Driving after brain injury: Self-awareness and coping at the tactical level of control

Lundqvist, Anna; Alinder, Johan

doi:10.1080/02699050701651660

Cited by 47 publications

(61 citation statements)

References 21 publications

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“…As a result, individuals might not make accurate and safe decisions or foresee the consequences of their driving decisions. In addition, some individuals with ABI may have reduced self-awareness of their cognitive capacity (Lundqvist & Alinder, 2007). When individuals with reduced self-awareness attempt to plan at the strategic level, they may be oblivious to potential dangers to which they may expose themselves (e.g., plan to take a long drive due to impaired awareness of a reduced attention span).…”

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

“…Self-awareness is just as important, if not more, in the tactical compared to the strategic level (Lundqvist & Alinder, 2007). A conscious awareness of driving performance is imperative when a decision needs to be made quickly and accurately (Lundqvist & Alinder, 2007).…”

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

“…Complex cognitive control is required at this level as an individual needs to be flexible and adaptable in order to make sound judgements and avoid risky driving situations (Fortin, Godbout, & Braun, 2003;Lundqvist & Alinder, 2007). Self-awareness is just as important, if not more, in the tactical compared to the strategic level (Lundqvist & Alinder, 2007). A conscious awareness of driving performance is imperative when a decision needs to be made quickly and accurately (Lundqvist & Alinder, 2007).…”

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

“…Individuals with ABI may have difficulties in information processing (Innes et al, 2007), and can find the experience of making decisions under time pressure an overwhelming one. Complex cognitive control is required at this level as an individual needs to be flexible and adaptable in order to make sound judgements and avoid risky driving situations (Fortin, Godbout, & Braun, 2003;Lundqvist & Alinder, 2007). Self-awareness is just as important, if not more, in the tactical compared to the strategic level (Lundqvist & Alinder, 2007).…”

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

“…Figure 2.1 illustrates the adapted model (Michon, 1985). This model is one of the most commonly cited driving models used in understanding driving for individuals with ABI (Bottari et al, 2012;Lundqvist & Alinder, 2007;Pietrapiana et al, 2005;Tamietto et al, 2006). This theoretical model categorises driving into three interconnected levels: operational, tactical and strategic.…”

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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Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%