Background. Researchers have yet to examine the clinical reasoning of occupational therapists undertaking driver assessments. Purpose. Conduct pilot research exploring the kinds of clinical reasoning used during an on-road driver assessment and to determine if the quality of the data supports further inquiry into the use of head-mounted video camera footage to prompt recall of clinical reasoning. Methods. Using a single-case, qualitative design, head-mounted video camera was used to record the on-road assessment and the therapist subsequently provided her reasoning using video-prompted recall. Findings. The video footage from the head-mounted camera provided an excellent prompt, and the therapist was able to give a thorough account of her clinical reasoning during the on-road assessment. Implications. This novel method of capturing on-road driver assessments and prompting recall of reasoning has the potential to aid expert and novice driver assessors understand and advance the clinical reasoning that guides fitness-to-drive recommendations.
BouillonL.MazerB.GelinasI. (2006). Validity of the Cognitive Behavioral Driver's Inventory in predicting driving outcome. American Journal of Occupational Therapy, 60, 420–427. doi: 10.5014/ajot.60.4.420
2.
CreswellJ. W. (2007). Qualitative inquiry and research design (2nd ed.). Thousand Oaks, CA: Sage
3.
HallinM.SvidenG. (1995). On expert occupational therapists' reflection-on practice. Scandinavian Journal of Occupational Therapy, 2, 69–75. doi: 10.3109/11038129509106671
4.
KayL.BundyA.ClemsonL. (2008). Predicting fitness to drive using the visual recognition slide test (USyd). American Journal of Occupational Therapy, 62, 187–97. doi: 10.5014/ajot.62.2.187
5.
KlavoraP.YoungM.HeslegraveR. J. (2000). A review of a major driver rehabilitation centre: A ten-year client profile. Canadian Journal of Occupational Therapy, 67, 128–134
6.
Korner-BitenskyN.BitenskyJ.SoferS.Man-Son-HingM.GelinasI. (2006). Driving evaluation practices of clinicians working in the United States and Canada. American Journal of Occupational Therapy, 60, 428–434. doi: 10.5014/ajot.60.4.428
7.
LundbergC.CanemanG.SamuelssonS. M.Hamakies-BlomqvistL.AlmkvistO. (2003). The assessment of fitness to drive after a stroke: The Nordic Stroke Driver Screening Assessment. Scandinavian Journal of Psychology, 44, 23–30. doi: 10.1111/1467-9450.00317
8.
MattinglyC.FlemingM. H. (1994). Clinical reasoning: Forms of inquiry in a therapeutic practice. Philadelphia: F. A. Davis
9.
MilesM. B.HubermanA. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage
10.
MitchellR.UnsworthC. A. (2005). Clinical reasoning during community health home visits: Expert and novice differences. British Journal of Occupational Therapy, 68, 215–223
11.
MueckeM. A. (1994). On the evaluation of ethnographies. In MorseJ. M. (Ed.), Critical issues in qualitative research methods (pp. 187–209). Thousand Oaks, CA: Sage
12.
OmodeiM. M.McLennanJ. (1994). Studying complex decision making in natural settings: Using a head-mounted video camera to study competitive orienteering. Perceptual and Motor Skills, 79, 1411–1425
13.
PelleritoJ. M. (2006). Driver rehabilitation and community principles and practice. St. Louis, MO: Elsevier Mosby
14.
RalstonL. S.BellS. L.MoteJ. K.RaineyT. B.BraymanS.ShotwellM. (2001). Giving up the car keys: Perceptions of well elders and families. Physical and Occupational Therapy in Geriatrics, 19(4), 59–70. doi: 10.1080/J148v19n04_05
15.
RewL. (1986). Intuition: concept analysis of a group phenomenon. Advances in Nursing Science, 8, 21–28
16.
SchellB. B.UnsworthC. A.SchellJ. W. (2008). Theory and practice: New directions for research in professional reasoning. In SchellB. B.SchellJ. W. (Eds.), Clinical and professional reasoning in occupational therapy (pp. 401–431). Philadelphia: Lippincott, Williams & Wilkins
17.
UnsworthC. A. (2001). Using a head-mounted video camera to study clinical reasoning. American Journal of Occupational Therapy, 55, 582–588
18.
UnsworthC. A. (2004). Clinical reasoning: How do worldview, pragmatic reasoning and client-centredness fit?British Journal of Occupational Therapy, 67, 10–19
19.
UnsworthC. A. (2005). Using a head-mounted video camera to explore current conceptualizations of clinical reasoning in occupational therapy. American Journal of Occupational Therapy, 59, 31–40. doi: 10.5014/ajot.59.1.31
20.
UnsworthC. A. (2007a). Development and current status of occupational therapy driver assessment and rehabilitation in Victoria, Australia. Australian Occupational Therapy Journal, 54, 153–156. doi: 10.1111/j.1440-1630.2006.00617.x
21.
UnsworthC. A. (2007b). Using social judgment theory to study occupational therapists' use of information when making licensing recommendations to older and functionally impaired drivers. American Journal of Occupational Therapy, 61, 493–502. doi: 10.5014/ajot.61.5.493
22.
UnsworthC. A. (2008). Review of methodologies for researching clinical reasoning. In SchellB. B.SchellJ. W. (Eds.), Clinical and professional reasoning in occupational therapy (pp. 371–400). Philadelphia: Lippincott, Williams & Wilkins
23.
UnsworthC. A. (2009). Assessing older drivers with health-related problems: An occupational therapy approach. In OdellM. (Ed). Older road users — Myths and realities. A guide for medical and legal professionals (pp. 239–271). Tucson, AZ: Lawyers & Judges Publishing Company Inc
24.
UnsworthC. A. (in press). The evolving theory of clinical reasoning. In DuncanE. A. S. (Ed.), Foundations for practice in Occupational Therapy (5th ed.). London, UK: Elsevier
25.
UnsworthC. A.LovellR.TerringtonN.ThomasS. (2005). Review of tests contributing to the occupational therapy off-road driver assessment. Australian Occupational Therapy Journal, 52, 57–74
26.
WoltersA. M. (1989). On the idea of worldview and its relationship to philosophy. In MarshallP. A.GriffioenS.MouwR. (Eds.), Stained glass: Worldviews and social science (pp. 14–26). New York: University Press of America
