Driving Simulator Training For Adults With Acquired Brain Injuries

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSacred Heart University

About this trial

The aim of this project is to prepare adults with acquired brain injuries for on-road driving by using the driving simulator and increase participant's comfort level, confidence, and independence within their occupation of driving. The occupational therapy faculty are interested in identifying the impact driving simulation training has on individuals with acquired brain injuries and how it prepares them for on-road driving. We hope that the information from this project will help us gather information on how driving simulation training improves pre-driving skills related to comfort, confidence, and independence.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult participants over 18 years

Diagnosed acquired brain injury

A valid driver's license

History of driving prior to injury

Disqualifiers

Age less than 18 years

Moderate to severe cognitive impairment, as measured on the Montreal Cognitive Assessment

Visual acuity or visual field issues

Trial design

Design model

Parallel

Treatments tested in this trial

  • Driving Simulation Intervention

    Other intervention

    The exercises and realistic driving scenarios on the Drive Safety R-300 simulator will enable participants to have an immersive driving experience with interactive traffic, scripted behavior models, and triggered events. The researcher will initially provide more guided feedback during the motor tasks using a series of exercises in the simulator. More difficult motor tasks will be introduced gradually. As clients' motor skills became more refined, driving practice will be introduced in diverse scenarios and environmental conditions to improve the transfer and generalizability of motor skills.

  • Traditional Occupational Therapy

    Other intervention

    Traditional occupational therapy interventions are based on typical occupational therapy assessments which assess range of motion, strength, coordination, functional mobility and self care management. Participants will receive sessions that focus on their deficits based on their acquired brain injuries. The researcher will use occupation-based interventions to improve the participants performance in functional tasks and performance in areas of occupations such as self care, leisure, play, health care management, and work.

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Driving Simulator or Traditional Occupational Therapy as Pre-Driving interventionExperimental treatment 1 intervention
Group B: Control - Traditonal Occupational TherapyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Useful Field of View Assessment

This is a cognitive assessment that reliably predicts crash risk in drivers. There are 3 sub tests: Processing Speed, Divided Attention, and Selective Attention, which are measured in milliseconds (ms). The 3 sub-tests contribute to an Index score which ranges from 1-5 (Very Low Risk to High Risk of vehicular crash)

Time frame
8-16 weeks
2

Motor Free Visual Perceptual Test

This assessment measure is meant to assess visual perception independent of motor ability. The unit of measurement is age equivalent in years and months

Time frame
After 16 intervention sessions
3

Trails A and B assessment

This are tests of speed for attention, sequencing, mental flexibility, visual search, and motor function. The subject is required to connect 25 encircled numbers by pencil line (Part A) and 25 alternating encircled numbers and letters (Part B) in correct order. The unit of measurement is seconds.

Time frame
8-16 weeks

Secondary outcomes

1

Behind-the-Wheel Assessment

Participants will be referred to a certified driving rehabiliation specialist for a behind-the-wheel assessment after completing their 8 intervention sessions. The unit of measurement is Pass or Fail

Time frame
8-16 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.