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Determining fitness to drive : a systematic review of the methods and assessments used after mild traumatic brain injury

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journal contribution
posted on 06.12.2017, 00:00 by A Baker, Carolyn UnsworthCarolyn Unsworth, N Lannin
Introduction: Limited evidence is available to support knowledge of the time-frame and capacity for fitness to drive after mild traumatic brain injury. The aim of this systematic review was to identify what methods and assessments are, or could be used to determine fitness to drive for this population. Method: We undertook a systematic search of six electronic databases. Two authors rated all studies for methodological content and quality, and standardised data were extracted. Narrative analysis was conducted to understand the content of eligible studies. Findings: A total of 2022 articles were retrieved; seven articles met the inclusion criteria. Self-reported questionnaires, nonstandardised assessments, questionnaires completed by next-of-kin, and simulator tests were the primary methods used to determine fitness to drive. Only one assessment has been used to aid recommendations about fitness to drive in the acute hospital setting. Six additional standardised assessments were identified that have the potential to predict fitness to drive in this population group; however, these assessments require further psychometric testing prior to use. Conclusion: While a variety of methods and assessments are currently used, there is little research evidence to suggest when individuals are able to return to driving after mild traumatic brain injury. Research is urgently required to determine a consistentand standardised approach to assessing fitness to drive following mild traumatic brain injury.

History

Volume

78

Issue

2

Start Page

73

End Page

84

Number of Pages

12

eISSN

1477-6006

ISSN

0308-0226

Location

United Kingdom

Publisher

Sage Publications

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Alfred Hospital (Prahan, Vic.); Curtin University; Högskolan i Jönköping; La Trobe University; School of Human, Health and Social Sciences (2013- ); TBA Research Institute;

Era Eligible

Yes

Journal

British journal of occupational therapy.