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Titre : | Exploring the Predictive Ability of the Motor-Free Visual Perception Test (MVPT) and Trail Making Test (TMT) for On-Road Driving Performance (2020) |
Auteurs : | Ana Holowaychuk ; Yolan Parrott ; Ada Leung |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 74, n° 5, September/October 2020) |
Article en page(s) : | p. 1-8 |
Note générale : | doi:10.5014/ajot.119.040626 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Conduite automobile ; Etudes de validation ; Perception visuelle ; Performance psychomotrice ; Tests neuropsychologiques |
Résumé : |
Importance: Resuming driving after a change in functional ability is challenging for patients with a neurological condition. Although a combination of assessment tools has been suggested for use in driving evaluation, resources and availability of tools have been a problem.
Objective: To examine the predictive ability of two commonly used tools, the Motor-Free Visual Perception Test (MVPT) and the Trail Making Test, Parts A and B (TMTA and TMTB), on on-road driving performance. Design: Retrospective chart review of 82 patient charts between 2015 and 2016. Setting: Local rehabilitation hospital. Participants: Eighty-two patients with a primary neurological diagnosis (general neurological condition, n = 13; spinal cord injury, n = 11; stroke, n = 58). Outcomes and Measures: MVPT, TMTA, and TMTB. Results: Among the patients, 36 passed and 46 failed the on-road evaluation. The TMTA and TMTB scores were significantly different between those who passed or failed the on-road evaluation. Logistic regression analyses revealed that the TMTB completion time was the only significant predictor of on-road driving performance (for the all-patient model, 66% prediction accuracy, −2 log-likelihood [LL] = 93.47, exp β = 0.98; for the stroke-only model, 76% prediction accuracy, −2LL = 59.61, exp β = 0.97). Conclusions and Relevance: Our findings suggest that the TMTB is a better predictor of on-road driving performance for patients with a neurological condition than the MVPT. The findings shed light on the importance of selecting proper tools when assessing driving performance. Future prospective studies with a wider array of predictive variables are recommended to support the present findings. What This Article Adds: Occupational therapists should revisit the use of the MVPT in driving assessment and consider multiple assessment tools when evaluating and predicting driving performance. |
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