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Behavioural ratings of self-regulatory mechanisms and driving behaviour after an acquired brain injury
Sunnaas Rehabil Hospital, Norway.
University of Oslo, Norway.
Drexel University, PA 19104 USA.
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2014 (English)In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 28, no 13-14, 1687-1699 p.Article in journal (Refereed) Published
Abstract [en]

To explore whether measurements of self-regulatory mechanisms and cognition predict driving behaviour after an acquired brain injury (ABI). Design: Consecutive follow-up study. Participants: 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. Baseline measurements: 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). Follow-up measurements: Post-injury driving characteristics were collected by mailed questionnaires from the participants who succeeded the MDA. Methods: 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 drivers license. Self-regulatory mechanisms and driving behaviour were examined for research purposes only. Results: 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. Conclusion: It is recommended that self-regulatory measurements should regularly be considered in the driving assessments after ABI.

Place, publisher, year, edition, pages
Informa Healthcare , 2014. Vol. 28, no 13-14, 1687-1699 p.
Keyword [en]
Automobile driving; executive function; neuropsychology; personality; self-regulation; stroke; traumatic brain injuries
National Category
Basic Medicine
URN: urn:nbn:se:liu:diva-112844DOI: 10.3109/02699052.2014.947632ISI: 000344696600008PubMedID: 25158241OAI: diva2:776754

Funding Agencies|Extrastiftelsen [2008/2/0113]

Available from: 2015-01-08 Created: 2014-12-17 Last updated: 2015-01-19Bibliographically approved

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