Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluation

BackgroundDriving is associated with independence, well-being, quality of life, and an active lifestyle. Driving requires cognitive, motor, and visual skills, including self-awareness and processing speed. This study examines whether driver self-awareness, motor processing speed, and cognitive proce...

Full description

Bibliographic Details
Main Authors: Meirav Rosenfeld, Yael Goverover, Penina Weiss
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Rehabilitation Sciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fresc.2022.1005025/full
_version_ 1798018851288383488
author Meirav Rosenfeld
Yael Goverover
Yael Goverover
Penina Weiss
author_facet Meirav Rosenfeld
Yael Goverover
Yael Goverover
Penina Weiss
author_sort Meirav Rosenfeld
collection DOAJ
description BackgroundDriving is associated with independence, well-being, quality of life, and an active lifestyle. Driving requires cognitive, motor, and visual skills, including self-awareness and processing speed. This study examines whether driver self-awareness, motor processing speed, and cognitive processing speed can predict fitness to drive among individuals referred to occupational therapy evaluation due to concerns about their driving ability.MethodIn this cross-sectional study, 39 participants were referred to off- and on-road driving evaluation to determine their fitness to drive due to changes in health status, advanced age, license renewal requirement, or prior automobile accidents. A registered occupational therapist (OT) classified 23 of the participants as fit to drive and 16 as unfit to drive. Motor and cognitive processing speed were assessed by the Stationary Perception-Reaction Timer and the Color Trails Test, respectively. Driving self-awareness was assessed by comparing the DI and OT evaluations to the participants' estimation of their own on-road driving performance.ResultsThe fit-to-drive participants had a better motor and cognitive processing speed than those unfit-to-drive. The unfit-to-drive group overestimated their driving ability, whereas the fit-to-drive group accurately or almost accurately estimated their driving ability. Driving self-awareness was a significant predictor of participants' fitness to drive.ConclusionsThis study demonstrates the importance of self-awareness for predicting fitness to drive among people at risk for compromised driving skills. Thus, driving self-awareness should be addressed as part of fitness-to-drive evaluations and interventions.
first_indexed 2024-04-11T16:31:03Z
format Article
id doaj.art-1324a1e3723842f09432abcb5e094ec6
institution Directory Open Access Journal
issn 2673-6861
language English
last_indexed 2024-04-11T16:31:03Z
publishDate 2022-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Rehabilitation Sciences
spelling doaj.art-1324a1e3723842f09432abcb5e094ec62022-12-22T04:14:01ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612022-11-01310.3389/fresc.2022.10050251005025Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluationMeirav Rosenfeld0Yael Goverover1Yael Goverover2Penina Weiss3Department of Occupational Therapy, New York University, New York, NY, United StatesDepartment of Occupational Therapy, New York University, New York, NY, United StatesKessler Foundation, East Hanover, NJ, United StatesOccupational Therapy Department, Rabin Medical Center, Beilinson Hospital, Petach Tikva, IsraelBackgroundDriving is associated with independence, well-being, quality of life, and an active lifestyle. Driving requires cognitive, motor, and visual skills, including self-awareness and processing speed. This study examines whether driver self-awareness, motor processing speed, and cognitive processing speed can predict fitness to drive among individuals referred to occupational therapy evaluation due to concerns about their driving ability.MethodIn this cross-sectional study, 39 participants were referred to off- and on-road driving evaluation to determine their fitness to drive due to changes in health status, advanced age, license renewal requirement, or prior automobile accidents. A registered occupational therapist (OT) classified 23 of the participants as fit to drive and 16 as unfit to drive. Motor and cognitive processing speed were assessed by the Stationary Perception-Reaction Timer and the Color Trails Test, respectively. Driving self-awareness was assessed by comparing the DI and OT evaluations to the participants' estimation of their own on-road driving performance.ResultsThe fit-to-drive participants had a better motor and cognitive processing speed than those unfit-to-drive. The unfit-to-drive group overestimated their driving ability, whereas the fit-to-drive group accurately or almost accurately estimated their driving ability. Driving self-awareness was a significant predictor of participants' fitness to drive.ConclusionsThis study demonstrates the importance of self-awareness for predicting fitness to drive among people at risk for compromised driving skills. Thus, driving self-awareness should be addressed as part of fitness-to-drive evaluations and interventions.https://www.frontiersin.org/articles/10.3389/fresc.2022.1005025/fulldriving evaluationself-awarnessprocessing speed (PS)occupational therapycommunityolder (elderly) drivers
spellingShingle Meirav Rosenfeld
Yael Goverover
Yael Goverover
Penina Weiss
Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluation
Frontiers in Rehabilitation Sciences
driving evaluation
self-awarness
processing speed (PS)
occupational therapy
community
older (elderly) drivers
title Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluation
title_full Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluation
title_fullStr Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluation
title_full_unstemmed Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluation
title_short Self-awareness predicts fitness to drive among adults referred to occupational therapy evaluation
title_sort self awareness predicts fitness to drive among adults referred to occupational therapy evaluation
topic driving evaluation
self-awarness
processing speed (PS)
occupational therapy
community
older (elderly) drivers
url https://www.frontiersin.org/articles/10.3389/fresc.2022.1005025/full
work_keys_str_mv AT meiravrosenfeld selfawarenesspredictsfitnesstodriveamongadultsreferredtooccupationaltherapyevaluation
AT yaelgoverover selfawarenesspredictsfitnesstodriveamongadultsreferredtooccupationaltherapyevaluation
AT yaelgoverover selfawarenesspredictsfitnesstodriveamongadultsreferredtooccupationaltherapyevaluation
AT peninaweiss selfawarenesspredictsfitnesstodriveamongadultsreferredtooccupationaltherapyevaluation