Di Stefano Marilyn, Stuckey Rwth, Kinsman Natasha, Lavender Katrina
Marilyn Di Stefano, PhD, CertErg, GradDipErg, BAppSc (OT), is Senior Policy and Project Officer, VicRoads, Melbourne, Victoria, Australia. At the time of the research, she was Senior Lecturer, LaTrobe University, Melbourne, Victoria, Australia;
Rwth Stuckey, PhD, MPH, GradDipErg, BAppSc (OT), is Senior Lecturer, La Trobe University, Melbourne, Victoria, Australia.
Am J Occup Ther. 2019 Mar/Apr;73(2):7302205140p1-7302205140p10. doi: 10.5014/ajot.2019.024331.
Vehicle modifications are often essential to ensure that drivers with disabilities can drive independently and safely. Occupational therapy driver assessors and driver rehabilitation specialists routinely prescribe vehicle modifications on the basis of individualized evaluations and support by rehabilitation interventions. After a literature review and consultation with stakeholders, we identified a resource gap in information to support an evidence-based process for vehicle modification prescription. Using an action research approach, we established content validity for draft guideline items and developed consensus-based draft guidelines for vehicle modification prescription that are ready for trialing by occupational therapy driver assessors. We also propose a practice model for vehicle modification prescription that is applicable to international contexts.
车辆改装通常对于确保残疾驾驶员能够独立且安全地驾驶至关重要。职业治疗驾驶员评估师和驾驶员康复专家会根据个性化评估以及康复干预的支持，常规性地开出车辆改装的处方。在进行文献综述并与利益相关者协商后，我们发现了信息方面的资源缺口，以支持基于证据的车辆改装处方流程。采用行动研究方法，我们确定了指南草案项目内容的有效性，并制定出基于共识的车辆改装处方指南草案，可供职业治疗驾驶员评估师进行试用检验，并提出了一个适用于国际环境的车辆改装处方实践模型。
