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Title: Predictors of the on-road driving assessment after traumatic brain injury: comparing cognitive tests, injury factors, and demographics.
Authors: McKay, Adam
Schonberger, Michael
Ponsford, Jennie
Ross, Pamela
Other Authors: Liew, Carine
Keywords: Traumatic Brain Injury
Acquired Brain Injury
Driving Assessment
Cognitive Testing
Post-Traumatic Amnesia
Wechsler Test of Adult Reading
Wechsler Adult Intelligence Scale-III
Rey Auditory Verbal Leaning Test
Rey Complex Figure Test
Trail Making Test
Time Post-Injury
Cognitive Predictors
Driving Ability
Functional Tasks
National Adult Reading Test-Revised
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Issue Date: Nov-2016
Publisher: Wolters Kluwer
Citation: J Head Trauma Rehabil. 2016 Nov/Dec;31(6):E44-E52.
Abstract: OBJECTIVES: (1) To examine the relations between performance on cognitive tests and on-road driving assessment in a sample of persons with traumatic brain injury (TBI). (2) To compare cognitive predictors of the on-road assessment with demographic and injury-related predictors. PARTICIPANTS: Ninety-nine people with mild-severe TBI who completed an on-road driving assessment in an Australian rehabilitation setting. DESIGN: Retrospective case series. MAIN MEASURES: Wechsler Test of Adult Reading or National Adult Reading Test-Revised; 4 subtests from the Wechsler Adult Intelligence Scale-III; Rey Auditory Verbal Leaning Test; Rey Complex Figure Test; Trail Making Test; demographic factors (age, sex, years licensed); and injury-related factors (duration of posttraumatic amnesia; time postinjury). RESULTS: Participants who failed the driving assessment did worse on measures of attention, visual memory, and executive processing; however, cognitive tests were weak correlates (r values <0.3) and poor predictors of the driving assessment. Posttraumatic amnesia duration mediated by time postinjury was the strongest predictor of the driving assessment-that is, participants with more severe TBIs had later driving assessments and were more likely to fail. CONCLUSION: Cognitive tests are not reliable predictors of the on-road driving assessment outcome. Traumatic brain injury severity may be a better predictor of on-road driving; however, further research is needed to identify the best predictors of driving behavior after TBI.
DOI: 10.1097/HTR.0000000000000209
PubMed URL:
ISSN: 0885-9701
Journal Title: Journal of Head Trauma Rehabilitation
Type: Journal Article
Affiliated Organisations: School of Psychological Sciences, Monash University, Melbourne, Australia
Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Freiburg, Germany
National Trauma Research Institute, Melbourne, Australia
Type of Clinical Study or Trial: Retrospective studies
Appears in Collections:Neurosciences

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