Disclosure
Contents
1. e Results summary Classifies driver Provide recommendations e Keyforms helps one to observe What a person can do with without difficulty What a person cannot do Transition zone e Where a person moves from one set of ratings to another e Recommendations 15 13 March 2014 Item Description Rating Scale 40 5 6 Example of the Web Based Most difficult Keyform and Recommendations items Person Measure 74 28 out of 100 Accomplished Driver Overall rating Based on your rating this driver is classified within the Accomplished Driver Group The driver is able to perform highly challenging driving skills However difficulty may be experienced with some items e g 1 Drive in a thunderstorm wi2. e Developed a paper and pen version e Web based e To identify at risk older drivers FTDS Measure Four sections A 1 Demographics rater A 2 Demographics driver B Driving history and habits C 54 Driving behaviors 54 Items e Observable behaviors e Progress in the level of difficulty e 4 point adjectival scale e Very difficult somewhat little no difficulty Overview Research Theoretical Socio ecological model Frameworks eMichon s model FARS Haddon s matrix Meta Synthesis eltem response theory Preparation Enrollment 2004 2007 Data Collection Analyses Dissemination 13 March
3. On line FTDS http fitnesstodrive phhp ufl edu Contact Information Dr Sherrilene Classen sclassen uwo ca 13 March 2014 18 FTDS Version III Fitness to Drive Screening Measure Online A 1 Demographics of Rater Instructions Please answer all questions to the best of your ability In this section we are asking questions about you the family member friend or caregiver who is rating the driver Answer by checking the box or filling in the blank Do not use the back button of the browser it will not return you to the previous set of questions 1 What is your birth year 2 What is your gender o Male o Female 3 What is your ethnicity Do you consider yourself to be choose one Note We are using these classifications as defined by the National Institutes of Health NIH o Hispanic or Latino A person of Cuban Mexican Puerto Rican South or Central American or other Spanish culture or origin regardless of race O Not Hispanic or Latino 4 What is your race Would you say you are choose one Note We are using these classifications as defined by the National Institutes of Health NIH 0 American Indian Alaska Native First Nations Aboriginal or Inuit having origins in any of the original peoples of North Central or
4. log P_ 1 P P ni probability of person n passing item i 1 P B D i probability of person n failing item i n ability of person n i difficulty of item i 13 March 2014 13 March 2014 Creating the Fitness to Drive Screening Measure Adjust Check Drive rush Pass large mirrors blind spot hour vehicle Open Maintain Drive in storm door lane erge highway a N gt 50 probability 50 probability lt lt lt 50 probability of passing of passing of passing 11 Rating Scale Item Description O l 13 March 2014 Overview Research PHASE 1 um PHASE 2 PHASE 3 Theoretical Item I PSYCHOM
5. e Exploratory factor analysis 68 items 3 criteria to evaluate the unidimensionality Brown 2006 e Comparative fit indices CFI gt 0 90 e Tucker Lewis indices TLI gt 0 90 Root mean square error of approximations RMSEA lt 0 08 excluded 14 items item numbers 1 8 10 11 13 14 16 17 that did not contribute to the fitness to drive construct e Confirmatory factor analysis CFA The caregivers and evaluator groups ratings fit a one factor model based on both the CFI and TLI Classen Velozo Winter Bedard amp Wang BJOT under review 13 March 2014 Overview Research PHASE 3 FINAL PSYCHOMETRICS N 400 cea Construct validity Preparation Enrollment Data Collection Analyses Dissemination Five manuscripts 1 Classen etal 2010 AJOT Winter et al 2011 CJOT Classen et al 2012 AJOT Classen et al 2012 AJOT Classen et al 2013 AJOT Dec 2008 Dec 2012 NIA R 21 2004 2007 Table 3 Rasch Analysis Summary 54 item FTDS for the Driver F C apq Evaluator Family mer Driver l i valuator 5 9 26 0 0 99 8 45 13 6 5 0 96 4 68 6 57 Ceiling Floor 13 6 5 0 28 14 0 0 0 Note Misfit criterion INFIT MNSQ gt 1 7 amp INFIT Z Score gt 2 INFIT MNSQ lt 0 5 amp INFIT Z Score lt 2 Str
6. e CC 0 17 p 0 008 Drivers and Evaluators e CC 0 40 p lt 0 001 Caregivers and Evaluators Classen Velozo Winter Bedard amp Wang BJOT under review 11 13 March 2014 Overview Research PHASE 3 eA sveHoMermcs 000 orse Reece mee Se ee Uh peter ei Preparation Enrollment Data Collection Analyses Dissemination Five manuscripts Classen et al 2010 AJOT Winter et al 2011 CJOT Classen et al 2012 AJOT Classen et al 2012 AJOT Classen et al 2013 AJOT 2004 2007 Dec 2008 Dec 2012 NIA R 21 Rater Effects rn EE The facets ruler e No erratic rater groups E most severe Fit statisti
7. 11 What moving violations citations or traffic tickets did the driver receive in the past three years Check all that apply L E c EE EEE EN ere E Failure to yield Going too slowly Not obeying traffic lights Not obeying traffic signs such as stop sign Improper passing Improper turning Careless driving Reckless driving Driving under influence of drugs or alcohol DUI DWI Speeding Tailgating Do not know Other please specify 12 When did the driver last attend a driver education training or retraining course If you mark Never go to question 14 choose one er Te te ea de Within the past year 1 3 years ago More than 3 years ago Never Do not know 13 If they attended a driver education class training or re training what type was It choose all that apply EN Ei ER Eg de On line class Classroom course for all drivers Classroom course for mature drivers Course with classroom and behind the wheel instruction Do not know Other please specify 14 How does the driver keep up with changes in road rules or laws choose all that apply O Ed Le Eee E E Driving class Newspaper Driver s handbook Friends or family Computer Police or law enforcement Driver s license office DMV None of the above 20 ZA 22 23 O Do not know O Other please specify Does the driver have difficulty opening the car door choose one O No O Yes Does the d
8. Avoid dangerous situations such as car door opening car pulling out road debris or an animal darting in front of car choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive when there is fog choose one Very Difficult Somewhat Difficult A Little Difficult Not Difficult OE Oo 48 49 50 51 52 93 54 Page 10 of 10 Drive at night on a dark road with faded or absent lane lines choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult O O O O Very Difficult Somewhat Difficult A Little Difficult Not Difficult Drive when there is glare or the sun is in his or her eyes choose one Turn left across multiple lanes when there is no traffic light choose one O O O Drive in a thunderstorm with heavy rains and wind choose one O O O O Control his or her car on a wet road choose one O O O Drive on a snow covered road choose one O O O O Drive on an icy road choose one O O O Very Difficult Somewhat Difficult A Little Difficult Not Difficult Very Difficult Somewhat Difficult A Little Difficult Not Difficult Very Difficult Somewhat Difficult A Little Difficult Not Difficult Very Difficult Somewhat Difficult A Little Difficult Not Difficult Very Difficult Somewhat Difficult A Little Difficult Not Difficult Page 1of 3 Case Study 1 Jes
9. Case studies e Jesus e Mr Patel e Elizabeth Overview Research PHASE 4 PHASE 5 PHASE 6 Web based FTDS amp Keyform Context cor a Wed based version Pilot testing Implementation Translation Next Steps April 2012 October 2012 Dec 2013 Jan 20143 FDOT 17 FTDS References 1 Classen S Winter S M Velozo C B dard M Lanford D N amp Brumback B Lutz B 2010 Item Development and Validity Testing for a Safe Driving Behavior Measure American Journal of Occupational Therapy 64 2 296 305 2 Winter S M Classen S B dard M Lutz B Velozo C A Lanford D N amp Brumback B 2011 Focus Group Findings for a Self report Safe Driving Behavior Measure Canadian Journal of Occupational Therapy 78 2 72 79 3 Classen S Wen P Velozo C B dard M Brumback B Winter S M amp
10. Lanford D N 2012 Rater Reliability and Rater Effects of the Safe Driving Behavior Measure American Journal of Occupational Therapy 16 69 77 4 Classen S Wen P Velozo C B dard M Brumback B Winter S M amp Lanford D N 2012 Psychometrics of the Self Report Safe Driving Behavior Measure for Older Adults American Journal of Occupational Therapy 66 2 233 241 5 Classen S Wang Y Velozo C B dard M Winter S M amp Lanford D N 2013 Concurrent Criterion Validity of the Safe Driving Behavior Measure A Predictor of On Road Driving Outcomes American Journal of Occupational Therapy 67 1 108 116 6 Classen S Winter S M Velozo C Hannold E M and Rogers J 2013 Stakeholder Recommendations to Refine the Fitness to Drive Screening Measure The Open Journal of Occupational Therapy Vol 1 Iss 4 Article 3 Available at http scholarworks wmich edu ojot vol1 iss4 3 Visit web site
11. OOOdSO Spouse or partner Child Family Other relative Friend s Paid caregiver Other please specify 7 Besides the driver you are rating how many other licensed drivers are in his her household 8 What is the driver s highest level of education choose one O Did not go to school Completed Grade school 5th grade Completed Middle school 8th grade Completed High School G E D 12th grade Completed Vocational Training some College after High School Graduation Associate Degree Bachelors Degree some Professional School after College Graduation Masters Degree Doctoral Degree ODODODOOOOOUO 9 Does the driver use any of the following assistive devices Choose all that apply 0 Corrective lenses such as eyeglasses or contacts 0 Hearing device hearing aid Mobility device Such as cane walker wheelchair Car devices such as seat pad pedal assist spinner knob Other please specify OD i i i FTDS Version III Fitness to Drive Screening Measure Online B Driving History Profile of Driver Instructions 1 Please answer all 31 questions to the best of your ability 2 Answer by checking the box or filling in the blank 3 Do not use the back button of the browser it will not return you to the previous set of questions 1 How many days a week does the driver typically drive Less than 1 eds EN EN ET E fe ME de NOOR WD 2 Who usually rides with the driver Check all that apply Sp
12. drivers motorcyclists choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive on graded unpaved road choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Check blind spots before changing lanes choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive with surrounding tractor trailers transport trucks choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Merge onto a highway choose one Very Difficult somewhat Difficult A Little Difficult Not Difficult O O O 0 24 25 26 27 28 29 Page 6 of 10 Use a paper map while driving choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Make a left hand turn crossing multiple lanes and entering traffic with no lights or stop signs choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Parallel park choose one o Very Difficult somewhat Difficult A Little Difficult Not Difficult O O O Stay within the lane markings unless making a lane change choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Stay within proper lane in the absence of road features such as clearly marked lane lines reflectors or rumble strips choose one o Very Difficult Somewhat Difficult A Little D
13. 62 44 SD 14 76 2 driving evaluators e Mixed methods design AOTA 90 Annual Conference amp Expo Procedure Drivers Informed consent FTDS measure Standardized clinical battery Standardized on road test Protocol standardized across sites IRR driving evaluators 100 Caregivers Family Members e Informed consent e FTDS measure Table 1 Demographics and Driving Characteristics of Older Drivers and their F C Ez Older driver N 200 Age mean SD year 72 64 5 35 Age range year Gender Male 110 55 0 Race Caucasian 177 88 5 African American 12 6 Others 11 5 5 lt High school Drive 7 days week Licensed driver Living alone 102 51 0 200 100 52 26 0 Living with partner spouse 129 64 5 MMSE mean SD 27 99 1 84 Self reported number of 16 73 4 45 medications used 6 73 4 45 L mn Education College or university 7 i 114 57 0 93 46 5 De a Asso
14. Little Difficult o Not Difficult 38 Drive in a highly complex situation Such as a large city with high speed traffic multiple highway interchanges and several signs choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 39 Control the car brake hard or swerve to avoid collisions choose one Very Difficult somewhat Difficult A Little Difficult Not Difficult OG 0 40 Drive a different car such as another person s car or a rental car choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 41 Alter his or her driving in response to changes in health such as vision reaction time fatigue thinking joint stiffness medications choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 42 43 44 45 46 47 Page 9 of 10 Drive when upset anxious worried sad or angry choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Stay focused on driving when there are distractions such as radio eating drinking pet in the car choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive in an unfamiliar area choose one Very Difficult Somewhat Difficult A Little Difficult Not Difficult og Oe 0 0 Drive at night choose one Very Difficult Somewhat Difficult A Little Difficult Not Difficult O O O
15. Specialists ADED http www driver ed org custom directory pageid 209 amp showTitle 1 Information and free resources to help you become more familiar with transportation resources and services available in your community e National Center on Senior Transportation http seniortransportation easterseals com site PageServer pagename NCST2 older UNIVERSITY of FLORIDA The Foundation for The Gator Nation Home Disclaimer Privacy Policy User Manual Contact Us UF Institute for Mobility Activity and Participation I MAP O 2013 University of Florida This page uses Google Analytics Google Privacy Policy 2 of 2 2 14 2014 2 36 PM Fitness to Drive Screening Measure Keyform Results http ftds phhp ufl edu keyform php Fitness to Drive Screening Measure Online Recommendations Keyform Results Select parameters then click Update to build Keyform output Items caregiver 20120522 n200 Sessions 211 SDBM1040 00 06 24 2012 05 29 08 55 42 Clustering hard to easy rounded average 5 Show Responses Al Update Total Items 49 Outfit mean squared 0 48 Outfit Z score 1 84 Infit mean squared 0 65 Infit Z score 1 47 Person Measure 66 95 out of 100 2 72 logits I of 3 2 14 2014 2 37 PM Fitness to Drive Screening Measure Keyform Results http ftds phhp ufl edu keyform php 2 of 3 2 14 2014 2 37 PM Fitness to Drive Screening Measure Keyform Results http
16. driver s ethnicity Do you consider the driver to be choose one Note We are using these classifications as defined by the National Institutes of Health NIH O Hispanic or Latino A person of Cuban Mexican Puerto Rican south or Central American or other Spanish culture or origin regardless of race O Not Hispanic or Latino 4 What is the driver s race choose one Note We are using these classifications as defined by the National Institutes of Health NIH L American Indian Alaska Native First Nations Aboriginal or Inuit having origins in any of the original peoples of North Central or South America and who maintains tribal affiliation or community attachment Asian having origins in any of the original peoples of the Far East Southeast Asia or the Indian subcontinent including for example Cambodia China India Japan Korea Malaysia Pakistan the Philippine Islands Thailand and Vietnam Black or African American having origins in any of the black racial groups of Africa Native Hawaiian or Other Pacific Islander having origins in any of the original peoples of Hawaii Guam Samoa or other Pacific Islands White having origins in any of the original peoples of Europe the Middle East or North Africa Other please specify 5 Does the driver live alone If Yes Go to question 8 choose one E L E No Yes Mostly for part of the year 6 Who lives with the driver E
17. 014 2 27 PM Fitness to Drive Screening Measure Recommendations http ftds phhp ufl edu results php or a local driving school For further details on driving or community mobility click on the links below Resources AAA Resources for Mature Drivers e American Automobile Association AAA http seniordriving aaa com AARP Driver Safety e AARP http www aarp org drive Certified Driving Rehabilitation Specialists Occupational Therapists providing the Comprehensive Driving Evaluations e American Occupational Therapy Association http myaota aota org driver search e The Association for Driver Rehabilitation Specialists ADED http www driver ed org custom directory pageld 209 amp showTitle 1 Information and free resources to help you become more familiar with transportation resources and services available in your community e National Center on Senior Transportation http seniortransportation easterseals com site PageServer pagename NCST2 older UNIVERSITY of FLORIDA The Foundation for The Gator Nation Home Disclaimer Privacy Policy User Manual Contact Us UF Institute for Mobility Activity and Participation I MAP O 2013 University of Florida This page uses Google Analytics Google Privacy Policy 2 of 2 2 14 2014 2 27 PM Fitness to Drive Screening Measure Keyform Results http ftds phhp ufl edu keyform php Fitness to Drive Screening Measure Online Recommendations Ke
18. 2014 AOTA 90 Annual Conference amp Expo Item Response Theory IRT e Item development Items reflect different amounts of safe driving Pre driving items reflect easy items Challenging driving situations should reflect difficult items Persons who pass more difficult items should be successful with easier items Rasch Formula
19. ETRICS N 400 generation Frameworks i Face validity I Content validity Preparation Enrollment Data Collection Analyses Dissemination FARS Meta Synthesis Mixed Methods Two manuscripts Three manuscripts 1 Classen et al 2010 AJOT Classen et al 2012 AJOT 1 2 Winter et al 2011 CJOT 2 Classen et al 2012 AJOT 3 Classen et al 2013 AJOT 2004 2007 Dec 2008 Dec 2012 NIA R 21 Participants e Recruited North Central Florida amp Thunder Bay Ontario Canada 200 older licensed drivers e 65 85 years e mean age 72 64 SD 5 35 200 family members caregivers e 18 85 years e
20. South America and who maintains tribal affiliation or community attachment O Asian having origins in any of the original peoples of the Far East Southeast Asia or the Indian subcontinent including for example Cambodia China India Japan Korea Malaysia Pakistan the Philippine Islands Thailand and Vietnam 0 Black or African American having origins in any of the black racial groups of Africa Oo Native Hawaiian or Other Pacific Islander having origins in any of the original peoples of Hawaii Guam Samoa or other Pacific Islands O White having origins in any of the original peoples of Europe the Middle East or North Africa O Other please specify 5 What is your highest level of education O ET EE el WAN GE ENE E 12 Did not go to school Completed Grade school 5th grade Completed Middle school 8th grade Completed High School G E D 12th grade Completed Vocational Training some College after High School Graduation Associate Degree Bachelors Degree some Professional School after College Graduation Master s Degree Doctoral Degree 6 Do you have a driver s license choose one E L No Yes 7 How many days a week do you typically drive choose one E ouu ek er g Less than 1 NOOR WD 8 Do you live alone If Yes Go to question 10 choose one E E E No Yes Mostly for part of the year 9 Who lives with you E ER EN EG BEE Spouse or partner C
21. Use of the Evidence Based Fitness to Drive Screening Measure FTDS for At risk Older Drivers Sherrilene Classen PhD MPH OTR L FAOTA Craig Velozo PhD OTR L Miriam Monahan CDRS MS OTR L AOTA PO 6072 Baltimore Maryland April 05t 2014 Disclosure e The presenter does have an interest in providing paid education courses on Older Drivers to Health Care Professionals 13 March 2014 13 March 2014 Research Team Sherrilene Classen PhD MPH OTR L Acknowledgement Craig Velozo PhD OTR L Funding Michel Bedard PhD 1 NIH National Institute on Sandra M Winter PhD OTR L Aging R21 PAR 06 247 PI Babette Brumback PhD Classen Desiree N Lanford CDRS MOT OTR L DOT UF s Center for Pey Shan Wen PhD OTR L Multimodal Studies on Yanning Wang MS Congestion Mitigation CMS 00063055 PI Jason Rogers BE Classen ae eT 3 FDOT BDK 77977 17 PI Classen Infrastructure and Support 1 Institute for Mobil
22. Yes 30 Does the driver use alternative transportation such as taking a bus or taxi choose one O Always O Often O Sometimes O Rarely O Never 31 Do you think the driver would consider alternative transportation if it were available choose one O No O Yes Page 1 of 10 Fitness to Drive Screening Measure Online 1325 2013 C Fitness to Drive Screening Measure Instructions 1 Please answer all 54 questions to the best of your ability 2 From your observations of the driver over the past three months rate the amount of difficulty for each skill If you have not observed the driver for a skill use your best judgment to rate the difficulty the driver would have using one of the following answers Very Difficult doing it is a major challenge Somewhat Difficult doing it is a moderate challenge A Little Difficult doing it is a minor challenge Not Difficult can do it with ease For each question please select your answer by clicking on the text or circle Do not use the back button of the browser It will not return vou to the previous set of questions Note the example below DIFFICULT IS IT FOR HIM OR HER TO A Start the car o Very Difficult Somewhat Difficult A Little Difficult Not Difficult Page 2 of 10 FOR THE PERSON YOU ARE RATING BASED ON THE LAST 3 MONTHS HOW DIFFICULT IS IT FOR HIM OR HER TO 1 Stay in the proper lane choose one o Very Difficult o Somewhat Difficu
23. ansportation resources and services available in your community e National Center on Senior Transportation http seniortransportation easterseals com site PageServer pagename NCST2 older UNIVERSITY of FLORIDA The Foundation for The Gator Nation Home Disclaimer Privacy Policy User Manual Contact Us UF Institute for Mobility Activity and Participation I MAP O 2013 University of Florida This page uses Google Analytics Google Privacy Policy 2 of 2 2 14 2014 2 33 PM Fitness to Drive Screening Measure Keyform Results http ftds phhp ufl edu keyform php Fitness to Drive Screening Measure Online Recommendations Keyform Results Select parameters then click Update to build Keyform output Items caregiver 20120522 n200 Sessions 210 1062PD 00 08 25 2012 05 29 08 39 45 Clustering hard to easy rounded average 5 Show Responses an Update Total Items 49 Outfit mean squared 0 8 Outfit Z score 1 05 Infit mean squared 0 75 Infit Z score 1 37 Person Measure 50 91 out of 100 0 36 logits Rating Scale Item Description O 10 20 30 40 50 60 70 80 90 100 48 Drive night absent lane lines I of 3 2 14 2014 2 34 PM Fitness to Drive Screening Measure Keyform Results http ftds phhp ufl edu keyform php 2 of 3 2 14 2014 2 34 PM Fitness to Drive Screening Measure Keyform Results 3 of 3 http ftds phhp ufl edu keyform php Home Disc
24. ata 4 Sep 1 3 Classen Velozo Winter Bedard amp Wang BJOT under review 10 13 March 2014 Overview Research PHASE 3 i FINAL PSYCHOMETRICS N 400 Sor o Construct validity I Rater Reliability Preparation Enrollment Data Collection Analyses Dissemination 2004 2007 Five manuscripts 1 Classen et al 2010 AJOT 2 Winter et al 2011 CJOT 3 Classen et al 2012 AJOT 4 Classen et al 2012 AJOT 5 Classen et al 2013 AJOT Dec 2008 Dec 2012 NIA R 21 Rater Reliabilit Results e Rater reliability 33 items Overall ICC 0 253 p lt 0 001 for three rater groups Paired comparisons e CC 0 14 p 0 023 Drivers and Caregivers
25. ciate 43 21 5 75 37 5 g 43 21 5 32 16 0 O P O amily members caregivers N 200 18 85 95 27 5 180 90 0 12 6 0 8 4 27 13 5 197 98 5 25 12 5 111 55 5 Note MMSE Mini Mental State Examination NA Not applicable SD standard deviation Median of age for F C 67 0 a Ride with the driver 7 days per week gt The relationship with the driver is spouse or partner Cla ssen Velozo Winter Bedard amp Wang BJOT under review 13 March 2014 13 March 2014 Overview Research PHASE 3 ron a I FINAL PSYCHOMETRICS N 400 ee Mixed Methods Preparation Enrollment Data Collection Analyses Dissemination Five manuscripts Classen et al 2010 AJOT Winter et al 2011 CJOT Classen et al 2012 AJOT Classen et al 2012 AJOT Classen et al 2013 AJOT Dec 2008 Dec 2012 NIA R 21 2004 2007 Factor Structure
26. cs e infit MnSq and outfit MnSq for both rater groups were between 0 93 and 1 15 well within the defined criteria of 0 6 and 1 4 Fixed Chi Square e 586 1 df 2 p lt 0 001 showed overall rater effects e E more severe rater than C t 2 33 p 0 02 Paired comparisons showed Wed SISNITICANT rater ETTECTS ON LJ mE ee Items E were more severe than C on 10 19 items ET C were more severe 9 19 items GL Were MORE severe J 19 ems Classen Velozo Winter Bedard amp Wang BJOT under review 12 13 March 2014 Overview Research PHASE 3 i FINAL PSYCHOMETRICS N 400 i eta synthesis content vant Construct validity Criterion validity Rater Reliability Preparation Enrollment Data Collection Analyses Dissemination Five manuscripts 1 Classen et al 2010 AJOT Winter et al 2011 CJOT Classen et al 2012 AJOT Classen et al 2012 AJOT Classen et al 2013 AJOT 2004 2007 Dec 2008 Dec 2012 NIA R 21 Criterion Validit On road test Failing Passing li a b Failing rue positive False positive Screening test F Passing c d False negative True Negative Sensitivity a a c Specificity d b d Error 1 sensitivity 1 specificity PPV a a b NPV d c d AUC i
27. ence 0 1 cut point 26 30 e Trails B 360 seconds cut point 180 seconds e Useful Field of View UFOV Category 5 high risk for crashes Motor Page 2 of 3 UFOV sub test 1 36 7 ms sub test 2 36 8 ms sub test 3 410 3 ms cut point 500 milliseconds Transfers and ambulation independent Rapid pace walk 8 00 seconds cut point 7 seconds Range of Motion o Within Functional Limits Upper extremities and Lower extremities o Severe impairment Trunk Neck Gross Manual Muscle Test Strength Within Functional Limits for Upper extremities and Lower extremities Trunk and Neck Coordination o Finger to nose Right 7 94 seconds Left 7 69 seconds cut off 10 seconds o Toe tap Right 3 28 seconds Left 3 69 seconds cut off 10 seconds Mrs Patel has completed the Fitness to Drive Screening Measure FTDS yielding the following results Measure Score 50 91 cut point range 55 69 72 53 He is classified as an at risk driver Identify the difficulties based on his keyform results Identify the Recommendations from his keyform He has completed an on road test with the following results Drifts out of lane when driving over 30 miles an hour Gets easily distracted Overcautious with gap acceptance missing opportunities to turn Poor lane maintenance vehicle position difficulties and impaired scanning through the left turns CDRS Recommendation Classified as unsafe not remediable What are your driving recommendati
28. escription Rating Scale Item Description 40 50 24 Use paper map 51 Drive heavy raintwind 49 Drive glare ee enti ae Somewhat A little to very difficulty 47 Drive when fog 26 Parallel park 34 Pass larger vehicle no passing In d iffi C u It 42 Drive when upset 50 Turn L across Ins no traf light 43 Stay focused 41 Alter driving health changes Should Driver A continue 40 Drive a different car 25 Enter traf with left turn to d rive 46 Avoid dangerous situations Es Should Driver B continue 37 Exit an expressway 32 Drive in dense traffic 7 Drive with conversation to d r ve 39 Control car avoid collisions 8 Drive with assistance What are the next steps 22 Drive with tractor 21 Check blind spots bf change for each of the drivers 52 Control car wet road ee Who needs referral to a re CDRS If you are the family member for driver A and B what would you do Coe ee ee s s s O lgls v Sy A little to No somewhat difficulty difficult lelololole Is ln 1 l olo N a gt 1a fem Pes Vl er et 2 ale Hul wl i oy 13 March 2014
29. ftds phhp ufl edu keyform php NO OO pa I N N N N N Ww Ww Ww Ww OG H NO OO NO GO O 10 20 50 40 50 60 70 80 90 100 Home Disclaimer Privacy Policy User Manual Contact Us UF UNIVERSITY of Institute for Mobility Activity and Participation I MAP FLORIDA The Foundation for The Gator Nation 2013 University of Florida This page uses Google Analytics Google Privacy Policy 3 of 3 2 14 2014 2 37 PM
30. hild Family Other relative Friend s Paid caregiver Other please specify 10 What is your relationship with the driver you are rating choose one O Spouse or partner Child Family Other relative Friend s Paid caregiver Other please specify EN ed Te JE 11 Besides you how many other licensed drivers are in your household 12 Do you rely on the driver for any of the following trips or activities Choose all that apply O Shopping Grocery store Social activities see friends or family Church see doctor or get medical care Work related activities Do not rely Other please specify ERE el Ger ee fe ME 13 How many days a week do you ride with the driver you are rating choose one Less than 1 ed EL EE EE ERE NOOR WD 14 If the driver you are rating reduced or stopped driving would it significantly impact your current lifestyle O No O Yes 15 If Yes to question 14 please explain FTDS Version III Fitness to Drive Screening Measure Online A 2 Demographics of Driver Instructions Please answer all questions to the best of your ability In this section we are asking questions about the driver you are rating Answer by checking the box or filling in the blank Do not use the back button of the browser it will not return you to the previous set of questions 1 What is the driver s birth year 2 What is the driver s gender O Male 1 Female 3 What is the
31. ifficult Not Difficult OG Keep distance between his or her car and others allow time to react to hazards choose one Very Difficult Somewhat Difficult A Little Difficult Not Difficult O O O 30 31 32 33 34 35 Page 7 of 10 Look left and right before crossing an intersection choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive in a construction zone choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive in dense traffic such as rush hour choose one o Very Difficult somewhat Difficult A Little Difficult Not Difficult On Oe Pass overtake a car in the absence of a passing lane choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Pass overtake a larger vehicle such as a RV tractor trailer transport truck or dump truck in the absence of a passing lane choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive in an unfamiliar urban area choose one Very Difficult somewhat Difficult A Little Difficult Not Difficult O O O Page 8 of 10 36 Control his or her car when going down a steep hill choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 37 Exit an expressway or inter state from a left hand lane choose one o Very Difficult o Somewhat Difficult o A
32. injury secondary to a fall one month ago frequent urination 6 months bilateral eye cataracts 2 years and deep brain stimulation 1 year He is taking Stalevo and Synthroid for Parkinson s disease Amlodipine for blood pressure Aricept for secondary Parkinson s disease effects Lexapro for mood changes secondary to Parkinson s disease stool softer and multivitamin He has completed middle school and is living with his spouse who is also driving He wears spectacles He drives once a month to a car show and drives a golf cart 7 days per week Except for going to the car show he mainly watches TV walks their small dog and putters in the vegetable garden He reports avoiding rush hour traffic has had no crashes but scrapes and dents are visible on his car He has not taken any classroom based driving refresher courses From this information construct a list of strengths and challenges for Mr Patel Challenges He has completed a clinical battery of tests while in the on state on medications for allowing optimal performance yielding the following results e Acuity 20 40 both eyes 20 50 o Right eye 20 50 o Left eye 20 50 e Contrast sensitivity impaired e Peripheral fields intact e Depth perception 5 9 borderline cut off 5 9 e Color discrimination impaired 3 8 cut off 5 8 e Lateral vertical phorias intact Cognition e MMSE 23 30 recall 2 3 attention and calculation 1 5 copy design 0 1 writing a sent
33. ion There are driving skills that are causing concern For example 1 Drive in a thunderstorm with heavy rains and wind 2 Drive when there is glare or the sun is in his or her eyes 3 Drive at night on a dark road with faded or absent lane lines Specific Recommendations We recommend a doctor s appointment to start a conversation about conditions that may impact driving safety The driver will also benefit from a comprehensive driving evaluation to address safety concerns We do recommend repeating this self screening annually or when the driver experience changes in health or functional status General Recommendations The American Geriatrics Society recommends a physical and eye exam annually or earlier when needed We recommend taking 2 14 2014 2 36 PM Fitness to Drive Screening Measure Recommendations http ftds phhp ufl edu results php a class for mature drivers such as those offered by AAA AARP or a local driving school For further details on driving or community mobility click on the links below Resources AAA Resources for Mature Drivers e American Automobile Association AAA http seniordriving aaa com AARP Driver Safety e AARP http www aarp org drive Certified Driving Rehabilitation Specialists Occupational Therapists providing the Comprehensive Driving Evaluations e American Occupational Therapy Association http myaota aota org driver search e The Association for Driver Rehabilitation
34. isk for crashes Page 2 of 3 e UFOV sub test 1 16 7 ms sub test 2 40 ms sub test 3 213 3 ms cut point 500 ms Motor e Transfers and ambulation independent e Rapid pace walk 4 34 seconds cut point 7 seconds e ROM o WFL s UEs LEs o Mild impairment Trunk Neck e GMM Strength WFL s UEs LEs Trunk Neck e Coordination o Finger to nose R 7 47 sec L 7 22 sec cut off 10 seconds o Toe tap R 2 92 sec L 2 94 sec cut off 10 seconds Jesus wife has completed the FTDS yielding the following results e Measure Score 74 28 cut point range 55 69 72 53 e He is classified as an accomplished driver e Identify the difficulties based on his keyform results 3s e Identify the Recommendations from his keyform He has completed an on road test with the following results e Does not come to complete stops e Stops over stop lines at intersections CDRS Recommendation e Instruction on where to stop in reference to stop line e Continue driving What are your driving recommendations for Jesus Provide a rationale Can he continue to drive manne Page 3 of 3 If so with or without restrictions What are the restrictions If so any follow up sessions by the CDRS Frequency amp Intensity Time Type Use the results of the clinical tests the on road test and the FTDS to develop an intervention plan for Jesus e Short term goals e Intermediate goals e Long term goals Articu
35. ity Activity and Participation University of Florida Interdisciplinary Research Program on Safe Driving Lakehead University Overview Older driver characteristics Measurement theory Psychometrics Keyforms Three case studies 13 March 2014 Older Driver Older drivers are overall safe A high risk group Chronic Conditions Comorbidities Frailty Medications Age related decline cog vision motor responses Driving longer Effects of driving cessation Capacity problem to evaluate Access On road assessment Benefits Limitations Overcome these issues Fitness to Drive Screening Measure http fitnesstodrive phhp ufl edu
36. laimer Privacy Policy User Manual Contact Us Institute for Mobility Activity and Participation I MAP 2013 University of Florida This page uses Google Analytics Google Privacy Policy UNIVERSITY of UF FLORIDA The Foundation for The Gator Nation 2 14 2014 2 34 PM Page 1of 3 Case Study 3 Elizabeth Key Form SDBM 1040 Elizabeth is a 74 year old white female with a diagnosis of glaucoma right eye 10 years and comorbidities including high blood pressure 40 years arthritis in hips and lower back 10 years cataracts in right eye 5 years sciatica 45 years clinical depression 2 years sleep disorder 20 years She is taking eye drops for glaucoma hydrochlorothiazide and lisinpril for blood pressure multivitamin and glucosamine chondroitin She has a doctoral degree and is living alone She wears spectacles She drives 5 days a week drives mostly alone and she maintains her vehicle well She is active in her community participating in garden club doing her own shopping and volunteer work at the local hospital She avoids driving in rain rush hour traffic night time driving and interstate highway driving She has had no crashes or citations in the past three years She has taken a classroom based driving refresher course more than three years ago From this information construct a list of strengths and challenges for Elizabeth Challenges She has completed a clinical battery of tests yielding the follo
37. late your discharge plan Fitness to Drive Screening Measure Recommendations http ftds phhp ufl edu results php 1 of 2 Fitness to Drive Screening Measure Online Recommendations Keyform Results Select parameters then click Update to view recommendations Total Item Responses 51 Outfit mean squared 0 53 Outfit Z score 0 82 Infit mean squared 0 7 Infit Z score 0 87 Person Measure 74 28 out of 100 3 8 logits Accomplished Driver Overall rating Based on your rating this driver Is classified within the Accomplished Driver Group The driver is able to perform complex driving skills However difficulty may be experienced with some items e g 1 Drive in a thunderstorm with heavy rains and wind 2 Drive when there is glare or the sun is in his or her eyes 3 Drive at night on a dark road with faded or absent lane lines Specific Recommendations It may be helpful to avoid or limit driving situations that are challenging Based on your ratings we do not think that a comprehensive driving evaluation is critical at this time We do recommend repeating this self screening annually or when the driver experiences changes in health or functional status General Recommendations Additionally The American Geriatrics Society recommends a physical and eye exam annually or earlier when needed We recommend taking a class for mature drivers such as those offered by AAA AARP 2 14 2
38. lt o A Little Difficult o Not Difficult 2 Check for a clear path when backing out from a driveway or parking Space choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 3 Use the car controls such as the turn signals windshield wipers emergency brake or headlights choose one o Very Difficult Somewhat Difficult A Little Difficult Not Difficult O 00 4 Check car mirrors when changing lanes choose one Very Difficult somewhat Difficult A Little Difficult Not Difficult O O O O 5 Read road signs far enough in advance to react such as make a turn choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Page 3 of 10 6 Obey varied forms of traffic lights such as green arrow for turn lane or flashing lights choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 7 Drive and hold a conversation with one or more passengers choose one Very Difficult somewhat Difficult A Little Difficult Not Difficult O O O 8 Drive with a passenger who is providing driving directions or assistance choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 9 Drive in light rain choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 10 Drive on a highway with two or more lanes in each direction choose one o Very Difficult So
39. mewhat Difficult A Little Difficult Not Difficult OG 11 Keep up with the flow of traffic choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 12 17 Page 4 of 10 Keep distance from other vehicles when changing lanes choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Change lanes in moderate traffic choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Drive cautiously to avoid collisions in situations when others are driving erratically such as speeding road rage crossing lane lines or driving distracted choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Brake at a stop sign so car stops completely before the marked line choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Maintain lane when turning not cut corner or go wide choose one O Very Difficult Somewhat Difficult A Little Difficult Not Difficult O O Back out of parking spots choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult 18 20 21 22 23 Page 5 of 10 Enter the flow of traffic when turning right choose one o Very Difficult o Somewhat Difficult o A Little Difficult o Not Difficult Share the road with vulnerable road users such as bicyclists scooter
40. ndex discriminability Classen Velozo Winter Bedard amp Wang 13 13 March 2014 a D o FC o E Reference Line Sensitivity T T T T T T 0 2 0 3 04 0 0 6 0 7 0 8 09 1 Specificity Figure 8 Receiver Operating Characteristic Curves for Three Rater Groups Area under the Curve for Three Rater Groups Area Standard p value 95 Confidence Interval Error Driver 0 617 0 053 0 039 0 513 0 720 F C 0 726 0 050 gt 0 001 0 628 0 825 0 978 0 008 gt 0 001 0 962 0 995 gt E D FC e _E Reference Line Sensitivity T T T T T T 0 2 0 3 0 4 0 0 6 0 7 08 09 1 Specificity Figure 8 Receiver Operating Characteristic Curves for Three Rater Groups Table 7 Sensitivity Specificity PPV NPV and error based on F C Ratings 2 630 2 68 795 3 70 795 4 71 915 Sensitivity Specificity PPV NPV Error False Positive False Negative Total Misclassification 14 13 March 2014 Overview Research PHASE 4 Wed based version Pilot testing Implementation Translation Next Steps Jan 2012 October 2012 Florida Depart of Transportation Keyforms amp Recommendations
41. ons for Mr Patel Provide a rationale Can he continue to drive 0 ne If so with or without restrictions ee Page 3 of 3 What are the restrictions If so any follow up sessions by the CDRS Frequency amp Intensity Time Type Use the results of the clinical tests the on road test and the FTDS to develop an intervention plan for Mr Patel e Short term goals e Intermediate goals e Long term goals Articulate your discharge plan Questions Fitness to Drive Screening Measure Recommendations http ftds phhp ufl edu results php Fitness to Drive Screening Measure Online Recommendations Keyform Results Select parameters then click Update to view recommendations Total Item Responses 49 Outfit mean squared 0 8 Outfit Z score 1 05 Infit mean squared 0 75 Infit Z score 1 37 Person Measure 50 91 out of 100 0 36 logits At Risk Driver who has difficulty with one or more critical driving error s Overall rating Based on your rating the driver is classified within the At Risk Driver Group with one or more critical driving error s Although the driver can perform some basic driving skills the driver requires immediate attention to address the safety concerns and critical driving errors The driving skills causing serious concerns are 1 Make a left hand turn crossing multiple lanes and entering traffic with no lights or stop signs 2 Maintain lane
42. ouse Partner Family Other relative Friend s Paid caregiver No one Other please specify ef EN EN Ve de 3 Has a health condition limited the driver s ability to drive choose one O No O Yes 4 Has taking medications limited the driver s ability to drive over the counter or prescribed choose one O No O Yes 5 Did the driver get any of the following tested in the last year Check all that apply O Vision O Hearing 0 Physical exam checkup O Other tests list 6 In the past year did the driver complete or have done any of the following car maintenance choose all that apply O Oil change O Checking tires O Checking fluid levels O Checking headlights brake lights and parking lights 7 Does the driver avoid when possible any of these driving situations choose all that apply Rush hour heavy traffic Interstate highway driving Rain Night time driving Left hand turns against traffic None Other please specify 8 Has the driver been involved in a crash in the past 3 years If you mark No go to question 10 choose one rer Eee ee O No O Yes 9 How many crashes was the driver involved in during the past 3 years as a driver not passenger o 1 Oo 2 O 3 oO 4 O 5 or more 10 How many moving violations citations or traffic tickets has the driver had in the past 3 years If you mark O go to question 12 choose one OO o 1 02 El 3 O 4 El or more
43. river have difficulty getting into his or her car choose one O No O Yes Is it difficult for the driver to adjust the car mirrors appropriately choose one O No O Yes Does the driver have difficulty adjusting the driver s seat so he or she can see above the steering wheel choose one O No O Yes Is the driver able to reach the gas pedal accelerator and brake pedal choose one O No O Yes Does the driver remember to turn on the headlights before driving in the dark choose one O No O Yes Does the driver use their seatbelt choose one O Always O Often O Sometimes O Rarely O Never Can the driver press the gas pedal or the brake pedal when intended choose one O No O Yes Is it difficult for the driver to drive during daylight hours choose one O No O Yes 24 Does the driver place the car in the correct gear Such as drive or reverse 25 choose one O No O Yes Does the driver have any difficulty turning the steering wheel choose one O No O Yes 26 Does the driver stop for pedestrians crossing the street choose one O No O Yes 27 Is it difficult for the driver to drive in good weather choose one O No O Yes 28 As the driver on a long trip how frequently would the driver take breaks choose one O Every 1 to 2 hours O Every 3 to 4 hours O Every 5 to 6 hours o Rarely or Never 29 Does the driver have trouble staying awake while driving choose one O No O
44. t intersections Make wide turns and turn into the furthest lane Not maintaining lateral lane position as she drifts to the left but can self correct Not using turn signal consistently CDRS Recommendation No highway driving Avoid rush hour traffic Instruction on where to stop in reference to stop line Instructions on use of the turn signals What are your driving recommendations for Elizabeth Provide a rationale manne contine to arne mene If so with or without restrictions Page 3 of 3 What are the restrictions If so any follow up sessions by the CDRS Frequency amp Intensity Time Type Use the results of the clinical tests the on road test and the FTDS to develop an intervention plan for Elizabeth e Short term goals e Intermediate goals e Long term goals Articulate your discharge plan Fitness to Drive Screening Measure Recommendations http ftds phhp ufl edu results php 1 of 2 Fitness to Drive Screening Measure Online Also see Keyform Results Recommendations Select parameters then click Update to view recommendations Total Item Responses 49 Outfit mean squared 0 48 Outfit Z score 1 84 Infit mean squared 0 65 Infit Z score 1 47 Person Measure 66 95 out of 100 2 72 logits Routine Driver Overall rating Based on your rating this driver is classified within the Routine Driver Group and shows early signs of needing intervent
45. th heavy rains and wind 2 Drive when there is glare or the sun is in his or her eyes 3 Drive at night on a dark road with faded or absent lane lines Specific Recommendations It may be helpful to avoid or limit driving situations that are challenging Based on your ratings we do not think that a comprehensive driving evaluation is critical at this time We do recommend repeating this self screening annually or when the driver experiences changes in health or functional status General Recommendations Additionally The American Geriatrics Society recommends a physical and eye exam annually or earlier when needed We recommend taking a class for mature drivers such as those offered by AAA AARP 9lejojojojojololo or a local driving school Click on the links below Resources Certified Driving Rehabilitation Specialists Occupational Therapists providing the Comprehensive Driving Evaluations e American Occupational Therapy Association http www aota org Older Driver Specialists aspx AAA Resources for Mature Drivers e American Automobile Association AAA http www seniordrivers org home AARP Mature Driver Courses e AARP e e o o o ojo ojojolololololol http www aarpdriversafety org Rating scale Very Difficult Somewhat Difficult Easiest items A Little Difficult Not Difficult Rating Scale Item D
46. us SDBM 1098 Jesus is a 68 year old Hispanic Latino male with a diagnosis of recent angina and comorbidities including arthritis in hands 15 years hemorrhage in left eye 10 years GERD 45 years and skin cancer 12 years He is taking Prilosec for GERD Lasix Lipitor and aspirin for angina and Advil for arthritis He has some college after high school and is living with his spouse who is also driving He wears spectacles He drives 6 days a week drives mostly with his spouse and he maintains his vehicle well He is enjoying dining out going to the matinee movies and visiting with friends often attending sporting events on Saturdays He reports no driving self restrictions has had no crashes in the last three years and one citation for improper passing in the past year He has taken a classroom based driving refresher course in the last year From this information construct a list of strengths and challenges for Jesus Challenges He has completed a clinical battery of tests yielding the following results e Acuity 20 40 both eyes 20 50 o Reye 20 20 o Left eye 20 40 e Contrast sensitivity intact e Peripheral fields intact e Depth perception 3 9 impaired cut off 5 9 e Color discrimination intact e Lateral vertical phorias intact Cognition e MMSE 25 30 orientation to place recall 1 3 attention and calculation 3 5 cut point 26 30 e Trails B 85 seconds cut point 180 seconds e UFOV Category 1 low r
47. when turning not cut corner or go wide 3 Change lanes in moderate traffic Specific Recommendations We recommend the driver to see a doctor as soon as possible and not drive until he she undergoes a comprehensive driving evaluation conducted by a Certified Driving Rehabilitation Specialist Information on the use and access to alternative transportation other than the personal 1 of 2 2 14 2014 2 33 PM Fitness to Drive Screening Measure Recommendations http ftds phhp ufl edu results php automobile may be available from the local Area Agency on Aging or contact the Eldercare Locator at 800 677 1116 General Recommendations Based on guidelines of The American Geriatrics Society we recommend an eye exam annually or earlier if there are changes in health or vision For further details on driving or community mobility click on the links below Resources AAA Resources for Mature Drivers e American Automobile Association AAA http seniordriving aaa com AARP Driver Safety e AARP http www aarp org drive Certified Driving Rehabilitation Specialists Occupational Therapists providing the Comprehensive Driving Evaluations e American Occupational Therapy Association http myaota aota org driver search e The Association for Driver Rehabilitation Specialists ADED http www driver ed org custom directory pageid 209 amp showTitle 1 Information and free resources to help you become more familiar with tr
48. wing results e Acuity 20 30 both eyes 20 50 o Right eye 20 30 o Left eye 20 20 e Contrast sensitivity intact e Peripheral fields intact e Depth perception 4 9 impaired cut off 5 9 e Color discrimination intact e Lateral vertical phorias intact Cognition e MMSE 26 30 Recalled one of the three items copy design 0 cut point 26 30 e Trails B 150 seconds cut point 180 seconds e Useful Field of View UFOV Category 3 moderate risk for crashes e UFOV sub test 1 80 1 sub test 2 156 6 ms sub test 3 326 8 ms cut point 500 milliseconds Motor Page 2 of 3 Transfers and ambulation independent Rapid pace walk 7 02 seconds cut point 7 seconds Range of Motion Within Functional Limits Upper extremities and Lower extremities Trunk and Neck Gross Manual Muscle Test Strength Within Functional Limits for Upper extremities and Lower extremities Trunk and Neck Coordination o Finger to nose Right 6 9 seconds Left 7 25 seconds cut off 10 seconds o Toe tap R 3 25 seconds L 3 99 seconds cut off 10 seconds Her friend has completed the Fitness to Drive Screening Measure FTDS yielding the following results Measure Score 66 95 cut point range 55 69 72 53 She is classified as a routine driver Identify the difficulties based on her keyform results 2s and 3s Identify the Recommendations from her keyform She has completed an on road test with the following results Stops over stop lines a
49. yform Results Select parameters then click Update to build Keyform output Items caregiver_20120522_n200 Sessions 212 SDBM 1098 00 02 43 2012 05 29 09 05 51 Clustering hard to easy rounded average 5 Show Responses Ai Update Total Items 51 Outfit mean squared 0 53 Outfit Z score 0 82 Infit mean squared 0 7 Infit Z score 0 87 Person Measure 74 28 out of 100 3 8 logits Rating Scale Item Description O 10 20 30 40 50 60 70 80 90 100 I of 3 2 14 2014 2 30 PM Fitness to Drive Screening Measure Keyform Results http ftds phhp ufl edu keyform php NO DQ NO OO NO DQ NO OO NO OO 4 NO HS NO OO NO OO N N Ww W NO OO 2 of 3 2 14 2014 2 30 PM Fitness to Drive Screening Measure Keyform Results 3 of 3 http ftds phhp ufl edu keyform php Home Disclaimer Privacy Policy User Manual Contact Us Institute for Mobility Activity and Participation l MAP O 2013 University of Florida This page uses Google Analytics Google Privacy Policy UNIVERSITY of FLORIDA The Foundation for The Gator Nation UF 2 14 2014 2 30 PM Page 1of3 Case Study 2 Mr Patel Key form 1062PD Mr Patel is a 65 year old male from Indian descent with a diagnosis of Parkinson s disease 13 years and comorbidities including high blood pressure 10 years arthritis all joints 5 years undiagnosed right hip
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