Di Stefano Marilyn, Stuckey Rwth, Kinsman Natasha
Marilyn Di Stefano, PhD, BAppSc(OccTher), GradDip(Erg), CPE, is Senior Policy Officer, VicRoads, Melbourne, Victoria, Australia. At the time of the study, she was Honorary Senior Lecturer, Department of Occupational Therapy, La Trobe University, Melbourne, Victoria, Australia;
Rwth Stuckey, PhD, is Course Coordinator and Senior Lecturer (Ergonomics, Safety and Health), College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
Am J Occup Ther. 2019 Jan/Feb;73(1):7301205050p1-7301205050p9. doi: 10.5014/ajot.2019.023721.
Little is known about characteristics and driving patterns of drivers with physical disabilities who use vehicle modifications (VMs). We gathered information about, and from, drivers with disabilities who use VMs to better understand their needs and to inform current occupational therapy driver rehabilitation practice. A prospective descriptive cross-sectional analysis of 97 drivers with physical disabilities who used VMs identified that most participants were dependent on wheelchairs for personal mobility and that access to key destinations without independent driver mobility was difficult or impossible. Personal independence facilitated by VM use enhanced community participation, including access to health care and employment. Slightly more than half the surveyed drivers (51%) obtained occupational therapy services for driver assessment and VM evaluation. Participants reported VM safety and maintenance issues, including difficulties obtaining appropriate VMs. Study results highlight the potential value of occupational therapy driver assessments and the need for postimplementation review of VMs.
对于使用车辆改装（VMs）的身体残疾驾驶员的特征和驾驶模式知之甚少。我们收集了使用VMs的残疾驾驶员的相关信息，并与他们进行了交流，以更好地了解他们的需求，并为当前的职业治疗驾驶员康复实践提供参考。对97名使用VMs的身体残疾驾驶员进行的前瞻性描述性横断面分析表明，大多数参与者在个人出行时依赖轮椅，并且在没有独立驾驶能力的情况下，前往关键目的地困难重重甚至无法前往。使用VMs带来的个人独立性促进了社区参与，包括获得医疗保健和就业机会。略多于一半（51%）的受访驾驶员接受了职业治疗服务以进行驾驶员评估和VM评估。参与者报告了VM的安全和维护问题，包括难以获得合适的VM。研究结果凸显了职业治疗驾驶员评估的潜在价值以及对VMs进行实施后审查的必要性。
