Langereis Brittany, Semeniuk Sarah, Kristalovich Lisa, Mortenson W Ben
Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
GF Strong Rehabilitation Centre, Vancouver, BC, Canada.
Br J Occup Ther. 2022 Aug;85(8):570-576. doi: 10.1177/03080226211067432. Epub 2022 Feb 10.
Driving is an important occupation that influences a person's ability to access community resources and participate in meaningful activities. Occupational therapists and other clinicians who are trained as driver rehabilitation specialists provide interventions to improve function and independence in driving. The objective of this study was to examine consistency of adaptive driving equipment prescription and driver retraining recommendations for clients with physical impairment and identify factors that influence driver rehabilitation recommendations.
Clinicians practicing in Canada and the United States were surveyed electronically. Data were analyzed using descriptive statistics and content analysis.
Out of 36 respondents, the majority (97.2%) were occupational therapists. Completion of in-clinic (97.0%) and on-road (84.4%) evaluations were consistent among the majority of respondents, yet components comprising evaluations varied. Fewer respondents were in agreement in equipment recommendations for secondary controls. Respondents emphasized the importance of clinical reasoning skills when making equipment and intervention recommendations.
Further development of clinical guidelines and advanced training in driver rehabilitation may be beneficial to facilitate clinical reasoning and improve consistency of practice.
驾驶是一项重要职业，它会影响一个人获取社区资源和参与有意义活动的能力。职业治疗师以及其他接受过驾驶员康复专家培训的临床医生会提供干预措施，以改善驾驶功能和独立性。本研究的目的是检查针对身体有损伤的客户的适应性驾驶设备处方和驾驶员再培训建议的一致性，并确定影响驾驶员康复建议的因素。
对在加拿大和美国执业的临床医生进行了电子调查。使用描述性统计和内容分析对数据进行分析。
在36名受访者中，大多数（97.2%）是职业治疗师。大多数受访者在诊所内（97.0%）和道路（84.4%）评估的完成情况上是一致的，但评估所包含的组成部分有所不同。在二级控制设备建议方面，达成一致意见的受访者较少。受访者强调在提出设备和干预建议时临床推理技能的重要性。
进一步制定临床指南和开展驾驶员康复方面的高级培训，可能有助于促进临床推理并提高实践的一致性。
