{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:57:23Z","timestamp":1791485843221,"version":"4.3.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100020288","name":"Eagles Autism Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020288","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>There are no standardized pathways to guide autistic adolescents through the learning-to-drive process, beginning with deciding whether they are ready to pursue driving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine whether commonly used clinical assessments correlate with driver readiness determinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional, nonexperimental study using a single in-person visit comprised of a clinical assessment and on-road passenger activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A primary care clinic in an urban city.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Twenty-one autistic adolescents aged 15\u201319 years without a learner's permit were recruited via email outreach. Inclusion criteria required English fluency and ability to complete an in-person 4-h visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures<\/jats:title>\n                    <jats:p>Participants completed a clinical battery and on-road passenger activities. Readiness determinations were dichotomized into \u201cNot Ready\u201d or \u201cReady\u201d for a formal driver evaluation. We conducted descriptive statistics, correlations, and positive predictive and negative predictive value tests to assess differences by clinical measures scores and readiness determinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven participants were categorized as \u201cNot Ready\u201d and 14 as \u201cReady.\u201d Strongest correlations with readiness were observed for Bruininks\u2013Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) Short Form scores and Beery Visual\u2013Motor Integration (VMI) scores. Potential cut points between groups included &lt;22 on the Beery VMI raw score, &gt;65 on the BOT-2 Total Point Score, &gt;36 on the BOT-2 Standard Score, and \u22655 on the BOT-2 Transferring Pennies score. NIH Toolbox working memory and cognitive flexibility tasks showed moderate associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>Commonly used clinical assessments show preliminary associations with driver readiness outcomes. Findings support future development of a standardized screening battery to guide referral decisions and predriving skill development.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261473507","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:06:18Z","timestamp":1786557978000},"page":"981-991","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Toward Scalable Driver Readiness Screenings for Autistic Teens: Clinical Measures Correlated With Real-World Evaluations"],"prefix":"10.1177","volume":"80","author":[{"given":"Chelsea","family":"Ward McIntosh","sequence":"first","affiliation":[{"name":"Children's Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Monahan","sequence":"additional","affiliation":[{"name":"Driver Rehabilitation Institute, Petaluma, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bennett","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison E.","family":"Curry","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia"},{"name":"University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma B.","family":"Sartin","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia"},{"name":"Health Policy and Organization, School of Public Health, The University of Alabama at Birmingham, Birmingham, AL, USA"},{"name":"Division of Pediatric Emergency Medicine, Department of Pediatrics, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_3_2_1","first-page":"1","article-title":"Driving to ward Independence: Perspectives from autistic adolescents and their families","author":"Bishop H. 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(2012). Assessing, treating, and preparing youth with special needs for driving and community mobility. In McGuire M. J., Schold-Davis E. (Eds.), Driving and community mobility: Occupational therapy strategies across the lifespan (pp. 383\u2013410). AOTA press."},{"key":"e_1_3_3_13_1","first-page":"561","volume-title":"Best practices for occupational therapy in schools","author":"Monahan M.","year":"2013","unstructured":"Monahan M., Classen S. (2013). Best practices in driver\u2019s education to enhance participation. In Clark G. F., Chandler B. E. (Eds.), Best practices for occupational therapy in schools (pp. 561\u2013572). AOTA Press."},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2018.0054"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2021.043406"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2015.015826"},{"key":"e_1_3_3_17_1","volume-title":"Comprehensive trail making test","author":"Reynolds C. 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