
@article{ref1,
title="Predictors of the on-road driving assessment after traumatic brain injury: comparing cognitive tests, injury factors, and demographics",
journal="Journal of head trauma rehabilitation",
year="2015",
author="McKay, Adam and Liew, Carine and Schönberger, Michael and Ross, Pamela and Ponsford, Jennie",
volume="31",
number="6",
pages="E44-E52",
abstract="OBJECTIVES: (1) To examine the relations between performance on cognitive tests and on-road driving assessment in a sample of persons with traumatic brain injury (TBI). (2) To compare cognitive predictors of the on-road assessment with demographic and injury-related predictors. PARTICIPANTS: Ninety-nine people with mild-severe TBI who completed an on-road driving assessment in an Australian rehabilitation setting. <br><br>DESIGN: Retrospective case series. MAIN MEASURES: Wechsler Test of Adult Reading or National Adult Reading Test-Revised; 4 subtests from the Wechsler Adult Intelligence Scale-III; Rey Auditory Verbal Leaning Test; Rey Complex Figure Test; Trail Making Test; demographic factors (age, sex, years licensed); and injury-related factors (duration of posttraumatic amnesia; time postinjury). <br><br>RESULTS: Participants who failed the driving assessment did worse on measures of attention, visual memory, and executive processing; however, cognitive tests were weak correlates (r values <0.3) and poor predictors of the driving assessment. Posttraumatic amnesia duration mediated by time postinjury was the strongest predictor of the driving assessment-that is, participants with more severe TBIs had later driving assessments and were more likely to fail. <br><br>CONCLUSION: Cognitive tests are not reliable predictors of the on-road driving assessment outcome. Traumatic brain injury severity may be a better predictor of on-road driving; however, further research is needed to identify the best predictors of driving behavior after TBI.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000209",
url="http://dx.doi.org/10.1097/HTR.0000000000000209"
}