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dc.date.accessioned2013-05-02T10:30:35Z
dc.date.available2013-05-02T10:30:35Z
dc.date.issued2012en_US
dc.date.submitted2012-10-18en_US
dc.identifier.citationGlasø, Ann-Marie de Lange. Prerequisites for safe driving after brain injury. Hovedoppgave, University of Oslo, 2012en_US
dc.identifier.urihttp://hdl.handle.net/10852/35162
dc.description.abstractObjective: The present study explores the additional value of BRIEF-A and Awareness Questionnaire in cognitive assessments for holding a drivers’ license. The potential additional value of the questionnaires was studied by investigating the statistical correlations between the questionnaires and neuropsychological tests. The relationships between the measures of self-awareness and outcome in the conclusions for or against holding a drivers’ license were examined. Furthermore, the relationship between location of injury (left, right or multifocal) and both outcome (fulfilling criteria for driving or not) and self-awareness was investigated. Research design: Totally, 89 inpatients at Sunnaas Rehabilitation hospital with cerebrovascular accidents (stroke) and traumatic brain injury (TBI) were assessed consecutively using a standardized neuropsychological driving battery. In addition, the patients completed two self-reporting scales, i.e. Awareness Questionnaire (AQ), measuring self-awareness, and Behaviour Rating Inventory of Executive Function (BRIEF-A), measuring executive function in daily life. The questionnaires were not part of the basis for the decisions for or against holding a drivers’ license. Both questionnaires included corresponding ratings from relatives, and the discrepancy between the patients’ and the relatives’ scores were calculated and used as an indication of the patients’ degree of self-awareness. Results: Some significant relationships were found between Awareness Questionnaire and neuropsychological tests, predominantly on the Motor/Sensory subscale. Only two weak correlations were found between BRIEF-A and neuropsychological tests. No significant differences were found between the patients fulfilling criteria for driving and the patients not fulfilling criteria for driving in terms of self-awareness. Nine patients categorized with impaired self-awareness on Awareness Questionnaire fulfilled the criteria for driving, as did six patients categorized with impaired self-awareness on BRIEF-A. Localization of injury was not significantly related to outcome or measures of self-awareness although there was a tendency for patients with right hemisphere injury to not fulfill the criteria for driving. Conclusion: The results indicate that both BRIEF-A and the Awareness Questionnaire may serve as valuable supplements in fitness-to-drive assessments, as they seem to measure aspects of higher order cognitive functioning relevant for the ability to adjust driving behavior post injury, which are not covered by neuropsychological tests. Long-term follow-up accident studies should be conducted with large groups of subjects who are assessed comprehensively in order to establish more evidence-based guidelines. The contribution of self-awareness as part of the prerequisites in decision-making for holding a drivers` license should be given attention.eng
dc.language.isoengen_US
dc.titlePrerequisites for safe driving after brain injury : Exploring the additional value of BRIEF-A and Awareness Questionnaire in cognitive assessments for holding a drivers’ license.en_US
dc.typeMaster thesisen_US
dc.date.updated2013-04-29en_US
dc.creator.authorGlasø, Ann-Marie de Langeen_US
dc.subject.nsiVDP::260en_US
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft.au=Glasø, Ann-Marie de Lange&rft.title=Prerequisites for safe driving after brain injury&rft.inst=University of Oslo&rft.date=2012&rft.degree=Hovedoppgaveen_US
dc.identifier.urnURN:NBN:no-33729en_US
dc.type.documentHovedoppgaveen_US
dc.identifier.duo170419en_US
dc.contributor.supervisorPål Ulleberg, Anne-Kristine Schankeen_US
dc.identifier.bibsys131460978en_US
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/35162/2/glasoe-hovedoppgave.pdf


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