ADReS, assessment, guidelines, interrater reliability, older drivers



  1. Posse, Cristina MHS, OT
  2. McCarthy, Dennis P. PhD, MEd, OTR/L
  3. Mann, William C. PhD, OTR


This pilot study established interrater reliability among a nurse, an occupational therapist, and a physician, administering the Assessment of Driving-related Skills (ADReS). Participants included 14 older adults between 65 and 80 years old. Results showed 82% agreement between clinicians across visual, motor, and cognitive scores of the ADReS. Interventions and clinicians' comments were compared with recommended guidelines in the ADReS. Good interrater reliability among 3 different health professions suggests that this screening tool could be appropriately used by nonphysicians, including nurses and occupational therapists. Increasing the number of professionals who administer the ADReS could increase prompt intervention for older adults who require full assessment and possibly compensatory strategies, training, or adaptive devices to enable or prolong safe driving.