Classen Sherrilene, Winter Sandra, Monahan Miriam, Yarney Abraham, Link Lutz Amanda, Platek Kyle, Levy Charles
1 University of Florida, Gainesville, FL, USA.
2 North Florida/South Georgia Veterans Health System, Gainesville, FL, USA.
OTJR (Thorofare N J). 2017 Apr;37(2):62-71. doi: 10.1177/1539449216675582. Epub 2016 Nov 29.
Increased crash incidence following deployment and veterans' reports of driving difficulty spurred traffic safety research for this population. We conducted an interim analysis on the efficacy of a simulator-based occupational therapy driving intervention (OT-DI) compared with traffic safety education (TSE) in a randomized controlled trial. During baseline and post-testing, OT-Driver Rehabilitation Specialists and one OT-Certified Driver Rehabilitation Specialist measured driving performance errors on a DriveSafety CDS-250 high-fidelity simulator. The intervention group ( n = 13) received three OT-DI sessions addressing driving errors and visual-search retraining. The control group ( n = 13) received three TSE sessions addressing personal factors and defensive driving. Based on Wilcoxon rank-sum analysis, the OT-DI group's errors were significantly reduced when comparing baseline with Post-Test 1 ( p < .0001) and comparing the OT-DI group with the TSE group at Post-Test 1 ( p = .01). These findings provide support for the efficacy of the OT-DI and set the stage for a future effectiveness study.
部署后撞车事故发生率增加以及退伍军人关于驾驶困难的报告促使针对该人群开展交通安全研究。在一项随机对照试验中，我们对基于模拟器的职业治疗驾驶干预（OT-DI）与交通安全教育（TSE）的效果进行了中期分析。在基线测试和测试后，职业治疗驾驶员康复专家和一名获得职业治疗认证的驾驶员康复专家在DriveSafety CDS-250高保真模拟器上测量驾驶性能错误。干预组（n = 13）接受了三次OT-DI课程，内容涉及驾驶错误和视觉搜索再训练。对照组（n = 13）接受了三次TSE课程，内容涉及个人因素和防御性驾驶。基于Wilcoxon秩和分析，将基线与测试后1进行比较时，OT-DI组的错误显著减少（p <.0001），并且在测试后1将OT-DI组与TSE组进行比较时（p =.01）也是如此。这些发现为OT-DI的效果提供了支持，并为未来的有效性研究奠定了基础。
