An Evaluation of Driving Ability in a Simulator: A Good Predictor of Driving Ability After Stroke?

Abstract

Summary:The aim of this pilot-study was to evaluate the predictive quality of a driving evaluation in a simulator for people with stroke. Twenty-seven participants with stroke completed a driving evaluation in a technically advanced driving simulator. The participants also completed an on-road driving evaluation with a pass or fail outcome. Measures generated from the assessment tool, P-Drive, were compared to the on-road driving evaluation, in order to determine a definitive cut-off score. The definitive cut-off score of P-Drive was determined to 1,5 logits, however this score did not show satisfactory sensitivity. Instead of a definitive cut-off score, a cut-off zone of 1,4 to 1,7 logits was recommended. Six drivers within the cut-off zone were recommended for further evaluation of their driving ability.

P-Drive: Assessment of Driving Performance After Stroke

“…In addition, the SE describes the statistical reproducibility of the measures, and a guiding principle for the SE in the person measures had previously been set at 5/0.30 logits (20). In this study, a SE analysis was performed in subgroups based on the level of driving ability, according to a recent pilot study investigating P-Drive as an outcome tool (25).…”

“…There is a need to investigate and develop cut-off criteria for P-Drive. In a recent pilot study preliminary cut-off criteria were developed using an on-road evaluation as criterion (25). This study was very small (n 0/27), and for developing definitive cut-off a larger sample is needed.…”

Awareness of driving disability in people with stroke tested in a simulator

“…In P-Drive, 20 items (for a complete overview of the items/actions covered in P-Drive, see (28)) are scored using a criterion-referenced rating, based on the quality of performance on a scale from 4 to 1, where 4 0competent driving action, 30questionable driving action, 2 0problematic driving action, and 1 0incompetent driving action. In a recent study (14), cut-off values for P-Drive were determined using an on-road evaluation as criterion. Cut-off for passing was set at 1.8 logits (log-odds probability units), and below 1.4 logits was considered failing, indicating driving disability.…”

“…An assessment tool to measure driving ability in a driving simulator, P-Drive (Performance Analysis of Driving Ability), has recently been developed. P-Drive measures what the driver actually does during a driving evaluation in a realistic setting and measures actions taken during driving at the operational and tactical levels of decision-making according to Michon's (12) hierarchical model of driving (13,14). At the operational level the driver makes decisions about the basic manoeuvring of the car, such as steering and braking; at the tactical level the driver makes decisions to better master and adapt to different traffic situations like adjusting speed and planning ahead.…”

Ageing and Driving Performance in the UK Using Normal Mixture Model Cluster Analysis Technique

“…According to Patomella and Kottorp (2005), the usual on-road driving test cannot identify risky driving practices (due to * Corresponding author: drtariq@uetpeshawar.edu.pk cognitive impairment), as it is not demanding enough. Onroad driving evaluation gauged through an index has shown significant Pearson correlation with driving performance on the simulator (Casutt et al, 2014).…”