Behavioural ratings of self-regulatory mechanisms and driving behaviour after an acquired brain injury. (December 2014)

• Record Type: Journal Article
• Authors: Rike, Per-Ola; Ulleberg, Pål; Schultheis, Maria T.; Lundqvist, Anna; Schanke, Anne-Kristine
• Is Part Of: Brain injury. Volume 28:Number 13/14(2014)
• Page Start: 1687
• Page End: 1699
• Publication Date: 2014-12
• Subjects: Brain damage -- Periodicals; Brain -- Wounds and injuries -- Periodicals; Brain Injuries -- Periodicals; 617.481
• DOI: 10.3109/02699052.2014.947632
• Languages: English
• ISSNs: 0269-9052

Abstract

<abstract> <title>Abstract</title> <p> <italic>Objective</italic>: To explore whether measurements of self-regulatory mechanisms and cognition predict driving behaviour after an acquired brain injury (ABI).</p> <p> <italic>Design</italic>: Consecutive follow-up study.</p> <p> <italic>Participants</italic>: At baseline participants included 77 persons with stroke and 32 persons with a traumatic brain injury (TBI), all of whom completed a multidisciplinary driving assessment (MDA). A follow-up cohort of 34 persons that succeeded the MDA was included.</p> <p> <italic>Baseline measurements</italic>: Neuropsychological tests and measurements of self-regulatory mechanisms (BRIEF-A and UPPS Impulsive Behaviour Scale), driving behaviour (DBQ) and pre-injury driving characteristics (mileage, compensatory driving strategies and accident rates).</p> <p> <italic>Follow-up measurements</italic>: Post-injury driving characteristics were collected by mailed questionnaires from the participants who succeeded the MDA.</p> <p> <italic>Methods</italic>: A MDA, which included a medical examination, neuropsychological testing and an on-road driving test, was considered in the decision for or against granting a driver's license. Self-regulatory mechanisms and driving behaviour were examined for research purposes only.</p> <p> <italic>Results</italic>: At baseline, self-regulatory mechanisms were significantly associated to aberrant driving behaviour, but not with neuropsychological data or with the outcome of the on-road driving test. Aspects of self-regulation were associated to driving behaviour at follow-up.</p> <p> <italic>Conclusion</italic>: It is recommended that self-regulatory measurements should regularly be considered in the driving assessments after ABI.</p> </abstract>