Unsworth Carolyn A, Baker Anne, Taitz Carla, Chan Siew-Pang, Pallant Julie F, Russell Kay J, Odell Morris
Department of Occupational Therapy, La Trobe University, Melbourne, Australia.
Aust Occup Ther J. 2012 Feb;59(1):23-36. doi: 10.1111/j.1440-1630.2011.00979.x. Epub 2011 Dec 5.
Research has been conducted over several years to develop a new off-road assessment battery referred to as the Occupational Therapy - Driver Off-Road Assessment Battery. This article documents the development of the Battery, and provides preliminary research evidence to support its content and predictive validity.
Literature reviews and a focus group with nine driver assessor occupational therapists were undertaken, as well as data collection using the Occupational Therapy - Driver Off-Road Assessment Battery with 246 clients. A Classification and Regression Tree model was constructed to ascertain the predictive validity of the Battery, with fitness-to-drive as the outcome.
Twenty-one physical, 13 sensory and seven assessments of cognition/perception were identified as being reflective of the skills required for driving. Following rating of their psychometric properties, the best assessments were presented to focus group members. The driver assessors supported the inclusion of several assessments and encouraged the development of new assessments. A draft version of the Occupational Therapy - Driver Off-Road Assessment Battery was tested and found to have excellent predictive validity for client on-road performance of 82.6%. The Classification and Regression Tree model showed that client performance on tests included in the Battery should be used together, rather than in isolation, to support fitness-to-drive recommendations.
This research identified the most suitable physical, sensory and cognitive assessments to include in the Occupational Therapy - Driver Off-Road Assessment Battery, and provided support for its validity. The development of this standardised battery assists driver assessors to accurately and consistently assess and report the off-road driving capacity of clients.
多年来一直在进行研究，以开发一种新的越野评估工具，即职业治疗 - 驾驶员越野评估工具。本文记录了该工具的开发过程，并提供了初步研究证据以支持其内容和预测效度。
进行了文献综述，并与九名驾驶员评估师职业治疗师组成了焦点小组，还使用职业治疗 - 驾驶员越野评估工具对246名客户进行了数据收集。构建了分类与回归树模型，以确定该工具以驾驶适宜性为结果的预测效度。
确定了21项身体、13项感官以及7项认知/感知评估能够反映驾驶所需技能。在对其心理测量特性进行评级后，将最佳评估结果展示给焦点小组成员。驾驶员评估师支持纳入多项评估，并鼓励开发新的评估项目。对职业治疗 - 驾驶员越野评估工具的草稿版本进行了测试，发现其对客户道路表现的预测效度极佳，为82.6%。分类与回归树模型表明，应综合使用该工具中包含的测试项目来评估客户表现，而非单独使用，以支持驾驶适宜性建议。
本研究确定了职业治疗 - 驾驶员越野评估工具中最适合的身体、感官和认知评估项目，并为其效度提供了支持。这种标准化工具的开发有助于驾驶员评估师准确、一致地评估和报告客户的越野驾驶能力。
