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Title: | Predictors of the on-road driving assessment after traumatic brain injury: comparing cognitive tests, injury factors, and demographics. |
Epworth Authors: | McKay, Adam Schonberger, Michael Ponsford, Jennie Ross, Pamela |
Other Authors: | Liew, Carine |
Keywords: | Traumatic Brain Injury TBI Acquired Brain Injury ABI Driving Assessment Neuropsychology Cognitive Testing Post-Traumatic Amnesia Wechsler Test of Adult Reading Wechsler Adult Intelligence Scale-III Rey Auditory Verbal Leaning Test Rey Complex Figure Test Trail Making Test Time Post-Injury Cognitive Predictors Driving Ability Rehabilitation Functional Tasks National Adult Reading Test-Revised Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia |
Issue Date: | Nov-2016 |
Publisher: | Wolters Kluwer |
Citation: | J Head Trauma Rehabil. 2016 Nov/Dec;31(6):E44-E52. |
Abstract: | OBJECTIVES: (1) To examine the relations between performance on cognitive tests and on-road driving assessment in a sample of persons with traumatic brain injury (TBI). (2) To compare cognitive predictors of the on-road assessment with demographic and injury-related predictors. PARTICIPANTS: Ninety-nine people with mild-severe TBI who completed an on-road driving assessment in an Australian rehabilitation setting. DESIGN: Retrospective case series. MAIN MEASURES: Wechsler Test of Adult Reading or National Adult Reading Test-Revised; 4 subtests from the Wechsler Adult Intelligence Scale-III; Rey Auditory Verbal Leaning Test; Rey Complex Figure Test; Trail Making Test; demographic factors (age, sex, years licensed); and injury-related factors (duration of posttraumatic amnesia; time postinjury). RESULTS: Participants who failed the driving assessment did worse on measures of attention, visual memory, and executive processing; however, cognitive tests were weak correlates (r values <0.3) and poor predictors of the driving assessment. Posttraumatic amnesia duration mediated by time postinjury was the strongest predictor of the driving assessment-that is, participants with more severe TBIs had later driving assessments and were more likely to fail. CONCLUSION: Cognitive tests are not reliable predictors of the on-road driving assessment outcome. Traumatic brain injury severity may be a better predictor of on-road driving; however, further research is needed to identify the best predictors of driving behavior after TBI. |
URI: | http://hdl.handle.net/11434/881 |
DOI: | 10.1097/HTR.0000000000000209 |
PubMed URL: | https://www.ncbi.nlm.nih.gov/pubmed/26709586 |
ISSN: | 0885-9701 |
Journal Title: | Journal of Head Trauma Rehabilitation |
Type: | Journal Article |
Affiliated Organisations: | School of Psychological Sciences, Monash University, Melbourne, Australia Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Freiburg, Germany National Trauma Research Institute, Melbourne, Australia |
Type of Clinical Study or Trial: | Retrospective studies |
Appears in Collections: | Neurosciences Rehabilitation |
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