On the road again after traumatic brain injury: driver safety and behaviour following on-road assessment and rehabilitation

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose: To examine pre- and post-injury self-reported driver behaviour and safety in individuals with traumatic brain injury (TBI) who returned to driving after occupational therapy driver assessment and on-road rehabilitation. Method: A self-report questionnaire, administered at an average of 4.5 years after completing an on-road driver assessment, documenting pre- and post-injury crash rates, near-crashes, frequency of driving, distances driven, driving conditions avoided and navigation skills, was completed by 106 participants, who had either passed the initial driver assessment (pass group n?=?74), or required driver rehabilitation, prior to subsequent assessments (rehabilitation group n?=?32). Results: No significant difference was found between pre- and post-injury crash rates. Compared to pre-injury, 36.8 of drivers reported limiting driving time, 40.6 drove more slowly, 41.5 reported greater difficulty with navigating and 20.0 reported more near-crashes. The rehabilitation group (with greater injury severity) was significantly more likely to drive less frequently, shorter distances, avoid: driving with passengers, busy traffic, night and freeway driving than the pass group. Conclusions: Many drivers with moderate/severe TBI who completed a driver assessment and rehabilitation program at least 3 months post-injury, reported modifying their driving behaviour, and did not report more crashes compared to pre-injury. On-road driver training and training in navigation may be important interventions in driver rehabilitation programs.Implications for RehabilitationDriver assessment and on-road retraining are important aspects of rehabilitation following traumatic brain injury.Many drivers with moderate/severe TBI, reported modifying their driving behaviour to compensate for ongoing impairment and continued to drive safely in the longer term.Navigational difficulties were commonly experienced following TBI, suggesting that training in navigation may be an import
Original languageEnglish
Pages (from-to)994 - 1005
Number of pages12
JournalDisability and Rehabilitation
Volume38
Issue number10
DOIs
Publication statusPublished - 2016

Cite this

@article{c89c8d42343047dfacca0d18cae58b55,
title = "On the road again after traumatic brain injury: driver safety and behaviour following on-road assessment and rehabilitation",
abstract = "Purpose: To examine pre- and post-injury self-reported driver behaviour and safety in individuals with traumatic brain injury (TBI) who returned to driving after occupational therapy driver assessment and on-road rehabilitation. Method: A self-report questionnaire, administered at an average of 4.5 years after completing an on-road driver assessment, documenting pre- and post-injury crash rates, near-crashes, frequency of driving, distances driven, driving conditions avoided and navigation skills, was completed by 106 participants, who had either passed the initial driver assessment (pass group n?=?74), or required driver rehabilitation, prior to subsequent assessments (rehabilitation group n?=?32). Results: No significant difference was found between pre- and post-injury crash rates. Compared to pre-injury, 36.8 of drivers reported limiting driving time, 40.6 drove more slowly, 41.5 reported greater difficulty with navigating and 20.0 reported more near-crashes. The rehabilitation group (with greater injury severity) was significantly more likely to drive less frequently, shorter distances, avoid: driving with passengers, busy traffic, night and freeway driving than the pass group. Conclusions: Many drivers with moderate/severe TBI who completed a driver assessment and rehabilitation program at least 3 months post-injury, reported modifying their driving behaviour, and did not report more crashes compared to pre-injury. On-road driver training and training in navigation may be important interventions in driver rehabilitation programs.Implications for RehabilitationDriver assessment and on-road retraining are important aspects of rehabilitation following traumatic brain injury.Many drivers with moderate/severe TBI, reported modifying their driving behaviour to compensate for ongoing impairment and continued to drive safely in the longer term.Navigational difficulties were commonly experienced following TBI, suggesting that training in navigation may be an import",
author = "Pamela Ross and Ponsford, {Jennie Louise} and {Di Stefano}, Marilyn and Charlton, {Judith Lynne} and Gershon Spitz",
year = "2016",
doi = "10.3109/09638288.2015.1074293",
language = "English",
volume = "38",
pages = "994 -- 1005",
journal = "Disability and Rehabilitation",
issn = "0963-8288",
publisher = "Taylor & Francis",
number = "10",

}

On the road again after traumatic brain injury: driver safety and behaviour following on-road assessment and rehabilitation. / Ross, Pamela; Ponsford, Jennie Louise; Di Stefano, Marilyn; Charlton, Judith Lynne; Spitz, Gershon.

In: Disability and Rehabilitation, Vol. 38, No. 10, 2016, p. 994 - 1005.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - On the road again after traumatic brain injury: driver safety and behaviour following on-road assessment and rehabilitation

AU - Ross, Pamela

AU - Ponsford, Jennie Louise

AU - Di Stefano, Marilyn

AU - Charlton, Judith Lynne

AU - Spitz, Gershon

PY - 2016

Y1 - 2016

N2 - Purpose: To examine pre- and post-injury self-reported driver behaviour and safety in individuals with traumatic brain injury (TBI) who returned to driving after occupational therapy driver assessment and on-road rehabilitation. Method: A self-report questionnaire, administered at an average of 4.5 years after completing an on-road driver assessment, documenting pre- and post-injury crash rates, near-crashes, frequency of driving, distances driven, driving conditions avoided and navigation skills, was completed by 106 participants, who had either passed the initial driver assessment (pass group n?=?74), or required driver rehabilitation, prior to subsequent assessments (rehabilitation group n?=?32). Results: No significant difference was found between pre- and post-injury crash rates. Compared to pre-injury, 36.8 of drivers reported limiting driving time, 40.6 drove more slowly, 41.5 reported greater difficulty with navigating and 20.0 reported more near-crashes. The rehabilitation group (with greater injury severity) was significantly more likely to drive less frequently, shorter distances, avoid: driving with passengers, busy traffic, night and freeway driving than the pass group. Conclusions: Many drivers with moderate/severe TBI who completed a driver assessment and rehabilitation program at least 3 months post-injury, reported modifying their driving behaviour, and did not report more crashes compared to pre-injury. On-road driver training and training in navigation may be important interventions in driver rehabilitation programs.Implications for RehabilitationDriver assessment and on-road retraining are important aspects of rehabilitation following traumatic brain injury.Many drivers with moderate/severe TBI, reported modifying their driving behaviour to compensate for ongoing impairment and continued to drive safely in the longer term.Navigational difficulties were commonly experienced following TBI, suggesting that training in navigation may be an import

AB - Purpose: To examine pre- and post-injury self-reported driver behaviour and safety in individuals with traumatic brain injury (TBI) who returned to driving after occupational therapy driver assessment and on-road rehabilitation. Method: A self-report questionnaire, administered at an average of 4.5 years after completing an on-road driver assessment, documenting pre- and post-injury crash rates, near-crashes, frequency of driving, distances driven, driving conditions avoided and navigation skills, was completed by 106 participants, who had either passed the initial driver assessment (pass group n?=?74), or required driver rehabilitation, prior to subsequent assessments (rehabilitation group n?=?32). Results: No significant difference was found between pre- and post-injury crash rates. Compared to pre-injury, 36.8 of drivers reported limiting driving time, 40.6 drove more slowly, 41.5 reported greater difficulty with navigating and 20.0 reported more near-crashes. The rehabilitation group (with greater injury severity) was significantly more likely to drive less frequently, shorter distances, avoid: driving with passengers, busy traffic, night and freeway driving than the pass group. Conclusions: Many drivers with moderate/severe TBI who completed a driver assessment and rehabilitation program at least 3 months post-injury, reported modifying their driving behaviour, and did not report more crashes compared to pre-injury. On-road driver training and training in navigation may be important interventions in driver rehabilitation programs.Implications for RehabilitationDriver assessment and on-road retraining are important aspects of rehabilitation following traumatic brain injury.Many drivers with moderate/severe TBI, reported modifying their driving behaviour to compensate for ongoing impairment and continued to drive safely in the longer term.Navigational difficulties were commonly experienced following TBI, suggesting that training in navigation may be an import

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U2 - 10.3109/09638288.2015.1074293

DO - 10.3109/09638288.2015.1074293

M3 - Article

VL - 38

SP - 994

EP - 1005

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

SN - 0963-8288

IS - 10

ER -