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The American journal of occupational therapy : official publication of the American Occupational Therapy Association

影响因子：2.813 DOI：10.5014/ajot.2020.034389

作者： Barco PP,Wallendorf M,Rutkoski K,Dolan K,Rakus D,Johnson A,Carr DB 发表时间：2020-09-10 12:17:58

from：《AMERICAN JOURNAL OF OCCUPATIONAL THERAPY》

keywords： Barco PPWallendorf MRutkoski KDolan KRakus DJohnson ACarr DB

关键词：

Abstract

IMPORTANCE:Occupational therapists need valid and reliable tools to help determine fitness to drive of older drivers with medical conditions such as dementia. OBJECTIVE:To establish the validity and reliability of the Traffic Sign Naming Test (TSNT) and Written Exam for Driving Decisions (WEDD) as measures of fitness to drive of adults with and without dementia. DESIGN:Cross-sectional. SETTING:Washington University Medical School in St. Louis in collaboration with the Rehabilitation Institute of St. Louis. PARTICIPANTS:Older drivers diagnosed with dementia (n = 130) and without dementia (n = 34). Drivers with dementia required a physician referral indicating a medical need for a driving evaluation, a diagnosis of dementia, and an Alzheimer Detection 8 score of 2. Drivers without dementia were required to be age 55 yr or older and not meet criteria for dementia. OUTCOMES AND MEASURES:Participants completed a comprehensive driving evaluation (CDE) that included clinical measures of vision, motor, and cognition; TSNT; and WEDD. The outcome measure was performance on a standardized on-road assessment. RESULTS:The TSNT's interrater reliability was determined to be strong (κ = .80). The TSNT and WEDD demonstrated convergent validity with cognitive measures (p < .001) and discriminant validity with visual and motor measures in the CDE. The TSNT (area under the curve [AUC] = .74) and WEDD (AUC = .71) had fair ability to predict failure on a standardized on-road assessment. CONCLUSION AND RELEVANCE:TSNT and WEDD are recommended for use by occupational therapists in combination with other performance measures when determining fitness to drive or need for a CDE. WHAT THIS ARTICLE ADDS:The TSNT and WEDD can be included as screening tools (in addition to other performance measures) to assist clinicians in determining which clients need to be referred for a CDE. The TSNT and WEDD can also be included as part of a CDE to assist driving rehabilitation specialists in making final recommendations regarding fitness to drive. The scores generated from the TSNT and WEDD address driving knowledge in a way that may be more understandable to clients and more relatable to skills needed to actually drive.

摘要

期刊介绍

《AMERICAN JOURNAL OF OCCUPATIONAL THERAPY》 (点击进入期刊详情)

英文简介 : The American Journal of Occupational Therapy is a bimonthly peer-reviewed medical journal that is published by the American Occupational Therapy Association. It covers research practice and health care issues in the field of occupational therapy.

中文简介 : （来自Google、百度翻译）《美国职业治疗杂志》是由美国职业治疗协会出版的一份经同行评审的双月刊医学杂志。它涵盖了职业治疗领域的研究实践和保健问题。

CIRCULATION RESEARCH 期刊中科院评价数据

新中科院分区

大类(学科)	小类(学科)	学科排名
医学	REHABILITATION (康复医学)	3/69

新发布的期刊年发文量

年度总发文量	年度论文发表量	年度综述发表量
84	75	9

总被引频次 :4281

特征因子 : 0.003020

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