Date Presented 04/03/2025
The Generalist’s Resource to Integrate Driving (GRID) is a resource to integrate driving risk assessment into practice. This poster will summarize a study of usability and feasibility.
Primary Author and Speaker: Anne E. Dickerson
Additional Authors and Speakers: Susie Martin Touchinsky, Theresa Cassidy
PURPOSE: The Generalist’s Resource to Integrate Driving, GRID, is a resource for general practice occupational therapy practitioners (OTP) to use to integrate driving risk assessment into their practice. It provides specific guidelines to identity risk as well as implement intervention plans to develop/restore the client’s valued IADL of driving & community mobility, including referral for a driving evaluation.
DESIGN: Descriptive survey evaluating the usability and feasibility of the GRID.
METHOD: The survey was kept short to support more participants, 88 OTPs completed the survey.
PROCEDURE: OTPs were invited to an online survey using Qualtrics. The GRID was presented at several conferences and posted on a website where the GRID is free to download, but the OTP had to register. All who registered were sent an invitation to participate.
RESULTS: Ranking the reasons for use/potential use, 43 (71%) indicated screening for driving risk was either 1st or 2nd in importance. Using it as a referral to a DRS, 38 (65%) was ranked 1st or 2nd. In a 5pt. Likert scale, the GRID was extremely positive for ‘easy to understand’ (N = 51,73%), evidence-based (N = 49,71%). The poster will display further quantitative data and summary answers to open ended questions, including the issues/ concerns with using the GRID.
CONCLUSION: The GRID was designed as a reference for determining risk and referral, not for the generalist to make a licensing decision unless there is clear evidence of impairment. It appears to be useful for which it was designed and is valued by OTPs.
IMPACT STATEMENT: Based on the OT-DRIVE model, the ‘yellow’ range of scores is very wide (using confidence intervals), allowing OTPs to make evidence-based decisions, including referral to a comprehensive driving evaluation. This ensures a client has the optimal opportunity to be evaluated by the expert OT-DRS using more specialized assessments; offering the best clinical decision with low risk of over/under restric
References
Schold Davis, E. & Dickerson, A. E. (November 6, 2012). Meeting the driving and community mobility needs of OT Clients. OT Practice, 17, 9–19.
Dickerson, A. E., Meuel, D.B.*, Ridenour, C.*, & Cooper, K.* (2014). Assessment tools predicting fitness to drive in older adults: A Systematic Review. American Journal of Occupational Therapy, 68, 670–680.
Bédard, M. & Dickerson, A. E. (2014). Consensus statements for screening and assessment tools. Occupational Therapy in Health Care, 28, 127–131.
Classen, S., Dickerson, A. E. & Justiss, M. (2012). Chapter 9: Occupational Therapy Driving Evaluation: Using Evidence-Based Screening and Assessment Tools. In Maguire & Schold Davis (Eds.) Driving and Community Mobility: Occupational Therapy Strategies Across the Lifespan. Bethesda: AOTA Publishing, (pp. 221–279)
