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

dc.contributor.authorStack, Aisling Helen
dc.contributor.authorDuggan, Orla
dc.contributor.authorStapleton, Tadhg
dc.date.accessioned2019-10-01T05:05:34Z
dc.date.available2019-10-01T05:05:34Z
dc.date.issued2018
dc.description.abstractPurpose: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationStack, 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-03-2018-0006en
dc.identifier.doi10.1108/IJOT-03-2018-0006en
dc.identifier.eissn2398-8819
dc.identifier.endpage129en
dc.identifier.issued2en
dc.identifier.journaltitleIrish Journal of Occupational Therapyen
dc.identifier.startpage106en
dc.identifier.urihttps://hdl.handle.net/10468/8634
dc.identifier.volume46en
dc.language.isoenen
dc.publisherEmerald Publishing Limiteden
dc.relation.urihttps://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.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectSurveyen
dc.subjectOccupational therapyen
dc.subjectStrokeen
dc.subjectDrivingen
dc.titleAssessing fitness to drive after stroke: A survey investigating current practice among occupational therapists in Irelanden
dc.typeArticle (peer-reviewed)en
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