were randomized to either a simulator training or control group. The simulator group received individualized training (16 sessions) using a driving simulator. The control group did not receive intervention. A blind evaluator assessed participants on the DriveAble On-Road Driving Evaluation.
Results: There was no significant difference between groups in the proportion of individuals who passed the driving evaluation (Chi2 = 0.65; p = 0.42; CI = −0.41 to +0.17). However, participants with moderate impairment who received simulator training were more likely to pass the driving test compared with those in the control group (86% versus 17%; Chi2 = 6.2; p = 0.03; CI = −1.00 to −0.30). There were no differences in pass rate according to diagnosis, gender, or for those with severe impairments.
Conclusion: Results provide clinicians with preliminary information on the potential clinical usefulness of driving simulator training. While the findings do not support simulator retraining for the group as a whole, they suggest that clients with moderate impairment have the potential to benefit.En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36567
in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015)[article] A randomized clinical trial to determine effectiveness of driving simulator retraining on the driving performance of clients with neurological impairment [texte imprimé] / Barbara Mazer, Auteur ; Isabelle Gélinas, Auteur ; Josee Duquette, Auteur . - 2015.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015)
Mots-clés : Driving Simulator Neurological impairment Résumé : Introduction: Following a neurological event, returning to driving is an important activity contributing to improved participation within the community. The purpose of this study was to examine the effectiveness of driving simulator retraining on driving in clients with neurological impairment and to examine factors associated with treatment effectiveness.
Method: Individuals with non-degenerative brain injury were randomized to either a simulator training or control group. The simulator group received individualized training (16 sessions) using a driving simulator. The control group did not receive intervention. A blind evaluator assessed participants on the DriveAble On-Road Driving Evaluation.
Results: There was no significant difference between groups in the proportion of individuals who passed the driving evaluation (Chi2 = 0.65; p = 0.42; CI = −0.41 to +0.17). However, participants with moderate impairment who received simulator training were more likely to pass the driving test compared with those in the control group (86% versus 17%; Chi2 = 6.2; p = 0.03; CI = −1.00 to −0.30). There were no differences in pass rate according to diagnosis, gender, or for those with severe impairments.
Conclusion: Results provide clinicians with preliminary information on the potential clinical usefulness of driving simulator training. While the findings do not support simulator retraining for the group as a whole, they suggest that clients with moderate impairment have the potential to benefit.En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36567 Exemplaires (1)
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Exclu du prêtA systematic review of the effectiveness of behavioural interventions for improving driving outcomes in novice drivers with attention deficit hyperactivity disorder (ADHD) / Chris BRUCE in The British Journal of Occupational Therapy, volume 77 numéro 7 (Juillet 2014)
PermalinkThe road to recovery: Experiences of driving with bipolar disorder / Carole McNamara in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)
PermalinkDetermining 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)
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