Validation of the stroke drivers screening assessment for people with traumatic brain injury

Abstract

Cognitive impairments resulting from brain injury affect driving performance. The question of fitness to drive often arises during rehabilitation. Healthcare professionals need reliable criteria against which decisions about driving fitness can be made. Nouri et al. developed the Stroke Drivers Screening Assessment (SDSA), which was found predictive of on-road driving performance in stroke patients. The purpose of this study was to determine whether the SDSA, either alone or combined with other tests, predicted fitness to drive in brain injured people. Fifty-two participants were assessed on the SDSA plus additional cognitive tests. Their fitness to drive was examined on the public road. The SDSA predictions based on equations developed for stroke patients were not an accurate predictor of road test performance. Discriminant analysis was used to identify tests predictive of fitness to drive. Results indicated that a combination of the SDSA, the Stroop and the AMIPB Information Processing tasks correctly classified 87% of cases and may be useful predictors of driving fitness following brain injury. However, cross-validation on an independent sample of people with brain injury is required.

The Addenbrooke's Cognitive Examination Revised as a potential screening test for elderly drivers

“…The DBOG (Driving Behaviours Observation Grid) is a driving performance evaluation (unpublished) that was developed for a research project on the neuropsychological assessment of older drivers. Based on a literature review of studies with road tests for people with cognitive disabilities (Akinwuntan et al, 2003;De Raedt and Ponjaert-Kristoffersen, 2001;Fitten et al, 1995;Hunt et al, 1997;Janke and Eberhard, 1998;Radford, 2001), the present version was developed with the consensus of two independent experts on driving examinations. To develop a valid driving assessment for older people, the driving habits and difficulties that previous research found for this group (Ferreira et al, 2007) were also taken into account.…”

Off-Road and On-Road Driving Assessments Methods, What Do They Say? A Clinical Sample

“…The SDSA was designed and validated for stroke patients and later on for TBI patients Radford, Lincoln, & Murray-Leslie, 2004), but in Sweden it is often used clinically to assess different and mixed diagnostic groups, as in this study (Larsson et al, 2007). Another limitation in the present study is the relatively small number of subjects in each diagnostic group, especially the TBI and Other groups.…”

Prediction of Driving Ability in People with Relapsing-Remitting Multiple Sclerosis Using the Stroke Driver Screening Assessment

“…9,15,16,22,23 The reliability and validity of the different versions of the battery as a good predictor of driving performance after stroke have been established. 16,18,24,25 The accuracy and sensitivity of predicting the road performance (the main outcome measure) using the equation based on the study sample (86% and 80%, …”