The objective of the study was to evaluate predictor variables stemming from
different assessment approaches (medical documentation, neuropsychological
assessment, and Mediatester driving assessment) on patient's ability to
drive (passing the practical driving test with a qualified instructor)
following a TBI (traumatic brain injury) or a stroke. The study included 63
participants (54 males), aged 20 to 80 years (M = 44.4; SD = 16.7). Majority
of participants suffered a TBI and 18 participants were included after an
ischemic stroke. Patients who passed a driving test had significantly higher
composite index on Comprehensive Trail-Making Test (medium or large effect
size) compared to those who did not pass a driving test, or those who passed
the driving test with limitations. The results on the 18-light reaction test
(18 LRT) suggest that the reaction time could also play a role in predicting
the ability to drive. The model with these two predictors, along with
Glasgow Coma Scale, successfully classified 90 % of participants in two
respectful groups; passed vs. did not pass a driving test/passed the driving
test with limitations. The results suggest that neuropsychological and
driving assessments that measure a range of cognitive abilities are better
predictors of regaining the ability to drive after a TBI or stroke than
separate cognitive abilities.
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