Date of Award


Degree Type

Capstone Project

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy

First Advisor

Monica Novak

Second Advisor

Holly Grieves


In the United States driving dominates as the primary mode of transportation connecting people to resources including work, school, stores, and hospitals. Driving enables individuals to participate in the occupations they need or want to do, which is why it is a critical Instrumental Activity of Daily Living (IADL). Because driving falls within an occupational therapist’s scope of community mobility, many driving rehabilitation specialists have a background in occupational therapy. Driving rehabilitation is an expanding practice area, with emerging evidence supporting the use of an IADL based assessment for determining fitness to drive. Therefore, the main goal of this doctoral capstone experience was to evaluate the feasibility of incorporating an IADL based assessment at Origami Rehabilitation. To further support growth of the driving program, additional goals included streamlining the documentation process and developing a structured mentoring program. Delivered outcomes comprised of recommendations for the structure and format of driving evaluations, correlations between the selected IADL based assessment and on the road performance, updates to documentation processes and organization, and creation of a driving rehabilitation training and competency checklist. With the delivered outcomes, Origami Rehabilitation has the groundwork for sustaining an occupation focused and evidence based driver rehabilitation program.