The rehabilitation strategies used by occupational therapy driver assessors with older drivers with age-related decline or health conditions are not well understood. The objective of the study was to describe driver rehabilitation interventions used by Australian driver assessors, identify factors that guide rehabilitation choices, and identify barriers and facilitators encountered. An online survey was emailed to 300 driver assessors. Descriptive statistics were used to summarize and to rank order participant responses. A total of 148 respondents selected from a combined total of 655 interventions. The four most common rehabilitation methods were (a) graded driving (18%, = 118), (b) practicing specific maneuvers (17.7%, = 116), (c) using a modified vehicle (16.9%, = 111), and (d) graded driving in local areas only (15.1%, = 99). The most common barrier limiting driver rehabilitation was cost ( = 2.92, = 1.24). The most frequently used driver rehabilitation method was on-road training. Practice can be enhanced by collating and evaluating resources, and ensuring effective interventions are more accessible.
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http://dx.doi.org/10.1177/15394492211050634 | DOI Listing |
Am J Occup Ther
January 2025
Carolyn A. Unsworth, PhD, OTR, BAppSc(OT), GCTE, is Professor, Occupational Therapy Department, Institute of Health and Wellbeing, Federation University, Churchill, Victoria, Australia; Department of Neurosciences, Monash University, Clayton, Victoria, Australia; Department of Rehabilitation, Jönköping University, Jönköping, Sweden; Department of Occupational Therapy, James Cook University, Townsville, Queensland, Australia.
Importance: Driving is a complex occupation requiring the interplay of high-level cognitive, physical, sensory, and behavioral skills for safe performance. Occupational therapists need to routinely address driving with adults as an occupational performance area. Further research is needed to determine whether performance-based assessment tools can support occupational therapists in screening client driving potential.
View Article and Find Full Text PDFBrain Inj
November 2024
Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, Australia.
Objective: To investigate the relationship between on-road driving remediation and achieving fitness to drive following acquired brain injury.
Design: Randomized controlled trial.
Setting: Tertiary hospital outpatient driver assessment and rehabilitation service, Australia.
Lancet Reg Health Am
May 2024
Institute for Global Health, University College London, London, UK.
In 2023, a series of climatological and political events unfolded, partly driving forward the global climate and health agenda while simultaneously exposing important disparities and vulnerabilities to climate-related events. On the policy front, a significant step forward was marked by the inaugural Health Day at COP28, acknowledging the profound impacts of climate change on health. However, the first-ever Global Stocktake showed an important gap between the current progress and the targets outlined in the Paris Agreement, underscoring the urgent need for further and decisive action.
View Article and Find Full Text PDFData Brief
June 2024
Department Evolutionary Ecology & Environmental Toxicology, Faculty of Biological Sciences - Goethe University Frankfurt, Frankfurt am Main, Germany.
Chemical pollution of the aquatic environment is nowadays characterised by increasing levels of anthropogenic organic compounds at low concentrations and is recognised as one of the main drivers of the deteriorated ecological state of European waterbodies. To improve the understanding of the impact of chemical pollution in surface waters, a combined approach of chemical and bioanalytical testing is considered necessary for effective ecologically oriented water management. For this dataset, six 25-L water samples were collected at six sampling sites along the Holtemme River in Central Germany using large-volume solid phase extraction.
View Article and Find Full Text PDFAlzheimers Dement (N Y)
May 2024
Osher Center for Integrative Health University of California, San Francisco San Francisco California USA.
Introduction: There are few widely-available, evidence-based options to support quality of life (QOL) for people living with Alzheimer's disease and related dementias.
Methods: We performed a randomized, controlled trial with a Waitlist control group to determine whether an online, livestream, mind-body, group movement program (Moving Together, 1 hour, 2 days/week, 12 weeks) improves QOL in people with cognitive impairment (PWCI) or care partners (CPs) and explore mechanisms of action. The primary outcome for both participants was self-reported QOL.
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