a Department of Psychology , Louisiana State University , Baton Rouge , LA , USA.
b Providence Veterans Affairs Medical Center , Providence , RI , USA.
Clin Neuropsychol. 2019 Aug;33(6):971-987. doi: 10.1080/13854046.2018.1518490. Epub 2018 Sep 29.
To determine which patient, provider and practice-related characteristics are associated with increased likelihood of driving-related recommendations following a neuropsychological evaluation. A total of 309 clinical neuropsychologists completed a survey evaluating the frequency with which they made various driving-related recommendations (e.g., take an on-road driving test) to a variety of clinical populations. Information regarding patient characteristics (e.g., perceived likelihood of adhering to recommendations), provider-related characteristics (e.g., years in practice) and practice-related characteristics (e.g., region of North America) were also collected. Correlation coefficients and multiple linear regressions controlling for patient diagnoses were used to examine which characteristics predicted greater likelihood of driving recommendations broadly. Significant characteristics were then entered into regressions to examine independent contributions of each characteristic to the likelihood of each individual driving recommendation. Neuropsychologists reported giving a range of driving recommendations to most clinical populations, with the exception of patients with psychiatric diagnoses. Several characteristics (e.g., patient impairment) were associated with greater likelihood of driving recommendations broadly. After controlling for diagnoses, three significant predictors emerged: higher frequency of individualized recommendations, greater caregiver presence, and greater number of recommendations given. All three characteristics generally predicted frequency of all individual driving recommendations. While patients' diagnoses may be indicative of whether they receive driving-related recommendations, certain patient and provider-related factors also uniquely contribute to the likelihood of driving-related recommendations after neuropsychological assessment.
为了确定哪些患者、提供方和实践相关特征与神经心理评估后增加与驾驶相关的建议的可能性有关。共有 309 名临床神经心理学家完成了一项调查，评估他们向各种临床人群提出各种与驾驶相关的建议（例如，进行路考）的频率。还收集了有关患者特征（例如，对建议的遵守程度）、提供方相关特征（例如，从业年限）和实践相关特征（例如，北美地区）的信息。使用相关系数和多元线性回归来控制患者诊断，以检查哪些特征可广泛预测更有可能提出驾驶建议。然后将显著特征纳入回归，以检查每个特征对每个单独驾驶建议的可能性的独立贡献。神经心理学家报告对大多数临床人群提出了一系列驾驶建议，但对精神科诊断的患者除外。一些特征（例如，患者受损）与更广泛地提出驾驶建议的可能性有关。在控制了诊断后，出现了三个显著的预测因素：个性化建议的频率更高、照顾者的存在更多、提出的建议更多。这三个特征通常预测了所有单独驾驶建议的频率。虽然患者的诊断可能表明他们是否会收到与驾驶相关的建议，但某些患者和提供方相关因素也会对神经心理评估后与驾驶相关的建议的可能性产生独特的影响。
