Validation of a test of road law and road craft knowledge with older or functionally impaired drivers.

OBJECTIVE The number of functionally impaired drivers being assessed is increasing the urgency to develop a standardized off-road driver assessment battery. We examined the validity of the Road Law and Road Craft Test (RLRCT) and a version of the Melbourne Slide Test to determine whether they should be included in the Occupational Therapy Driver Off-Road Assessment (OT-DORA) battery, which is under development. METHOD We conducted a file audit of 118 data sets with individual item scores for the RLRCT and Melbourne Slide Test. RESULTS The RLRCT test with one item removed provides clinicians with a valid indication of clients' off-road driving skills. The Melbourne Slide Test added no new information over that provided by the RLRCT and can be excluded from the battery. CONCLUSION The revised 14-item RLRCT should be included in the OT-DORA battery. Further research is required to develop the OT-DORA battery as a valid and reliable measure of off-road driver skill.

[1]  Mary Jane Youngstrom,et al.  The Occupational Therapy Practice Framework: the evolution of our professional language. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[2]  Stanfield Rl,et al.  The aging of America. , 1996 .

[3]  Janet V. DeLany,et al.  Occupational therapy practice framework: domain & practice, 2nd edition. , 2008, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[4]  Liisa Hakamies-Blomqvist,et al.  RESEARCH ON OLDER DRIVERS: A REVIEW , 1996 .

[5]  Lynnette G. Kay,et al.  Predicting fitness to drive using the visual recognition slide test (USyd). , 2008, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[6]  Lisa J Molnar,et al.  Development and pilot testing of an assessment battery for older drivers. , 2007, Journal of safety research.

[7]  Jim Langford,et al.  MODEL LICENCE RE-ASSESSMENT PROCEDURE FOR OLDER AND DISABLED DRIVERS , 2000 .

[8]  Julie F Pallant,et al.  An introduction to the Rasch measurement model: an example using the Hospital Anxiety and Depression Scale (HADS). , 2007, The British journal of clinical psychology.

[9]  Carolyn A. Unsworth,et al.  Review of tests contributing to the occupational therapy off-road driver assessment , 2005 .

[10]  Carolyn A. Unsworth,et al.  Time use and importance of instrumental activities of daily living , 2001 .

[11]  G. Bennett,et al.  The assessment. , 1989, Health visitor.

[12]  T. Falkmer,et al.  The Nordic stroke driver screening assessment as predictor for the outcome of an on-road test. , 2010, Scandinavian journal of occupational therapy.

[13]  G McGwin,et al.  Visual risk factors for driving difficulty among older drivers. , 2000, Accident; analysis and prevention.

[14]  T. Falkmer,et al.  The Nordic Stroke Driver Screening Assessment as predictor for the outcome of an on-road test , 2010 .

[15]  C. Hopewell Driving Assessment Issues for Practicing Clinicians , 2002, The Journal of head trauma rehabilitation.

[16]  R. Gervasi The aging of America. , 1987, The Dental assistant.

[17]  Carolyn A. Unsworth,et al.  To Continue, Modify or Relinquish Driving: Findings from a Longitudinal Study of Healthy Ageing , 2007, Gerontology.

[18]  Lise R. Talbot,et al.  Assessing Ability to Drive following an Acute Neurological Event: Are We on the Right Road? , 1994, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[19]  M. Shotwell,et al.  Giving Up the Car Keys , 2001 .

[20]  C. Unsworth Development and current status of occupational therapy driver assessment and rehabilitation in Victoria, Australia , 2007 .

[21]  Mônica Sanches Yassuda,et al.  DRIVING CESSATION: THE PERSPECTIVE OF SENIOR DRIVERS , 1997 .

[22]  L. Hakamies‐Blomqvist,et al.  The assessment of fitness to drive after a stroke: the Nordic Stroke Driver Screening Assessment. , 2003, Scandinavian journal of psychology.

[23]  C. Unsworth Using social judgment theory to study occupational therapists' use of information when making driver licensing recommendations for older and functionally impaired adults. , 2007, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[24]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[25]  Everett V. Smith Detecting and evaluating the impact of multidimensionality using item fit statistics and principal component analysis of residuals. , 2002, Journal of applied measurement.

[26]  Deborah McGregor,et al.  Driving over 65: proceed with caution. , 2002, Journal of gerontological nursing.

[27]  L. Edelstein,et al.  Predictors of a Successful Driver Evaluation in Stroke Patients After Discharge Based on an Acute Rehabilitation Hospital Evaluation , 2006, American journal of physical medicine & rehabilitation.