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Title: On the road again after traumatic brain injury: driver safety and behaviour following on-road assessment and rehabilitation.
Epworth Authors: Ross, Pamela
Ponsford, Jennie
Spitz, Gershon
Other Authors: Di Stefano, Marilyn
Charlton, Judith
Keywords: Automobile Driving
Crash Risk
Head Injury
Occupational Therapy
Driver Behaviour
Driver Safety
Self Reported Driver Behaviour
Traumatic Brain Injury
Occupational Therapy Department , Epworth HealthCare , Melbourne , Australia
Brain Injuries
Monash-Epworth Rehabilitation Research Centre, Richmond, Victoria, Australia.
Issue Date: Aug-2015
Publisher: Taylor & Francis
Citation: Disabil Rehabil. 2015 Aug 27:1-12
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 Rehabilitation Driver 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 important aspect of driver rehabilitation.
DOI: 10.3109/09638288.2015.1074293
PubMed URL:
ISSN: 0963-8288
Journal Title: Disability and Rehabilitation
Type: Journal Article
Type of Clinical Study or Trial: Survey
Appears in Collections:Neurosciences

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