Screening Fitness to Drive After Stroke Across Demographic Subgroups: A Systematic Review
Abstract
Return to driving is a valued activity among people who experience stroke. Health care providers, including occupational therapists, require evidence-based tools for driver screening post-stroke, validated for stroke with representation of diverse demographic subgroups. To identify tests supported in the literature predictive of fitness to drive after stroke and critically appraise the representativeness of extant research across demographic subgroups. A systematic literature review was conducted to address the objectives. Consistent with prior research, the Stroke Driver's Screening Assessment and Trail Making Test-B were the most predictive of driver fitness. However, research has consistently underrepresented women, people younger than 55 years of age, and people from low-income countries. Further research is needed with (a) more detailed reporting of participant demographics and (b) increased representation of demographic subgroups within samples, to support culturally informed driver screening practices following stroke.
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Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
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