Driving behaviour after brain injury: a follow-up of accident rate and driving patterns 6-9 years post-injury.

Schanke, Anne‐Kristine; Rike, Per-Ola; Mølmen, Anette; Osten, P E

doi:10.2340/16501977-0256

Cited by 54 publications

(41 citation statements)

References 11 publications

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“…There is low level evidence that drivers following stroke have no greater incidence of being involved in a motor vehicle accident or receiving a driving violation than drivers in the general population (Haselkorn, Mueller & Rivara, 1998;Lundqvist, Alinder & Ronnberg, 2008;Schanke, Rike, Molmen & Osten, 2008;Van Zomeren et al, 1987). This may be due to the adoption of compensatory strategies similar to those used by elderly drivers, although there is no direct evidence of this in stroke patients (De Raedt & Ponjaert-Kristoffersen, 2000;Fisk et al, 1997;George, Clark & Crotty, 2006;Unsworth, Wells, Browning, Thomas & Kendig, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…A Norwegian study conducted longer-term follow-up of 65 patients 6-9 years after stroke to assess accident rates and driving fitness after successful assessment (Schanke et al, 2008). The patients had made considerable changes to their driving patterns from their pre-injury driving, but there was no significant difference in accident rates when compared with national normative data.…”

Section: Introductionmentioning

confidence: 99%

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Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Pearce

Smead

Cameron

2011

Aus Occup Therapy J

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Background: The occupational role of 'driver' is highly valued. Stroke can have a significant impact on an individual's ability to drive safely. Multi-disciplinary driver assessments are conducted to assess the safety of poststroke individuals returning to driving, however, little follow-up of drivers following successful assessment has been performed. Aim: The objective of this study was to investigate whether passing a multi-disciplinary driving assessment following stroke predicted medium-to long-term safe and confident driving. Methods: A retrospective cohort study with primary data collection through structured telephone interviews was undertaken. Respondents were individuals post-stroke aged 18-74 years who had successfully passed a multi-disciplinary driver assessment. Results: Forty-five respondents were interviewed an average of 20 months following the assessment. Forty individuals were still driving. Twenty-five driving respondents reported driving in conditions that indicated confident driving. Confident driving was measured by driving frequency and distance, night driving, freeway driving and driving alone. The frequency of accidents and incidents suggests that 95% (n = 38) of drivers are 'safe'. Eight respondents reported accidents, one of which was major. In two accidents the respondent was 'at fault'. A crash rate of 222 per 100,000 drivers is within the confidence interval for similar accidents in New South Wales. Conclusions:The results of this small cohort study suggest that a multi-disciplinary driver assessment may be effective in identifying people following stroke with the ability to drive safely and confidently.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Pearce

Smead

Cameron

2011

Aus Occup Therapy J

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“…Data of the individual studies on the crash rate and severity of TBI among drivers with TBI compared to those who don't have TBI are summarized in Table 1. Only one of these studies (Schanke, et al, 2008) evaluated crash risk adjusted for distance driven, which is possibly the most important potential confounding variable. We independently calculated rate ratios to allow us to combine the data from all four studies that reported the number of events.…”

Section: Direct Evidence For the Impact Of Traumatic Brain Injury On mentioning

confidence: 99%

“…Five studies (Formisano, et al, 2005;Gouvier, et al, 1989;Haselkorn, Mueller, & Rivara, 1998;Schanke, Rike, Molmen, & Osten, 2008;Schultheis, Matheis, Nead, & DeLuca, 2002) attempted to directly determine crash risk among drivers with TBI through evaluation of self-reported crashes or crashes recorded in a state licensing database. Data of the individual studies on the crash rate and severity of TBI among drivers with TBI compared to those who don't have TBI are summarized in Table 1.…”

Section: Direct Evidence For the Impact Of Traumatic Brain Injury On mentioning

confidence: 99%

Traumatic Brain Injury and Driver Safety: A Systematic Review

Tregear

Williams

Funmilayo

2011

Proceedings of the 6th International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design : Dr

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Summary: Traumatic brain injuries (TBI) can lead to impairments in cognitive, physical, and psychosocial functions, which may ultimately affect an individual's ability to drive. A systematic review was conducted to: 1) assess the impact of TBI on crash risk/driving performance; 2) determine what factors associated with TBI are predictive of increased crash risk/poor driving performance; and 3) determine if there is a likelihood of future seizure among individuals with a TBI who did not experience a seizure at the time of the injury. Results indicated that: 1) The available evidence is insufficient to determine whether crash risk is elevated for drivers with TBI compared to uninjured controls (Summary RR=1.32;

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“…Research findings on the accident risk of drivers after brain injury have been inconsistent, with some reporting no increased risk of accidents (Haselkorn, Mueller, & Rivara, 1998), and some studies reporting a higher accident risk when compared with the general population (Bivona et al, 2012;Schanke, Molmen, & Osten, 2008). This discrepancy in accident rate may be a result of some individuals using compensatory driving strategies (e.g., avoiding night driving), and henceforth reducing the risks that they are exposed to (Labbe, Vance, Wadley, & Novack, 2013).…”

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

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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Driving behaviour after brain injury: a follow-up of accident rate and driving patterns 6-9 years post-injury.

Abstract: Patients with traumatic brain injury represent a risk group for accidents post-injury, while those with brain injury after cerebrovascular accidents do not. Possible causes for this difference are discussed.

Cited by 54 publications

References 11 publications

Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Retrospective cohort study of accident outcomes for individuals who have successfully undergone driver assessment following stroke

Traumatic Brain Injury and Driver Safety: A Systematic Review

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

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