The cognitive and socio-demographic influences on driving performance and driving cessation in post-stroke drivers

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Blane, A.School of Occupational Therapy and Social Work, Curtin University, Perth, Australia (author)

The cognitive and socio-demographic influences on driving performance and driving cessation in post-stroke drivers

Article/chapterEnglish2016

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Aracne editrice,2016
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LIBRIS-ID:oai:DiVA.org:hj-34129
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-34129URI

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Language:English
Summary in:English

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Background: Driving is a complex activity requiring highly integrated cognitive and perceptual functions that can be negatively affected following a stroke. The decision to continue or cease with driving after a stroke may not be exclusively dependent on deficits in cognitive and motor abilities. Instead, it is possible that social supports, alternative means of transportation, education level, income, self-regulation ability and the awareness of personal health problems may also influence the decision.Aim: The aim of this research was to explore the influence of personal and socioeconomic factors, in addition to existing cognitive impairment, on the decision of post-stroke adults to return to driving.Method: A case control design was employed to compare driving performance of 48 individuals who had experienced a stroke and 22 volunteer healthy control participants. Half of the post-stroke cohort (N=24) had continued driving and the other half had ceased driving. Socio-demographic and driving-related cognitive performance data were collected to characterise the comparison groups before driving performance was assessed in a driving simulator.Results: Overall, the post-stroke groups did not perform as well as the control participants in the cognitive and driving assessments. The perceived ability to drive after a stroke was not significantly correlated with participants'€™ actual driving ability. Post-stroke adults were more likely to continue driving if they reported having a tertiary level education and a greater income.Conclusion: The decision to return to driving after a stroke is a complicated, multifactorial process. This study confirms previous research, which found that cognition and driving performance are impaired poststroke. The findings also suggest that post-stroke drivers'€™ decision to return to driving was not linked to their ability to drive, but more to socio-demographic and environmental factors. Further screening tools and assessments to identify those at risk when returning to the road post-stroke are required.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Gerontologi, medicinsk/hälsovetenskaplig inriktning hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsterapi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Therapy hsv//eng
SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
Cognition; Driving cessation; Driving performance; Driving simulator; Post-stroke; Socioeconomic factors

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Lee, H. C.School of Occupational Therapy and Social Work, Curtin University, Perth, Australia (author)
Lee, M.School of Occupational Therapy and Social Work, Curtin University, Perth, Australia (author)
Parsons, R.School of Occupational Therapy and Social Work, Curtin University, Perth, Australia (author)
Falkmer, TorbjörnJönköping University,HHJ. CHILD,HHJ, Avdelningen för rehabilitering,School of Occupational Therapy and Social Work, Curtin University, Perth, Australia(Swepub:hj)FaTo (author)
School of Occupational Therapy and Social Work, Curtin University, Perth, AustraliaHHJ. CHILD (creator_code:org_t)

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In:Advances in Transportation Studies: Aracne editrice:38, s. 75-901824-5463

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By the author/editor: Blane, A.; Lee, H. C.; Lee, M.; Parsons, R.; Falkmer, Torbjör ...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Other Medical an ...; and Gerontology spec ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Occupational The ...

SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology

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