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The cognitive and s...
The cognitive and socio-demographic influences on driving performance and driving cessation in post-stroke drivers
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- Blane, A. (författare)
- School of Occupational Therapy and Social Work, Curtin University, Perth, Australia
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- Lee, H. C. (författare)
- School of Occupational Therapy and Social Work, Curtin University, Perth, Australia
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- Lee, M. (författare)
- School of Occupational Therapy and Social Work, Curtin University, Perth, Australia
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- Parsons, R. (författare)
- School of Occupational Therapy and Social Work, Curtin University, Perth, Australia
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- Falkmer, Torbjörn (författare)
- Jönköping University,HHJ. CHILD,HHJ, Avdelningen för rehabilitering,School of Occupational Therapy and Social Work, Curtin University, Perth, Australia
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School of Occupational Therapy and Social Work, Curtin University, Perth, Australia HHJ CHILD (creator_code:org_t)
- Aracne editrice, 2016
- 2016
- Engelska.
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Ingår i: Advances in Transportation Studies. - : Aracne editrice. - 1824-5463. ; :38, s. 75-90
- Relaterad länk:
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https://hj.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
Ämnesord
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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.
Ämnesord
- 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)
Nyckelord
- Cognition; Driving cessation; Driving performance; Driving simulator; Post-stroke; Socioeconomic factors
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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