Role of premorbid factors in predicting safe return to driving after severe TBI

Pietrapiana, Paolo; Tamietto, Marco; Torrini, Gaia; Mezzanato, Tiziana; Rago, Roberto; Perino, Claudio

doi:10.1080/02699050400017197

Cited by 63 publications

(87 citation statements)

References 60 publications

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“…Five studies (Coleman, et al, 2002;Formisano, et al, 2005;Pietrapiana, et al, 2005;Rapport, Bryer, & Hanks, 2008;Schneider & Gouvier, 2005) attempted to determine whether certain variables were associated with risk of crash/driving offenses among patients with TBI. Evidence for an association between any TBI-related factor and risk of crash/driving offenses was mixed.…”

Section: Factors Associated With Traumatic Brain Injuries That Are Prmentioning

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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Section: Factors Associated With Traumatic Brain Injuries That Are Prmentioning

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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“…Almost all individuals with mild TBI generally resume driving shortly after injury, and this may be facilitated by having less severe functional impairments and better self-awareness of the repercussions of their injuries on driving (Bottari et al, 2012). On the other hand, 30 to 60% of individuals with moderate to severe TBI also return to driving Fleming et al, 2014;Novack et al, 2010;Pietrapiana et al, 2005;Rapport et al, 2008).…”

Section: Demands and Moderators Of Drivingmentioning

confidence: 99%

“…An individual with ABI may present with difficulties in controlling their behaviour and emotions, and may display signs of aggression, impulsivity and emotional instability (Sabaz et al, 2013) and this can contribute to risky driving behaviours. Even for people without an ABI, an individual's driving performance and safety is influenced by learned driving habits and personality traits Pietrapiana et al, 2005 showed that a higher accident rate post-injury were predicted by pre-injury accidents and violations, a premorbid risk-taking personality and risky driving style, and the length of time since injury (Pietrapiana et al, 2005). Sommers and colleagues (2010) specifically explored personality traits as predictors of fitness to drive after TBI.…”

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%

“…Fitness to drive can be defined as having the ability to manage, anticipate and act on traffic situations and demands without risk (Austroads, 2012;Johnston, Goverover, & Dijkers, 2005). Return to driving after ABI is complex as fitness to drive is affected by multiple factors such as injury severity, the ability to self-regulate, level of self-awareness, and premorbid factors (Austroads, 2012;Lundqvist & Alinder, 2007;Pietrapiana et al, 2005).…”

Section: Assessment Of Fitness To Drivementioning

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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Driving and Traumatic Brain Injury

Hopewell¹

2009

Handbook for the Assessment of Driving Capacity

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Role of premorbid factors in predicting safe return to driving after severe TBI

Cited by 63 publications

References 60 publications

Traumatic Brain Injury and Driver Safety: A Systematic Review

Traumatic Brain Injury and Driver Safety: A Systematic Review

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

Driving and Traumatic Brain Injury

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