Department of Occupational Therapy, School of Health Professions, University of Alabama at Birmingham, 1530 Third Avenue South, Birmingham, AL 35294, USA.
Am J Occup Ther. 2012 Jan-Feb;66(1):110-4. doi: 10.5014/ajot.2012.001594.
The use of driving simulators is increasing in clinical settings that provide driving evaluation and rehabilitation. To identify the driving simulator scenarios desired by certified driving rehabilitation specialists (CDRSs), we developed a questionnaire consisting of 22 driving scenario situations. A total of 164 CDRSs rated each situation in terms of its importance for inclusion in simulator-based driving. The four situations they identified as most critical were turning left across oncoming traffic, navigating four-way intersections with traffic lights or signs, driving in multiple lanes with traffic on both sides, and reacting to unexpected events that require emergency braking or aggressive maneuvers to prevent an accident. We conducted exploratory and confirmatory factor analyses to group the 22 driving scenario situations. The model with the best fit included 11 situations forming three factors: (1) Intersections, (2) Roadway and Traffic Conditions, and (3) Environmental Conditions. Future studies should include these factors in driving simulator scenarios and evaluate their clinical efficacy in driving evaluation and rehabilitation.
驾驶模拟器在提供驾驶评估和康复的临床环境中越来越多地被使用。为了确定认证驾驶康复专家（CDRS）所期望的驾驶模拟器场景，我们开发了一个包含 22 种驾驶场景情况的问卷。共有 164 名 CDRS 根据其纳入基于模拟器的驾驶的重要性对每种情况进行了评分。他们认为最关键的四个情况是左转穿过迎面而来的车辆、在有交通信号灯或标志的四路交叉口行驶、在两侧都有交通的多车道行驶，以及对需要紧急制动或采取激进措施以防止事故的意外事件做出反应。我们进行了探索性和验证性因素分析，将 22 种驾驶场景情况进行分组。拟合度最好的模型包括 11 种情况，形成三个因素：（1）交叉路口，（2）道路和交通状况，和（3）环境状况。未来的研究应在驾驶模拟器场景中包含这些因素，并评估它们在驾驶评估和康复中的临床效果。
