Assessing fitness to drive after stroke: A survey investigating current practice among occupational therapists in Ireland

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dc.contributor.author Stack, Aisling Helen
dc.contributor.author Duggan, Orla
dc.contributor.author Stapleton, Tadhg
dc.date.accessioned 2019-10-01T05:05:34Z
dc.date.available 2019-10-01T05:05:34Z
dc.date.issued 2018
dc.identifier.citation Stack, A.H., Duggan, O. and Stapleton, T., 2018. Assessing fitness to drive after stroke: A survey investigating current practice among occupational therapists in Ireland. Irish Journal of Occupational Therapy, 46(2),(25pp). DOI:10.1108/IJOT-03-2018-0006 en
dc.identifier.volume 46 en
dc.identifier.issued 2 en
dc.identifier.startpage 106 en
dc.identifier.endpage 129 en
dc.identifier.uri http://hdl.handle.net/10468/8634
dc.identifier.doi 10.1108/IJOT-03-2018-0006 en
dc.description.abstract Purpose: The assessment of fitness to drive after stroke is an emerging area of occupational therapy practice in Ireland. Despite this, little is known about occupational therapists’ evaluation practices, and there are no internationally agreed clinical guidelines to inform best practice. The purpose of this paper is to investigate occupational therapy evaluation practices for fitness to drive after stroke in Ireland. Design/methodology/approach: This is a cross-sectional study design targeting occupational therapists working with people after stroke using an online survey. Summary and descriptive statistics were .used to analyse the returned surveys Findings: In total, 47 occupational therapists participated. Off-road driving assessment was completed by 68 per cent of respondents. Functional assessment and non-driving-specific assessments were most widely used and perceived to be the most useful in informing the off-road assessment. A total of 89 per cent referred clients for on-road assessments; however, some referred without first completing an off-road assessment. The therapists who completed formal post graduate education/training in driving assessment reported greater confidence and competence in their skills and ability to assess fitness to drive. A vast majority of participants agreed that clinical guidelines regarding best practice in this area would be beneficial. Research limitations/implications: A majority of occupational therapists are assessing fitness to drive after stroke in Ireland with non-driving-specific assessments and functional observations; however, there are many gaps and wide variations between services. Education/training in evaluating fitness to drive after stroke is recommended. The development of clinical guidelines to inform practice would facilitate a consistent approach nationally. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Emerald Publishing Limited en
dc.relation.uri https://www.emeraldinsight.com/doi/abs/10.1108/IJOT-03-2018-0006
dc.rights © Aisling Helen Stack, Orla Duggan and Tadhg Stapleton. Published in Irish Journal of Occupational Therapy. Published by Emerald Publishing Limited. en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Survey en
dc.subject Occupational therapy en
dc.subject Stroke en
dc.subject Driving en
dc.title Assessing fitness to drive after stroke: A survey investigating current practice among occupational therapists in Ireland en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Orla Duggan, Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland. +353-21-490-3000 Email: oduggan@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Irish Journal of Occupational Therapy en
dc.internal.IRISemailaddress oduggan@ucc.ie en
dc.identifier.eissn 2398-8819


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© Aisling Helen Stack, Orla Duggan and Tadhg Stapleton. Published in Irish Journal of Occupational Therapy. Published by Emerald Publishing Limited. Except where otherwise noted, this item's license is described as © Aisling Helen Stack, Orla Duggan and Tadhg Stapleton. Published in Irish Journal of Occupational Therapy. Published by Emerald Publishing Limited.
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