The development and initial validation of a new tool to measure self-awareness of driving ability after brain injury

Aust Occup Ther J. 2017 Feb;64(1):33-40. doi: 10.1111/1440-1630.12306. Epub 2016 Aug 4.

Abstract

Aim: The aim of this study was to develop and provide initial validation data for a self-awareness of on-road driving ability measure for individuals with brain injury.

Method: Thirty-nine individuals with Traumatic Brain Injury completed an on-road driving assessment, the Self-Regulation Skills Interview (SRSI) and the newly developed Brain Injury Driving Self-Awareness Measure (BIDSAM).

Results: BIDSAM self, clinician and discrepancy scales demonstrated high levels of internal consistency (α = 0.83-0.92). Criterion-related validity was established by demonstrating significantly higher correlations between clinician ratings and on-road performances, rs = 0.82, P < 0.01, compared to self-ratings, rs = 0.45, P < 0.05. Discrepancy scores were significantly correlated with the SRSI emergent, rs = 0.52, P < 0.01, and anticipatory awareness scores, rs = 0.37, P < 0.05, indicative of convergent validity.

Conclusions: These results provide initial support for the BIDSAM as a reliable and valid measure of self-awareness of on-road driving ability following TBI.

Keywords: awareness; driving; rehabilitation; traumatic brain injury.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Automobile Driving / standards*
  • Awareness*
  • Brain Injuries, Traumatic / psychology*
  • Brain Injuries, Traumatic / rehabilitation*
  • Disability Evaluation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapy / methods
  • Occupational Therapy / standards*
  • Reproducibility of Results
  • Young Adult