Reliability and validity of on-road driving tests in vulnerable adults: a systematic review.
Reliability and validity of on-road driving tests in vulnerable adults: a systematic review.
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DOI：
10.1097/mrr.0000000000000374
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发表时间：
2019-12
期刊：
影响因子：
--
通讯作者：
Fujita Y
中科院分区：
文献类型：
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作者：
Sawada T;Tomori K;Hamana H;Ohno K;Seike Y;Igari Y;Fujita Y
道路驾驶考试被认为是“黄金标准”评估；然而，其效度和信度尚未得到充分的评价。本系统综述旨在利用基于共识的健康测量仪器选择标准清单，绘制和综合有关道路驾驶测试的文献。检索了Cochrane Library、PubMed、CINAHL和Web of Science数据库，检索时间从起始到2018年2月。所有涉及成人康复患者道路驾驶测试信度或效度的文章均被纳入。检索结果确定了513项研究和36篇文章，这些研究和文章被纳入了综述。华盛顿大学道路测试/罗德岛道路测试、驾驶能力性能分析、调查实际驾驶适应性的试乘和k得分在基于共识的健康测量工具选择标准清单方面显示出较高的信度和效度。基于经典测试理论技术对华盛顿大学道路测试/罗德岛道路测试和实际驾驶适应性测试进行了分析，并基于项目反应理论技术对驾驶能力和k得分进行了性能分析。研究频次为华盛顿大学道路测试/罗德岛道路测试（n=9）、调查实际驾驶适应性测试（n=8）、驾驶能力性能分析（n=4）和K-score （n=1）。从准确性和泛化的角度来看，华盛顿大学道路测试/罗德岛道路测试、调查实际驾驶适应性的试乘、驾驶能力的性能分析被认为是道路驾驶测试的高质量。然而，评估真实驾驶的能力取决于各种环境条件。
The on-road driving test is considered a ‘gold standard’ evaluation; however, its validity and reliability have not been sufficiently reviewed. This systematic review aimed to map out and synthesize literature regarding on-road driving tests using the Consensus-based Standards for the Selection of Health Measurement Instruments checklist. Cochrane Library, PubMed, CINAHL, and Web of Science databases were searched from initiation through February 2018. All articles addressing reliability or validity of on-road driving tests involving adult rehabilitation patients were included. The search output identified 513 studies and 36 articles, which were included in the review. The Washington University Road Test/Rhode Island Road Test, performance analysis of driving ability, test ride for investigating practical fitness-to-drive, and K-score demonstrated high reliability and validity in regard to the Consensus-based Standards for the Selection of Health Measurement Instruments checklist. The Washington University Road Test/Rhode Island Road Test and test ride for investigating practical fitness-to-drive were analyzed based on Classical Test Theory techniques, and performance analysis of driving ability and K-score were analyzed based on Item Response Theory techniques. The frequency of studies were Washington University Road Test/Rhode Island Road Test (n=9), Test Ride for Investigating Practical fitness-to-drive (n=8), performance analysis of driving ability (n=4), and K-score (n=1). From the viewpoint of accuracy and generalization, the Washington University Road Test/Rhode Island Road Test, test ride for investigating practical fitness-to-drive, and performance analysis of driving ability were identified as highly qualified concerning on-road driving tests. However, the ability to assess real-world driving depends on various environmental conditions.