Article

The aim of this study was to explore and describe awareness of driving disability
in people with driving difficulties after stroke. The study comprised a
consecutive sample of 38 participants with stroke who showed difficulties in a
technically advanced, interactive driving simulator. Driving ability in the
simulator was measured using Performance Analysis of Driving Ability (P-Drive).
Awareness of driving disability was measured using a modified version of
Assessment of Awareness of Disability (AAD), measuring the discrepancy between
observed driving actions and self-reported disability after a driving evaluation
in a simulator. A majority of the participants (n = 36) demonstrated driving
ability that was below the cut-off criterion for P-Drive. Furthermore, a majority
of the items measuring awareness of driving disability were scored low,
indicating that participants with stroke who did not pass a driving evaluation
also had limited awareness of driving disability. A General Linear Model analysis
indicated that awareness of driving disability and cognitive screening outcome
explained 74% of the variance in driving ability. This study indicated that a
majority of the people with stroke who fail a driving evaluation also have
limited awareness of their disability, which indicates the need to address
awareness in driving evaluations.

Langue : ANGLAIS