The validity of a road test after stroke

Abiodun Emmanuel Akinwuntan, Willy De Weerdt, Hilde Feys, Guido Baten, Patricia Arno, Carlotte Kiekens

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Objectives: To determine the validity of a road test performed by stroke patients in Belgium and to reestablish its reliability. Design: Prospective study of a predriving evaluation. Setting: University hospital in Belgium. Participants: Thirty-eight patients with sequelae of first-ever stroke. Interventions: Not applicable. Main Outcome Measures: Performance in the Stroke Driver Screening Assessment (SDSA) and on a road test. Results: Interrater reliability of the road test subitems was moderate to substantial (weighted κ range,. 44-.78). Item-per-item reliability varied from moderately high (intraclass correlation coefficient [ICC]=.63) to very high (ICC=.87). The reliability of the overall performance in the road test was very high (ICC=.83). For the criterion validity of the road test, 78.9% of the subjects were correctly classified when the judgments of the principal evaluator were compared with outcomes of the SDSA. Agreement in classification between the principal evaluator and a state-registered evaluator's judgments was 81.6%. The sensitivity and specificity of the agreement were very high (80.6%) and perfect (100%), respectively. Conclusions: The road test is a reliable and valid test of driving ability after stroke.

Original languageEnglish (US)
Pages (from-to)421-426
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume86
Issue number3
DOIs
StatePublished - Jan 1 2005

Fingerprint

Stroke
Belgium
Aptitude
Reproducibility of Results
Outcome Assessment (Health Care)
Prospective Studies
Sensitivity and Specificity

Keywords

  • Automobile driving
  • Rehabilitation
  • Reliability and validity
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Akinwuntan, A. E., De Weerdt, W., Feys, H., Baten, G., Arno, P., & Kiekens, C. (2005). The validity of a road test after stroke. Archives of Physical Medicine and Rehabilitation, 86(3), 421-426. https://doi.org/10.1016/j.apmr.2004.04.047

The validity of a road test after stroke. / Akinwuntan, Abiodun Emmanuel; De Weerdt, Willy; Feys, Hilde; Baten, Guido; Arno, Patricia; Kiekens, Carlotte.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 3, 01.01.2005, p. 421-426.

Research output: Contribution to journalArticle

Akinwuntan, AE, De Weerdt, W, Feys, H, Baten, G, Arno, P & Kiekens, C 2005, 'The validity of a road test after stroke', Archives of Physical Medicine and Rehabilitation, vol. 86, no. 3, pp. 421-426. https://doi.org/10.1016/j.apmr.2004.04.047
Akinwuntan AE, De Weerdt W, Feys H, Baten G, Arno P, Kiekens C. The validity of a road test after stroke. Archives of Physical Medicine and Rehabilitation. 2005 Jan 1;86(3):421-426. https://doi.org/10.1016/j.apmr.2004.04.047
Akinwuntan, Abiodun Emmanuel ; De Weerdt, Willy ; Feys, Hilde ; Baten, Guido ; Arno, Patricia ; Kiekens, Carlotte. / The validity of a road test after stroke. In: Archives of Physical Medicine and Rehabilitation. 2005 ; Vol. 86, No. 3. pp. 421-426.
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