Predictors of Driving Status in Service Members and Veterans at 1 Year Posttraumatic Brain Injury: A VA TBI Model Systems Study. Issue 6 (November 2021)
- Record Type:
- Journal Article
- Title:
- Predictors of Driving Status in Service Members and Veterans at 1 Year Posttraumatic Brain Injury: A VA TBI Model Systems Study. Issue 6 (November 2021)
- Main Title:
- Predictors of Driving Status in Service Members and Veterans at 1 Year Posttraumatic Brain Injury
- Authors:
- Bernstein, John P. K.
Sevigny, Mitch
Novack, Thomas A.
Dreer, Laura E.
Chung, Joyce
Lamberty, Greg J.
Finn, Jacob A. - Abstract:
- Abstract : Objective: To identify predictors of driving status in service members and veterans 1 year following a traumatic brain injury (TBI). Setting: The 5 Department of Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRCs). Participants: A total of 471 service members and veterans (128 with mild/complicated mild TBI and 343 with moderate/severe TBI) who received TBI-focused inpatient rehabilitation at one of the VA PRCs and who participated in a 1-year postinjury follow-up assessment. Design: Secondary analysis from the Department of Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems (VA PRC TBIMS) national database. Main Measures: Primary outcome was a single item that assessed driving status at 1 year postinjury. Predictor variables included demographics; sensory impairment, substance use, and employment status at time of injury; PTSD symptoms reported at study enrollment; and functional impairment rated at rehabilitation discharge. Results: In unadjusted bivariate analyses, among those with a mild/complicated mild TBI, older age and greater functional impairment were associated with lower likelihood of driving. Among those with a moderate/severe TBI, discharge to a nonprivate residence, greater functional impairment, and higher PTSD symptoms were linked to lower likelihood of driving. Adjusted multivariate analyses indicated that functional impairment was uniquely associated with driving status in both TBI severity groups.Abstract : Objective: To identify predictors of driving status in service members and veterans 1 year following a traumatic brain injury (TBI). Setting: The 5 Department of Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRCs). Participants: A total of 471 service members and veterans (128 with mild/complicated mild TBI and 343 with moderate/severe TBI) who received TBI-focused inpatient rehabilitation at one of the VA PRCs and who participated in a 1-year postinjury follow-up assessment. Design: Secondary analysis from the Department of Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems (VA PRC TBIMS) national database. Main Measures: Primary outcome was a single item that assessed driving status at 1 year postinjury. Predictor variables included demographics; sensory impairment, substance use, and employment status at time of injury; PTSD symptoms reported at study enrollment; and functional impairment rated at rehabilitation discharge. Results: In unadjusted bivariate analyses, among those with a mild/complicated mild TBI, older age and greater functional impairment were associated with lower likelihood of driving. Among those with a moderate/severe TBI, discharge to a nonprivate residence, greater functional impairment, and higher PTSD symptoms were linked to lower likelihood of driving. Adjusted multivariate analyses indicated that functional impairment was uniquely associated with driving status in both TBI severity groups. After controlling for other predictors, self-reported PTSD symptoms, particularly dysphoria symptoms, were associated with lower likelihood of driving in both severity groups. Conclusion: Given the significance of clinician-rated functional impairment and self-reported PTSD symptoms to the prediction of driving status 1 year post-TBI among service members and veterans, rehabilitation efforts to improve functioning and reduce negative affect may have a positive impact on driving and community integration. … (more)
- Is Part Of:
- Journal of head trauma rehabilitation. Volume 36:Issue 6(2021)
- Journal:
- Journal of head trauma rehabilitation
- Issue:
- Volume 36:Issue 6(2021)
- Issue Display:
- Volume 36, Issue 6 (2021)
- Year:
- 2021
- Volume:
- 36
- Issue:
- 6
- Issue Sort Value:
- 2021-0036-0006-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-11
- Subjects:
- driving -- PTSD -- rehabilitation -- traumatic brain injury -- VA TBI Model Systems -- veterans
Brain damage -- Patients -- Rehabilitation -- Periodicals
Brain damage -- Periodicals
617.4810443 - Journal URLs:
- http://journals.lww.com/headtraumarehab/pages/default.aspx ↗
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=toc&D=yrovft&AN=00001199-000000000-00000 ↗
http://www.headtraumarehab.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/HTR.0000000000000668 ↗
- Languages:
- English
- ISSNs:
- 0885-9701
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4996.672000
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 25069.xml