The University of Sydney, Camperdown, New South Wales, Australia.
Western Sydney University, Campbelltown, New South Wales, Australia.
OTJR (Thorofare N J). 2025 Jan;45(1):95-104. doi: 10.1177/15394492231221960. Epub 2024 Jan 25.
On-road assessment is optimal for determining medical fitness-to-drive but unreliable if determined by global pass/fail decisions alone. Occupational therapists need standardized, psychometrically sound on-road scoring procedures. Performance Analysis of Driving Ability (P-Drive) is a promising on-road test developed in Sweden, but it has not been standardized for Australasia. We investigated the psychometric properties and concordance with an on-road decision of data gathered with the Australasian version of P-Drive. P-Drive was administered to older and cognitively impaired drivers ( = 134) aged 18 to 91 years (mean age 68) who were referred to 10 driving clinics in Australia and New Zealand to determine driving performance. Rasch analysis provided evidence for construct validity and concordance of the data gathered. An optimal cut-off score of 85 was set, yielding evidence of good sensitivity at 88% and specificity at 88%. The Australasian version of P-Drive produces valid and reliable data regarding on-road driving performance.
路考是确定驾驶适能的最佳方法,但仅通过全球通过/失败的决定来确定则不可靠。职业治疗师需要标准化的、心理测量学上可靠的路考评分程序。驾驶能力绩效分析(P-Drive)是在瑞典开发的一种很有前途的路考测试,但尚未在澳大拉西亚标准化。我们研究了与澳大利亚版 P-Drive 的路考决定相关的数据的心理测量特性和一致性。P-Drive 对 18 至 91 岁(平均年龄 68 岁)的老年和认知受损驾驶员( = 134)进行了评估,这些驾驶员被转诊到澳大利亚和新西兰的 10 个驾驶诊所,以确定驾驶性能。Rasch 分析为收集到的数据的结构有效性和一致性提供了证据。设定了 85 分的最佳截断分数,敏感性为 88%,特异性为 88%。澳大利亚版 P-Drive 可提供有关路考驾驶性能的有效且可靠的数据。