Driving Evaluation Practices of Clinicians Working in the United States and Canada

This article reports on a study undertaken to determine the off-road and on-road driving evaluation practices of clinicians in the United States and Canada (n = 114) who assess individuals with disabilities for fitness to drive. Participants were attendees at the 2003 annual Association of Driver Educators for the Disabled with driving assessment experience ranging from 1 month to 25 years; all participants answered a self-administered questionnaire. Participants were primarily occupational therapists (68%) who worked in 42 different states and provinces. Their most prevalent clientele were persons with traumatic brain injury (97%) and stroke (96%). Testing times greater than 60 min were common for both the off-road (61%) and on-road (49%) evaluations. The clinicians used off-road assessments including the Brake Reaction Timer; Trail Making Test, Parts A and B; and the Motor Free Visual Perception Test; comprehensive computer- based driving evaluation was rare. A majority (61%) performed on-road evaluation of their clients, regardless of the off-road results. Finally, 78% used a standard driving route, whereas 24% used a scoring system to evaluate on-road driving. The authors conclude that present approaches to driving assessment are multidimensional, time-intensive, and non-standardized. The authors call for the implementation of guidelines or recommendations to help assure that clients receive a comparable assessment regardless of where they live or which driving evaluation service they visit.

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  • Authors:
    • Korner-Bitensky, Nicol
    • Bitensky, Jamie
    • Sofer, Susan
    • Man-Son-Hing, Malcolm
    • Gelinas, Isabelle
  • Publication Date: 2006-7


  • English

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  • Accession Number: 01045292
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Mar 27 2007 5:24PM