The development of a simulator-based intervention to rehabilitate driving skills in people with acquired brain injury.
With little to guide researchers and clinicians on how best to develop driving simulator interventions for ABI survivors, we aimed to describe the development process of a driving simulator intervention for ABI survivors in a rehabilitation setting. Intervention mapping methodology was used as a fra...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 16; no. 3; pp. 289 - 301 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150005604&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150005604 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Apr2021 vid: 16 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 150005604 145590345 150005604 150005604 10.1080/17483107.2019.1673835 150005604 ppf: 289 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The development of a simulator-based intervention to rehabilitate driving skills in people with acquired brain injury. aug: au: Dimech-Betancourt, Bleydy Ross, Pamela E. Ponsford, Jennie L. Charlton, Judith L. Stolwyk, Renerus J. affil: Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia sug: subj: Brain Injuries Rehabilitation Automobile Driving Simulations Program Development Human Conceptual Framework Qualitative Studies Motor Skills Program Implementation Funding Source ab: With little to guide researchers and clinicians on how best to develop driving simulator interventions for ABI survivors, we aimed to describe the development process of a driving simulator intervention for ABI survivors in a rehabilitation setting. Intervention mapping methodology was used as a framework for the development of our driving simulator intervention. A qualitative synthesis of theoretical and empirical literature and stakeholder meetings enabled identification of factors affecting return to driving, selection of justifiable intervention goals, and identification of appropriate theoretically-informed techniques to facilitate change. These were used as a basis for design of intervention components and materials. A plan for delivery, implementation and evaluation was then developed. Determinants of driving ability, including knowledge and skills, self-efficacy, self-awareness of driving skills, awareness of risk and compensatory strategies were identified. These were applied to a range of tactical and operational driving behaviours to identify targets for change. Theoretically-informed strategies included direct instruction, repetition, graded difficulty, feedback and tailoring. An eight-session protocol, with a corresponding clinical manual, was developed for brain-injured patients who were referred for occupational therapy driving assessment. Protocols for recruitment, inclusion/exclusion criteria and facilitator training were developed, as well as a plan for evaluating feasibility, acceptability and effectiveness. Intervention mapping was a useful approach to systematically develop an intervention tailored to the rehabilitation hospital context to complement existing driver rehabilitation. The feasibility and effectiveness of the simulator programme developed in this study will be evaluated in future studies. We were able to gather important information and provide recommendations to tailor a new driving simulator intervention for individuals with acquired brain injury within a rehabilitation service. The processes and methods described provide researchers and clinicians with a systematic process for the selection of driving simulator intervention components and delivery. This investigation can be used to educate rehabilitation clinicians and technicians to improve driver training and delivery to acquired brain injury survivors. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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