Evaluating Driving as a Valued Instrumental Activity of Daily Living

Anne E. Dickerson, Timothy Reistetter, Elin Schold Davis, Miriam Monahan

Research output: Contribution to journalArticlepeer-review

56 Scopus citations


The purpose of this translational research article is to illustrate how general practice occupational therapists have the skills and knowledge to address driving as a valued occupation using an algorithm based on the Occupational Therapy Practice Framework: Domain and Process (2nd ed.; American Occupational Therapy Association, 2008b). Evidence to support the model is offered by a research study. Participants were compared on their performance of complex instrumental activities of daily living (IADLs) and a behind-thewheel driving assessment. A significant relationship was found between the process skills from the performance assessment and whether the driver passed, failed, or needed restrictions as indicated by the behind-the-wheel assessment. The evidence suggests that occupational therapists using observational performance evaluation of IADLs can assist in determining who might be an at-risk driver. The algorithm addresses how driver rehabilitation specialists can be used most effectively and efficiently with general practice occupational therapy practitioners meeting the needs of senior drivers.

Original languageEnglish (US)
Pages (from-to)64-75
Number of pages12
JournalAmerican Journal of Occupational Therapy
Issue number1
StatePublished - Jan 2011


  • Activities of daily living
  • Automobile driver examination
  • Clinical competence
  • Mental processes
  • Occupational therapy
  • Risk assessment

ASJC Scopus subject areas

  • Occupational Therapy


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