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 language | English (US) |
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Pages (from-to) | 421-426 |
Number of pages | 6 |
Journal | Archives of Physical Medicine and Rehabilitation |
Volume | 86 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2005 |
Keywords
- Automobile driving
- Rehabilitation
- Reliability and validity
- Stroke
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation