Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/992
Title: Interventions for resuming driving after traumatic brain injury.
Epworth Authors: Ponsford, Jennie
Spitz, Gershon
Ross, Pamela
Other Authors: Charlton, Judith
Di Stefano, Marilyn
Keywords: Head Injury
Traumatic Brain Injury
TBI
Driver Rehabilitation
Licence Restrictions
Driver Rehabilitation Specialists
On-road Training
Automobile driving
Occupational Therapy
OT
Driver Assessment
Independent Driving
Visual Impairments
Years Licensed
Injury Severity
Physical Impairment
Compensatory Strategies
Occupational Therapy Department, Epworth HealthCare, Victoria, Australia.
Monash-Epworth Rehabilitation Research Centre , Epworth Healthcare, Victoria , Australia.
Issue Date: Jan-2017
Publisher: Thomas Reuters
Citation: Disabil Rehabil. 2017 Jan 27:1-11.
Abstract: PURPOSE: To describe the goals, processes, resources and outcomes of on-road training lessons provided to drivers with traumatic brain injury (TBI) who failed an initial occupational therapy (OT) driver assessment. METHOD: Descriptive cohort study using file audit design of 340 drivers with mild to severe TBI. Measures included; number and goals of on-road training lessons and reassessments, time from injury to independent driving, license restrictions, years licensed, physical/visual impairments and injury severity. RESULTS: Initial OT driver assessment was passed by 72% (n = 246) cases. Of the 28% (n = 94) who failed, 93% (n = 87) resumed driving following on-road training; 42 (45%) with an open licence, 45 (48%) with restricted licence and seven (7%) failed to meet licencing standards. Individuals required, on average, 7.0 driving lessons (14 driving instructor hours), and 2.5 on-road reassessments, (9.8 OT and 3.8 driving instructor hours). Lesson goals were recommended to develop compensatory strategies for cognitive impairments (64%), improve previously learned driving skills (57%), improve confidence (53%), and address physical (26%) or visual impairment (16%). CONCLUSIONS: Investment in on-road training lessons addressing individual goals, followed by reassessment and use of restricted licenses, can achieve successful return to driving following TBI. Implications for Rehabilitation Driver rehabilitation specialists should offer on-road driver training to individuals with moderate to severe TBI who fail an initial driver assessment. Goal directed driving lessons can train individuals with moderate to severe TBI to compensate for cognitive, physical, visual, and psychological barriers to driving, enabling them to pass a reassessment and return to driving. Restricted licences may enable some drivers with TBI to meet their driving needs and achieve safe return to driving.
URI: http://hdl.handle.net/11434/992
DOI: 10.1080/09638288.2016.1274341
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/28129710
ISSN: 0963-8288
Journal Title: Disability and Rehabilitation
Type: Journal Article
Affiliated Organisations: School of Psychological Sciences, Monash University , Melbourne , Australia.
Monash University Accident Research Centre, Monash University , Melbourne , Australia.
School of Occupational Therapy, La Trobe University , Melbourne , Australia.
Type of Clinical Study or Trial: Cohort Study
Appears in Collections:Neurosciences
Rehabilitation

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