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Occupational therapists need objective tools to evaluate and provide interventions that promote the recovery and rehabilitation of clients. Driving, a common goal for clients after an injury or illness, is a complex task that relies on visual, cognitive, and motor skills. The Functional Object Detection and Functional Object Detection (FOD)—Advanced driving simulator scenarios were developed to provide objective and repeatable driving experiences allowing clinicians to assess their clients’ forward (focal) and peripheral vision, lane keeping, and speed maintenance, as well as provide interventions. Using FOD—Advanced, clinicians can adjust variables to create various task scenarios or combinations to meet the client’s needs and facilitate recovery by providing an appropriate challenge. This study examined four driving simulator scenario combinations and age-related differences for one combination. Study 1 explored older adults’ performance using four possible combinations of FOD—Advanced. Five out of eleven variables (average target reaction time, percentage of targets detected, average brake reaction time, number of target extra presses, and average speed) were effective in distinguishing among the four combinations of FOD with a cross-validated classification rate of 72%. In Study 2, one combination was selected from Study 1 and a group of teens completed the same tasks to evaluate age-related differences. Four out of thirteen simulator variables (standard deviation of brake reaction time, number of target extra presses, average target reaction time, and standard deviation of target reaction time) maximally distinguished the older adults from the younger participants with a cross-validated classification accuracy of 78%. Implications and recommendations for clinical practice and future research are provided.

In the US, teenage drivers have an increased risk of being involved in crashes. To address this, post-license advanced driving programs have emerged. This study gains parents’ perspectives while observing their teens’ involvement in a post-license driving program focused on a hands-on introduction to emergency braking, skid recovery and the dangers of distracted driving. Parents completed a survey after the program, and for comparison purposes, the teens also completed a survey at the end of the program. While the parents only observed the program, the results revealed that most learned useful information and would consider additional training for themselves. Almost all teens and parents reported anticipating changing their driving behaviors, specifically by reducing distractions, having a heightened awareness and changing their driving position. These results suggest that parents benefited from simply observing the class.

In the US, teenage drivers have an increased risk of being involved in crashes. To address this, post-license advanced driving programs have emerged. This study gains teenagers’ perspective of a post-license defensive driving program focused on a hands-on introduction to emergency braking, skid recovery and the dangers of distracted driving. The teenagers completed a survey immediately following the program and a phone interview three months later. The open-ended survey and phone interview items reflect the program’s key concepts. During the follow-up phone interview, the majority of teenagers reported using the skills experienced and half of the participants who participated in the phone interview reported using skills that they learned to avoid a crash. Almost all teenagers reported anticipating or changing their driving behaviors, specifically by reducing distractions, having a heightened awareness and changing their driving position. The survey and follow-up phone interview results suggest that the teenagers benefited from the skills introduced and, from the teenagers’ perspective, has helped them avoid crashes.