Prediction of Driving Capacity After Traumatic Brain Injury

Ortoleva, Claudia; Brugger, Camille; Linden, Martial Van der; Walder, Bernhard

doi:10.1097/htr.0b013e3182236299

Cited by 51 publications

(34 citation statements)

References 83 publications

(22 reference statements)

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“…Parameters such as length of coma duration and performance on neuropsychological assessments, particularly the Trail Making B test, have been shown to predict return to driving after TBI [29]. This study also found a trend towards higher education in the TBI drivers compared to the TBI non-drivers.…”

Section: Discussionmentioning

confidence: 70%

Functional independence measure at rehabilitation admission as a predictor of return to driving after traumatic brain injury

2014

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Section: Discussionmentioning

confidence: 70%

Functional independence measure at rehabilitation admission as a predictor of return to driving after traumatic brain injury

2014

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“…The influence of cognitive deficits on driving fitness has been extensively studied, especially in older drivers and those with dementia of Alzheimer type, stroke and/or traumatic brain injury (TBI) [2]. Previous literature states that $40-80% of TBI and stroke survivors resume driving [3][4][5][6][7][8]. However, many patient groups that participate in international studies do not receive formal medical and/or psychological evaluations due to differences in national legislations and other reasons [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Behavioural ratings of self-regulatory mechanisms and driving behaviour after an acquired brain injury

et al. 2014

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“…In addition, the condition and severity of injury may predict driving outcomes, and therefore affect family members' experiences specific to driving disruption (D'apolito et al, 2013). Predictors of return to driving are complex, and can be influenced by many other factors such as levels of community integration, duration of stay in hospital, pain levels, physical and cognitive processes, and behavioural issues Ortoleva et al, 2012). Furthermore, external factors such as the availability of resources in healthcare contexts, waiting lists, and the practical and symbolic meaning of driving may affect the individual and family members' experience of driving disruption Liddle, Fleming, et al, 2012).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…In addition, driving disruption following an ABI is often perceived as a temporary rather than permanent cessation. There is a substantial focus on returning to driving in the ABI literature and the majority of research has examined the processes, predictors and assessment of safe return to driving (Aslaksen, Orbo, Elvestad, Schafer, & Anke, 2013;Bottari, Lamothe, Gosselin, Gelinas, & Ptito, 2012;Ortoleva, Brugger, Van der Linden, & Walder, 2012). In one study of individuals with traumatic brain injury (TBI), 48% of non-drivers expressed a strong desire to return to driving (Rapport, Bryer, & Hanks, 2008).…”

Section: Background and Significance Of Thesis "There Are Just Four Kmentioning

confidence: 99%

“…Driving is a complex task which requires physical capabilities, such as intact muscle strength, sensation and coordination (Austroads, 2012) and cognitive abilities, such as appropriate judgement, processing speed, attention span and visuospatial perception Ortoleva et al, 2012). Physical and cognitive impairments and changes in behaviour and emotions following an ABI can potentially undermine an individual's driving performance (Devos, Tant, & Akinwuntan, 2014;Innes et al, 2007).…”

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

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Family members’ needs and experiences related to driving disruption following acquired brain injury

Liang¹

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Family members often assume the caregiving role after an individual sustains an acquired brain injury (ABI). A mandated period of driving disruption following an ABI means that individuals will often rely heavily on family members for transport and emotional support.However, research on driving disruption has largely focused on the impact, assessment and rehabilitation of the individual with ABI, with little attention given to family members. In order to develop an understanding for approaches to support family members better, this thesis aimed to explore the needs and experiences of family members during driving disruption following an ABI.The first aim of the thesis was to gain a broader understanding of the issue by conducting a scoping review of the literature on family members' needs and experiences during driving disruption across all health conditions. The scoping review found that driving disruption is a stressful and complex issue with communication and emotional implications for family members. The review highlighted differences in experiences according to health condition, permanence of driving disruption and nature of the caregiver occupation, and identified the need for further research on the issue of driving disruption for family members of individuals with ABI.A prospective, mixed methods, longitudinal study, with a phenomenological approach was conducted with family members of individuals with ABI who were experiencing driving disruption. Recruitment was stratified according to time post-ABI to gain a range of perspectives. Data were collected from 15 family members at three time-points: recruitment to study, 3 and 6 months later. Self-report questionnaires measuring family members' quality of life and well-being were administered at the first time-point, and semistructured interviews were conducted at each time-point. All interviews incorporated the use of a map to elicit qualitative and quantitative data about family members' current travel patterns as a result of driving disruption. The data were analysed using different approaches in a series of four studies.The first two studies aimed to gain an in-depth understanding about the experiences of family members of individuals experiencing driving disruption due to ABI across the recovery continuum. Both studies examined the mixed methods cross-sectional data from the first time-point. The first study explored the differences in family members' experiences iii at the early (<1 year post-ABI) and later stages (>1 year post-ABI) using a mixed methods, phenomenological approach. Family members in the later group reported more challenges with greater intensity. These challenges included changes in everyday activities, the impact on their emotions, consequences for the whole family, and effects on physical health. The later group had lower ratings of health and well-being, and higher caregiver strain.The second study investigated the specific changes family members experienced in everyday activities with a focus on the impact of driving disru...

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Prediction of Driving Capacity After Traumatic Brain Injury

Abstract: There is no sound basis at present for predicting driving capacity after traumatic brain injury because most studies have methodological limitations.

Cited by 51 publications

References 83 publications

Functional independence measure at rehabilitation admission as a predictor of return to driving after traumatic brain injury

Functional independence measure at rehabilitation admission as a predictor of return to driving after traumatic brain injury

Behavioural ratings of self-regulatory mechanisms and driving behaviour after an acquired brain injury

Family members’ needs and experiences related to driving disruption following acquired brain injury

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