Self-Evaluation of Driving Simulator Performance After Stroke

McKay, Cherisse; Rapport, Lisa J.; Bryer, Renee Coleman; Casey, Joseph E.

doi:10.1310/tsr1805-549

Cited by 25 publications

(30 citation statements)

References 33 publications

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“…During the City Driving Scenario, patients made over twice as many errors as the control participants. This finding is supported by the results of previous driving simulator studies that investigated the performance of patients 7-14 days [24] and at least three months [25] post-stroke. The findings of the current study are also consistent with the results of Schweizer and colleagues [9], which showed that increased recruitment of various brain networks was required when driving situations increased in complexity.…”

Section: Discussionsupporting

confidence: 82%

“…This highlights the importance of physicians and other healthcare professionals in adhering to the guidelines and addressing the need for patients to refrain from driving in (at least) the acute phase of injury. In cases where patients are hesitant, have significant impairments related to driving, are at an increased risk of recurrence, or have impaired self-awareness [25], it may be in the best interest of the patient to refer them for a formal and comprehensive driving assessment. …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is it safe to drive after acute mild stroke? A preliminary report

Hird

Veselý

Christie

et al. 2015

Journal of the Neurological Sciences

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Is it safe to drive after acute mild stroke? A preliminary report

Hird

Veselý

Christie

et al. 2015

Journal of the Neurological Sciences

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“…930a The majority of individuals who sustain a stroke want to and do return to driving within a year after stroke. 927,928,931 Despite a significant number of individuals in whom driving ability is reduced 928,932 and the incidence of reduced self-awareness of driving difficulties after stroke, 933 very few individuals are ever formally assessed for driving, nor is return to driving discussed with them. 72,928,934 This is clearly a neglected area in the current healthcare system surrounding rehabilitation services after stroke.…”

Section: Winstein Et Al Guidelines For Adult Stroke Rehabilitation Anmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,187

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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“…The sample size and type varied between the studies. Twelve studies examined metacognitive function exclusively in patients with stroke 2 29 31 34–36 39 40 44 53 56 58. The remaining 22 studies consisted of other patient groups alongside stroke (eg, traumatic brain injury, tumour or hypoxic event).…”

Section: Resultsmentioning

confidence: 99%

Metacognitive function poststroke: a review of definition and assessment

Banna

Redha

Abdulla

et al. 2015

J Neurol Neurosurg Psychiatry

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Metacognition is the conscious knowledge individuals have about their own cognitive capacities and the regulation of these activities through self-monitoring. The aim of this review was to identify the definitions and assessment tools used to examine metacognition in relation to stroke studies. A computer database search was conducted using MEDLINE, CINAHL, PsycINFO, Cochrane Reviews, Scopus and Web of Science. A total of 1412 publications were retrieved from the initial database search. Following the removal of unrelated articles, 34 articles remained eligible. 5 studies examined metacognition in relation to cognitive and/or emotional functioning, 4 examined the concept in relation to memory, while others investigated its relationship to driving, employment or restrictions in daily living. 12 studies examined metacognitive function exclusively in stroke. Only 1 study examined metacognition in the acute phase of stroke. 7 studies adhered to the standard definition of metacognition in line with the neuropsychological literature. The main assessment tools utilised included the Self-Regulation and Skills Interview (SRSI), the Self-Awareness of Deficits Interview (SADI), the Awareness Questionnaire (AQ) and the Patient Competency Rating Scale (PCRS). Assessment of metacognition has tended to focus on traumatic and other acquired brain injury in comparison to stroke. The majority of the studies that examined metacognition in stroke did not assess patients in the acute phase. The heterogeneity of assessment tools was in keeping with the variation in the definition of metacognition. The emergence of a standard metacognitive assessment tool may have important implications for future rehabilitative programmes.

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Self-Evaluation of Driving Simulator Performance After Stroke

Abstract: Although the temporal stability of the shift in awareness is not known, these results support the use of driving simulators as a useful and safe method of assessing and potentially improving stroke survivors' ISA.

Cited by 25 publications

References 33 publications

Is it safe to drive after acute mild stroke? A preliminary report

Is it safe to drive after acute mild stroke? A preliminary report

Guidelines for Adult Stroke Rehabilitation and Recovery

Metacognitive function poststroke: a review of definition and assessment

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