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Driving problems and adaptive driving behavior after brain injury: A Qualitative Assessment
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences.
Linköping University, The Swedish Institute for Disability Research. Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
2001 (English)In: Neuropsychological Rehabilitation, ISSN 0960-2011, Vol. 11, no 2, 171-185 p.Article in journal (Refereed) Published
Abstract [en]

One professional driving expert was interviewed after each of 22 on-road driving occasions with brain-injured patients. Driving problems were found in five prescribed qualitative dimensions: speed, manoeuvring, position, attention, and traffic behaviour. In addition, three non-prescribed qualitative dimensions were found: orientation, decision-making, and confidence. Also, adaptive aspects important for safe driving despite brain injury were identified: anticipatory attention, slowing down speed, interest and motivation for safe driving, and driving experience. The results are discussed in terms of a hierarchical model of driving performance. In addition, driving problems and adaptive aspects are discussed in relation to attention and information processing. Anticipatory attention is considered a working memory-based attention system, which is essential for driving quality. Practical implications are outlined, for example, educational practice for driving evaluators and adaptive driving behaviour for patients facilitating driving practice as a part of the rehabilitation programme.

Place, publisher, year, edition, pages
2001. Vol. 11, no 2, 171-185 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-13620DOI: 10.1080/09602010042000240OAI: diva2:21065
Available from: 2001-06-30 Created: 2001-06-30
In thesis
1. Cognitive functions in drivers with brain injury: Anticipation and adaption
Open this publication in new window or tab >>Cognitive functions in drivers with brain injury: Anticipation and adaption
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this thesis was to improve the understanding of what cognitive functions are important for driving performance, investigate the impact of impaired cognitive functions on drivers with brain injury, and study adaptation strategies relevant for driving performance after brain injury. Finally, the predictive value of a neuropsychological test battery was evaluated for driving performance.

Main results can be summarized in the following conclusions: (a) Cognitive functions in terms of attentional and dynamic working memory-related functions are relevant for driving performance. (b) Neuropsychological impairments in information processing speed, divided and focused attention, requiring working memory, are associated to limitations in driving performance. In addition, qualitative aspects of driving problems especially impaired anticipatory attention appeared to constrain driving performance. (c) A neuropsychological test battery assessing speed of information processing and attention in terms of working memory predicted driving performance. In addition, cognitive factors are relevant for interpretation of driving problems qualitatively. (d) Driving speed adjustment and anticipatory attention were adaptive strategies for driving after brain injury. Interest in driving, motivation for driving safely, and driving experience appeared also relevant for driving after brain injury. (e) Collaboration between medical, neuropsychological and driving expertise is recommended for a total evaluation of driving performance after brain injury.

Anticipatory attention was considered a working memory based attentional system, directing the processing resources flexibly and appropriately between the different information processing components. Thus, anticipatory attention demonstrated qualitatively that working memory is a prominent function in a real driving context.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2001. 101 p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 678Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 2
Brain injury, cognitive impairment, anticipatory attention, driving
National Category
Social Work
urn:nbn:se:liu:diva-5159 (URN)91-7219-967-9 (ISBN)
Public defence
2001-05-30, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 09:00 (English)
Available from: 2001-06-30 Created: 2001-06-30 Last updated: 2012-01-24Bibliographically approved

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Lundqvist, AnnaRönnberg, Jerker
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