Use of Fitness to Drive Screening Tool

UFOT is an AOTA Approved Provider in Continuing Education (#5208) and our ADED-CHAP status enables us to offer approved contact hours for our driving-related courses. All of our courses meet the licensure requirements for the State of Florida CEBroker. Florida CEBroker Tracking #20-629997.


Sherrilene Classen

Sherrilene Classen PhD

Professor And Chair

Sherrilene Classen, PhD, MPH, OTR/L, FAOTA, FGSA is Professor and Chair, Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida. Dr. Classen is an internationally funded prevention-oriented rehabilitation scientist who studies fitness-to-drive issues in at-risk drivers using clinical assessments, driving simulators, on-road assessments, in-vehicle technologies, and autonomous, connected, electric and shared vehicles. Her scholarly work utilizes both a public health and a rehabilitation science approach to bring depth and breadth in understanding driving and mobility from multiple perspectives. Since 2002, she has received competitive external funding (totaling ~$10 million) from U.S. agencies (e.g., National Institutes of Health; National Institute for Disability, Independent Living, and Rehabilitation Research; Centers for Disease Control and Prevention; Department of Defense; Department of Transportation; industry and other organizations) as well as agencies in Canada and abroad. She has (co)authored over 170 peer-reviewed publications, book chapters, and special journal issues; is the editor of a handbook on driving simulation (AOTA Press, 2017); and has presented more than 300 papers at scientific conferences. Dr. Classen is the immediate past Editor-in-Chief of the Occupational Therapy Journal of Research, is a Fellow of the American Occupational Therapy Association and the Gerontological Society of America, and an inductee to the American Occupational Therapy Foundation’s Academy of Research.

To enable family members or friends, in the USA and Canada, to detect at-risk older drivers, Dr. Classen and colleagues, developed and tested the Fitness-to-Drive Screening Measure (FTDS), a user friendly on-line tool  Family members, caregivers, or friends who had driven with the driver in the last three months, may rate the drivers’ difficulties by completing 54 screening questions. After completing the questions a keyform, or rating profile, of each driver is produced which includes a classification of the driver into one of three categories: at-risk driver, routine driver, or accomplished driver.  Based on the specific driver category, recommendations– the logical next steps for family members, friends or clinicians– are suggested for each driver. These recommendations entail guidelines for continued fitness to drive, seeking interventions, or starting conversations about stopping driving. The FTDS has been translated into Japanese and Korean with demonstrated psychometric support for the Korean version. A shorter version has been developed (32 items) with excellent predictive validity of fitness to drive outcomes. This course will discuss each of these core activities and apply content information to an actual case study.

Target Audience

Occupational therapy generalists and specialists, driver rehabilitation specialists, driver educators, specialty practitioners, nurse practitioners, and private practice health care professionals.

Educational Level

Intermediate: Information is geared to practitioners with a general working knowledge of rehabilitation and service delivery. Focus is on a basic understanding and application of the subject matter.

Learning Objectives

Upon completion of this course, learners will be able to:

  • Conceptualize the rationale for developing the FTDS.
  • Operationalize and use the FTDS as a screening tool for facilitating clinical reasoning skills in fitness to drive decisions.
  • Administer the FTDS, with a proxy rater of an at-risk drivers seen in the clinic, to make informed decisions about fitness to drive.
  • Synthesize the use of the FTDS as a clinical decision-making tool based on the findings from a case-study.
  • Articulate how the FTDS can be used as a supplement to the gold-standard on-road assessment.

AOTA Classification Codes

  • Category 1: Domain of OT – Occupation/ IADLs
  • Category 2: Occupational Therapy Process – Approaches to intervention

Completion Requirements

0.1 AOTA CEUs (1 Contact Hour for State of Florida Occupational Therapy practitioners) will be awarded upon a successful completion of a multiple choice post-test. Participants will be able to print a certificate of completion after completing a short course evaluation in addition to the post-test. The UF Occupational Therapy Department will enter the Contact Hour into the CEBroker database for Florida licensed occupational therapy practitioners.

Disclosure Statement

Instructors have stated that they have not received funding to support this training.

Instructional Methods

One (1) hour course during which the learner will view a streaming video presentation, reference PowerPoint® slides, and take a multiple choice post-test.