{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:28:17Z","timestamp":1786728497635,"version":"build-2736575974"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,12,1]],"date-time":"2013-12-01T00:00:00Z","timestamp":1385856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Occup Ther"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background.<\/jats:title>\n                    <jats:p>Assessing medical fitness to drive (FTD) can include both off- and on-road testing, although consistency of practice is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To examine actual practices being used to assess FTD at driver assessment centres (DACs) across Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method.<\/jats:title>\n                    <jats:p>Surveys e-mailed to 90 DACs were returned by 47 assessors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings.<\/jats:title>\n                    <jats:p>The majority of respondents (89%) were occupational therapists. Assessors reported doing an average of eight FTD assessments per month (range = 1 to 40) at an average cost of $366 ( SD = $225; range = $40 to $985). Referrals came from physicians (96%), other health professionals (70%), and licensing authorities (66%). Clients with stroke, dementia, traumatic brain injury, mild cognitive impairment, and multiple sclerosis composed 62% of estimated caseloads. Assessments took 3 hr on average (range = 1.24 to 4.5 hr); 64% reported they always took clients on road regardless of clinic results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications.<\/jats:title>\n                    <jats:p>Evidence-based guidelines for training and assessment are clearly needed given the inconsistency in practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0008417413511788","type":"journal-article","created":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T13:44:52Z","timestamp":1386942292000},"page":"295-303","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Evaluating medically at-risk drivers: A survey of assessment practices in Canada"],"prefix":"10.1177","volume":"80","author":[{"given":"Brenda H.","family":"Vrkljan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita M.","family":"Myers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander M.","family":"Crizzle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin A.","family":"Blanchard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn C.","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,12,13]]},"reference":[{"key":"bibr1-0008417413511788","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaging.2005.09.003"},{"key":"bibr2-0008417413511788","doi-asserted-by":"publisher","DOI":"10.1177\/2150131910397704"},{"key":"bibr3-0008417413511788","unstructured":"Canadian Association of Occupational Therapists. (2009). CAOT position statement: Occupational therapy and driver rehabilitation (2009). Retrieved from http:\/\/www.caot.ca\/default.asp?pageid=1353"},{"key":"bibr4-0008417413511788","unstructured":"Canadian Medical Association. (2012). Determining medical fitness to operate motor vehicles (8th ed.). Retrieved from http:\/\/www.cma.ca\/multimedia\/CMA\/pdf\/CMA-Drivers-Guide-8th-edition-e.pdf"},{"key":"bibr5-0008417413511788","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.v14i2.12"},{"key":"bibr6-0008417413511788","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2007.09.012"},{"key":"bibr7-0008417413511788","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.60.4.428"},{"key":"bibr8-0008417413511788","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.64.2.316"},{"key":"bibr9-0008417413511788","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.52.10.916"},{"key":"bibr10-0008417413511788","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2013.07.007"},{"key":"bibr11-0008417413511788","volume-title":"Senior driver assessment centers in Ontario: A review of the implementation of policies and procedures","author":"Marshall S.","year":"2007"},{"key":"bibr12-0008417413511788","volume-title":"Evaluating policies and procedures in Canada for determining fitness-to-drive and licensure recommendations","author":"Myers A. M.","year":"2011"},{"key":"bibr14-0008417413511788","unstructured":"Ontario Ministry of Transportation. (2013). Medical review section. Retrieved from http:\/\/www.mto.gov.on.ca\/english\/dandv\/driver\/medical-review\/faq.shtml#evaluations"},{"key":"bibr15-0008417413511788","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.119.6.881"},{"key":"bibr16-0008417413511788","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.070342"},{"key":"bibr17-0008417413511788","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.61.5.493"},{"key":"bibr18-0008417413511788","doi-asserted-by":"publisher","DOI":"10.2182\/cjot.2011.78.2.3"},{"key":"bibr19-0008417413511788","doi-asserted-by":"publisher","DOI":"10.2147\/ciia.2006.1.3.205"}],"container-title":["Canadian Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0008417413511788","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0008417413511788","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0008417413511788","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:24:57Z","timestamp":1777389897000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0008417413511788"}},"subtitle":["\u00c9valuation des conducteurs m\u00e9dicalement vuln\u00e9rables : un sondage des pratiques en mati\u00e8re d\u2019\u00e9valuation au Canada"],"short-title":[],"issued":{"date-parts":[[2013,12]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.1177\/0008417413511788"],"URL":"https:\/\/doi.org\/10.1177\/0008417413511788","relation":{},"ISSN":["0008-4174","1911-9828"],"issn-type":[{"value":"0008-4174","type":"print"},{"value":"1911-9828","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12]]}}}