Program evaluation of a community-based model for driver off-road assessment in post-acute ABI
Open Access Capstone
Doctor of Occupational Therapy (OTD)
Background: Social conditions from the pandemic forced changes to outpatient rehabilitation programs, necessitating pre-driving assessment be administered via telehealth, an alternative model of OT service-delivery. As a result, Shepherd Pathways adapted the clinical pre-driving program for telehealth service delivery. Program outcomes had not been formally assessed.
The purpose of this Capstone project was to conduct a formal program evaluation to collect, analyze, and use data to evaluate effectiveness and efficiency of a clinical return to drive program delivered via telehealth (CDC, n.d.; The university of Kansas toolbox, n.d.). The program evaluation examined the OT process and scope of services for driver off-road assessment at Shepherd Pathways, in Atlanta, Georgia, and addressed the following objectives.
- Does Shepherd Pathways clinical pre-driving program meet the needs of acquired brain injury (ABI) clients in a traditional, hybrid, or telehealth model?
- What are the current practices (assessments and interventions) used within an OT led clinical pre-driving program delivered via telehealth?
- Does an OT clinical pre-driving program delivered via telehealth result in an on-road driving evaluation (ORDE) outcome of unrestricted driving for ABI clients?
Theoretical Framework. A pragmatic research approach (Creswell & Creswell, 2018) and Canadian model of occupational performance-engagement (CMOP-E) and the Ecology of Human Performance (EHP) (Dunn, 1984) influenced the approach.
Methods. Program evaluation identified outcomes of a telehealth approach for return to driving. A logic model was used to identify main components of the program and showed relationships among the telehealth pre-driving program goals, objectives, activities, and outcome measurements (Adu, 2017).
Results. Research questions were answered-the needs of individuals with ABI were met in the program. OT telehealth clinical standards of practice for the pre-driving program were identified and successful ORDE outcomes indicated a positive relationship between use of telehealth and return to drive after ABI.
Conclusions: A logic model illustrated the processes developed for OT driver-off road assessment during the COVID-19 pandemic from March 2020 - December 2020 at Shepherd Pathways. Results indicated a high percentage of program effectiveness, ORDE referrals, and ORDE passing rates for participants with ABI.
Casey Humphrey OTD, MHA, OTR/L, CBIS, CDRS
Allen Keener OTD, MS, OTR/L, ATP
2023 Eugenia R. Herbst
Herbst, Eugenia R., "Program evaluation of a community-based model for driver off-road assessment in post-acute ABI" (2023). Occupational Therapy Doctorate Capstone Projects. 103.