On-road driving remediation following acquired brain injury: a randomized controlled trial
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Gustafsson, Louise
Molineux, Matthew
Bell, Ryan
Perez, William Pinzon
Shah, Darshan
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Abstract
Objective To investigate the relationship between on-road driving remediation and achieving fitness to drive following acquired brain injury.
Design Randomized controlled trial.
Setting Tertiary hospital outpatient driver assessment and rehabilitation service, Australia.
Participants Thirty-five participants (54.3% male), aged 18–65 years, 41 days-20 years post-acquired brain injury (including stroke, aneurysm, traumatic brain injury) recommended for on-road driving remediation following occupational therapy driver assessment were randomly assigned to intervention (n = 18) and waitlist control (n = 17) groups.
Intervention Intervention group received on-road driving remediation delivered by a qualified driving instructor in a dual-control vehicle. The waitlist control group completed a 6 week period of no driving-related remediation.
Main measure Fitness to drive rated following the conduct of an on-road occupational therapy driver assessment with a qualified driving instructor where outcome assessors were blinded to group allocation.
Results The intervention group were significantly more likely to achieve a fit to drive recommendation than no driving specific intervention (p = 0.003).
Conclusion Following comprehensive assessment, individualized on-road driving remediation programs devised by an occupational therapist with advanced training in driver assessment and rehabilitation and delivered by a qualified driving instructor are significantly associated with achieving fitness to drive after acquired brain injury.
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Brain Injury
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© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
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Clinical sciences
Allied health and rehabilitation science
Clinical and health psychology
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Bassingthwaighte, L; Gustafsson, L; Molineux, M; Bell, R; Perez, WP; Shah, D, On-road driving remediation following acquired brain injury: a randomized controlled trial, Brain Injury, 2024