| Driving and community integration after traumatic brain injury. | |
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MedLine Citation:
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PMID: 18452742 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine resumption of driving after traumatic brain injury (TBI) and its relation to community integration. DESIGN: Cross-sectional cohort study; survey and cognitive data. SETTINGS: Inpatient rehabilitation hospital of the Traumatic Brain Injury Model Systems and community. PARTICIPANTS: Persons (N=261) ranging from 3 months to 15 years postinjury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Barriers to Driving Questionnaire, Driver Survey, Community Integration Measure, and Craig Hospital Assessment and Reporting Technique. RESULTS: Forty-four percent of survivors had resumed driving; of nondrivers, 48% reported a strong desire to resume driving. Nondriver survivors who sought to resume driving generally rated themselves as currently fit to drive, viewed themselves as having physical and cognitive profiles like those of survivor drivers, and reported their greatest barriers to driving as social and resource related. However, cognitive functioning was similar to nondriver survivors who did not seek to resume driving and significantly worse than survivors who were currently driving. Nondrivers showed poorer community integration than did drivers, even after accounting for injury severity, social support, negative affectivity, and use of alternative transportation. Use of alternative transportation was common among nondrivers, but it was unrelated to community integration outcomes. Cognitive functioning moderated risk of adverse incident: among survivors with low cognitive functioning and high self-estimates of driving ability, which is indicative of unawareness of deficit, adverse incidents showed positive relation to amount of driving and inverse relation to cognitive functioning. CONCLUSIONS: Driving status has unique and independent association with post-TBI community integration. Additional research is needed to evaluate transportation barriers that undermine full engagement in community living after TBI and to determine which barriers to driving reflect valid risk to survivors and the public. |
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Authors:
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Lisa J Rapport; Renee Coleman Bryer; Robin A Hanks |
Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 89 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-02 Completed Date: 2008-06-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 922-30 Citation Subset: AIM; IM |
Affiliation:
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Department of Psychology, Wayne State University, Detroit, MI 48202, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Aptitude Automobile Driving* Brain Injuries / physiopathology*, rehabilitation Cross-Sectional Studies Decision Making* Female Glasgow Coma Scale Humans Male Middle Aged Questionnaires Recovery of Function* Social Adjustment Socialization* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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