Impact of Partial Administration of the Cognitive Behavioral Driver’s Inventory on Concurrent Validity for People With Brain Injury

Duquette, Josée; McKinley, Patricia; Mazer, Barbara; Gélinas, Isabelle; Vanier, Marie T.; Benoit, Dana; Gresset, Jacques

doi:10.5014/ajot.64.2.279

Cited by 16 publications

(6 citation statements)

References 10 publications

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“…Results of a systematic review found that there is no sound basis for predicting driving capacity after TBI because of methodological limitations of previous research (Ortoleva, Brugger, Van der Linden, & Walder, 2012). Furthermore, another study concluded that although off road assessments provide meaningful supplementary data, standard on-road driving assessments are essential (Duquette et al, 2010). The unique contribution of driving, as a means of getting outside of the home into the community, to participation at 5 years post TBI, even after controlling for other known factors, suggests the need for occupational therapy practitioners to consistently perform standard on-road driving assessments and to develop evidenced-based targeted interventions that facilitate safe engagement in the occupation of driving or other modes of accessing the out of home environment to address the long-term goal of improved participation.…”

Section: Discussionmentioning

confidence: 99%

Examining Driving and Participation 5 Years After Traumatic Brain Injury

Erler

Juengst

Smith

et al. 2018

OTJR: Occupational Therapy Journal of Research

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Participation is often considered a primary goal of traumatic brain injury (TBI) rehabilitation, but little is known about the influence of driving on participation after TBI. The objective of this study was to examine the independent contribution of driving status to participation at 5 years post TBI, after controlling for demographic, psychosocial, and functional factors. Participants ( N = 2,456) were community-dwelling individuals with moderate to severe TBI, age 18 to 65 at time of injury, and enrolled in the TBI Model Systems (TBIMS) National Database (NDB). Hierarchical linear regressions for the dependent variable of participation at 5 years post TBI were performed. Findings showed that driving was a highly significant independent predictor of participation and was a stronger relative predictor of participation than FIM® Cognitive, FIM® Motor, and depression. The independent contribution of driving to participation suggests the need to develop evidenced-based occupational therapy assessments and interventions that facilitate safe engagement in the occupation of driving to address the long-term goal of improved participation.

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Section: Discussionmentioning

confidence: 99%

Examining Driving and Participation 5 Years After Traumatic Brain Injury

Erler

Juengst

Smith

et al. 2018

OTJR: Occupational Therapy Journal of Research

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“…This research has examined driving outcomes for a relatively small sample of Australian clients presenting for driver assessment post stroke. However, this sample is comparable or larger than many other studies of clients with stroke that include both off-road and on-road testing [3,15]. While the return-to-driving rate of 76% is similar to that of international studies [5,16,17], larger data-sets are required to confirm these results and ensure that the modeling presented holds true with larger sample sizes.…”

Section: Limitations and Directions For Future Researchmentioning

confidence: 73%

“…These skills are vital to enable performance in a range of activities of everyday living such as driving. Driving is a complex activity requiring the simultaneous integration of a range of cognitive and perceptual-motor behaviors [3]. For example, driving places considerable stress on an individual's attentional systems as it requires the driver to simultaneously process a variety of vital information in a changing environment [4].…”

Section: Introductionmentioning

confidence: 99%

“…Despite more than 25 years of research on driver assessment for people with stroke, relatively few studies have examined the predictive factors associated with returning to drive for this group [3,6,7]. Given that 23 million people internationally expected to have a first-time stroke annually by the year of 2030 [26] and that many of these people will want to resume driving, it is vital to identify assessments that can predict on-road driving performance.…”

Section: Introductionmentioning

confidence: 99%

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Predicting fitness-to-drive following stroke using the Occupational Therapy – Driver Off Road Assessment Battery

Unsworth

Baker

Lannin

et al. 2018

Disability and Rehabilitation

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The three cognitive subtests from the Occupational Therapy - Driver Off Road Assessment Battery and potentially one of the physical tests have good predictive validity for client fitness-to-drive. These tests can be used to screen client suitability for proceeding to an on-road test following stroke. Implications for Rehabilitation: Following stroke, drivers should be counseled (including consideration of local legislation) concerning return to driving. The Occupational Therapy - Driver Off Road Assessment Battery can be used in the clinic to screen people for suitability to undertake on road assessment. Scores on four of the Occupational Therapy - Driver Off Road Assessment Battery subtests are predictive of resumption of driving following stroke.

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“…Driving is a complex task that requires many skills, such as cognitive and perceptual-motor behaviors [1]. While the ability to drive anywhere, anytime, is one of the essential forms of independence, driving ability for stroke survivors is affected in various ways, including physical effects, visual problems, cognitive effects, fatigue, and epilepsy [2].…”

Section: Introductionmentioning

confidence: 99%

Driving-PASS: A Driving Performance Assessment System for Stroke Drivers Using Deep Features

et al. 2021

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Despite any doubts about driving safety, many stroke drivers drive again due to the absence of valid screening tools. The on-road test is considered a formal assessment, but there are safety issues in testing directly on stroke patients who are not fully capable of driving. A driving simulator is a promising tool since it provides meaningful information for identifying hazards to driving safety across different driver populations and driving conditions. Using the advantages of a driving simulator, we propose a Driving Performance Assessment System for Stroke drivers (Driving-PASS). Driving-PASS is designed not only to pre-screen invalid stroke drivers before the on-road test but also to provide problematic driving items for the use in driving rehabilitation. To design assessment classifiers, i.e., the core engine of Driving-PASS, we collect driving data from a total of twenty-seven participants in thirteen driving scenarios. Thereafter, we get subjective assessment results from ten driving evaluators in eleven assessment items. By using driving data and subjective assessment results, we construct eleven assessment classifiers for ten driving ability items and one driving suitability item. We addressed the technical challenges such as handcrafted features and imbalanced dataset by a feature extraction method using pre-trained CNN models and a resampling method. Through comprehensive performance evaluation, we build eleven accurate assessment classifiers in Driving-PASS by carefully selecting deep features in each assessment item. We envision that Driving-PASS can be used as a pre-screening tool for evaluating stroke drivers and will ultimately improve road safety.

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Impact of Partial Administration of the Cognitive Behavioral Driver’s Inventory on Concurrent Validity for People With Brain Injury

Abstract: The CBDI should be used as a complement, not a substitution, for a road test. Partially administrating the CBDI, specifically excluding perimetry measures, can affect its concurrent validity.

Cited by 16 publications

References 10 publications

Examining Driving and Participation 5 Years After Traumatic Brain Injury

Examining Driving and Participation 5 Years After Traumatic Brain Injury

Predicting fitness-to-drive following stroke using the Occupational Therapy – Driver Off Road Assessment Battery

Driving-PASS: A Driving Performance Assessment System for Stroke Drivers Using Deep Features

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