Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change
Background Few evidence-based resources exist to support generalist occupational therapists address driving in practice. This pilot study aimed to evaluate whether a driving clinical decision pathway can assist generalist occupational therapists to address driving with clients.Methods Using a before...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Scandinavian Journal of Occupational Therapy |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/11038128.2024.2423712 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587129248546816 |
|---|---|
| author | Hayley M. Scott Anne M. Baker Carolyn A. Unsworth |
| author_facet | Hayley M. Scott Anne M. Baker Carolyn A. Unsworth |
| author_sort | Hayley M. Scott |
| collection | DOAJ |
| description | Background Few evidence-based resources exist to support generalist occupational therapists address driving in practice. This pilot study aimed to evaluate whether a driving clinical decision pathway can assist generalist occupational therapists to address driving with clients.Methods Using a before (Timepoint-1) and after (Timepoint-2) design, data were collected at a multi-site outpatient community rehabilitation service. Medical record audits documenting how driving was addressed in practice and descriptive surveys of therapist’s perceptions of pathway use were collected at Timepoints 1 and 2. A driving clinical decision pathway was implemented over 6 months. Descriptive statistics and content analysis were used to analyse and compare data over time.Results Timepoint-1 data from 102 client medical records, and 13 clinician surveys were compared against Timepoint-2 data from 144 records and 8 surveys. Following implementation of the pathway, the number of assessments used by generalist occupational therapists increased three-fold, to inform driving process recommendations which increased two-fold. Clinicians’ self-reported knowledge, skills and confidence also increased two-fold.Conclusion A comprehensive driving clinical decision pathway provided clinicians with increased structure and support to guide practice change and promote role fulfilment in addressing return to driving with adults following a change in health status. |
| format | Article |
| id | doaj-art-342aa2ca7e5c45ef9afebcdd8eeb8793 |
| institution | Kabale University |
| issn | 1103-8128 1651-2014 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Scandinavian Journal of Occupational Therapy |
| spelling | doaj-art-342aa2ca7e5c45ef9afebcdd8eeb87932025-01-24T17:53:19ZengTaylor & Francis GroupScandinavian Journal of Occupational Therapy1103-81281651-20142024-12-0131110.1080/11038128.2024.2423712Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice changeHayley M. Scott0Anne M. Baker1Carolyn A. Unsworth2Occupational Therapy, Institute of Health & Wellbeing, Federation University, Churchill Campus, AustraliaOccupational Therapy, Institute of Health & Wellbeing, Federation University, Churchill Campus, AustraliaOccupational Therapy, Institute of Health & Wellbeing, Federation University, Churchill Campus, AustraliaBackground Few evidence-based resources exist to support generalist occupational therapists address driving in practice. This pilot study aimed to evaluate whether a driving clinical decision pathway can assist generalist occupational therapists to address driving with clients.Methods Using a before (Timepoint-1) and after (Timepoint-2) design, data were collected at a multi-site outpatient community rehabilitation service. Medical record audits documenting how driving was addressed in practice and descriptive surveys of therapist’s perceptions of pathway use were collected at Timepoints 1 and 2. A driving clinical decision pathway was implemented over 6 months. Descriptive statistics and content analysis were used to analyse and compare data over time.Results Timepoint-1 data from 102 client medical records, and 13 clinician surveys were compared against Timepoint-2 data from 144 records and 8 surveys. Following implementation of the pathway, the number of assessments used by generalist occupational therapists increased three-fold, to inform driving process recommendations which increased two-fold. Clinicians’ self-reported knowledge, skills and confidence also increased two-fold.Conclusion A comprehensive driving clinical decision pathway provided clinicians with increased structure and support to guide practice change and promote role fulfilment in addressing return to driving with adults following a change in health status.https://www.tandfonline.com/doi/10.1080/11038128.2024.2423712Occupational therapyautomobile drivingrehabilitationclinical pathwayadults |
| spellingShingle | Hayley M. Scott Anne M. Baker Carolyn A. Unsworth Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change Scandinavian Journal of Occupational Therapy Occupational therapy automobile driving rehabilitation clinical pathway adults |
| title | Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change |
| title_full | Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change |
| title_fullStr | Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change |
| title_full_unstemmed | Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change |
| title_short | Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change |
| title_sort | evaluation of a driving clinical decision pathway for generalist occupational therapists pilot test of practice change |
| topic | Occupational therapy automobile driving rehabilitation clinical pathway adults |
| url | https://www.tandfonline.com/doi/10.1080/11038128.2024.2423712 |
| work_keys_str_mv | AT hayleymscott evaluationofadrivingclinicaldecisionpathwayforgeneralistoccupationaltherapistspilottestofpracticechange AT annembaker evaluationofadrivingclinicaldecisionpathwayforgeneralistoccupationaltherapistspilottestofpracticechange AT carolynaunsworth evaluationofadrivingclinicaldecisionpathwayforgeneralistoccupationaltherapistspilottestofpracticechange |