Driving Simulator Training for Brain Injury
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether driving simulator training can help adults with acquired brain injuries feel more comfortable, confident, and independent when driving. Participants will either use a driving simulator, which mimics real-world driving, or receive traditional occupational therapy to improve their skills. The goal is to determine if the simulator better prepares people for driving on the road. This trial may suit adults who have a driver's license, have driven before their injury, and do not have severe cognitive or vision problems. As an unphased trial, this study offers a unique opportunity to explore innovative rehabilitation methods that could enhance driving skills and independence.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this driving simulator training is safe for individuals with acquired brain injuries?
Research has shown that people with brain injuries generally handle driving simulator training well. In one small study, a person with a traumatic brain injury (TBI) responded positively to feedback during this type of training, suggesting that the training can be safe and helpful. Another study found that people with brain injuries performed basic driving tasks on simulators as well as healthy individuals.
Additionally, driving simulators have benefited people with conditions like stroke, TBI, or Parkinson's disease by reducing anxiety about driving on the road. Overall, driving simulators seem to be a safe way to help people regain driving skills without the risks of actual road driving.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores the potential of driving simulator training as a pre-driving intervention for individuals with brain injuries. Unlike traditional occupational therapy, which focuses on general motor skills and functional mobility, the driving simulator provides an immersive experience that mimics real-world driving scenarios. This method allows participants to practice and refine their driving skills in a controlled environment, which could lead to better skill transfer and adaptability to different driving conditions. The innovative use of interactive traffic, scripted behavior models, and diverse environmental conditions sets this approach apart, potentially offering a more effective way to prepare individuals for safe driving post-injury.
What evidence suggests that driving simulator training is effective for improving pre-driving skills in individuals with brain injuries?
Research has shown that driving simulator training, which participants in this trial may receive, can benefit people with brain injuries. One study demonstrated that a person with a traumatic brain injury responded well to this training, suggesting it can improve driving skills. Simulator-based training has also benefited individuals with strokes and Parkinson's disease. These programs offer realistic and interactive driving experiences, enhancing driving performance. This training can boost confidence, comfort, and independence when driving. Meanwhile, participants in the control group will receive traditional occupational therapy, focusing on improving deficits through occupation-based interventions.12346
Who Is on the Research Team?
Sheelagh Schlegel, DrHSc, MPH, OTR/L
Principal Investigator
Sacred Heart University
Are You a Good Fit for This Trial?
This trial is for adults over 18 with an acquired brain injury who drove before their injury and still have a valid driver's license. It aims to help them get ready for on-road driving again by using a driving simulator.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-Driving Intervention
Participants receive either eight sessions of driving simulator training or traditional occupational therapy
Post-Intervention Assessment
Participants undergo pre- and post-testing using assessments to measure readiness-to-drive
Follow-up
Participants are referred to a certified driving rehabilitation specialist for a behind-the-wheel assessment
What Are the Treatments Tested in This Trial?
Interventions
- Driving Simulator Training
Trial Overview
The study compares traditional occupational therapy with a driving simulation intervention to see which better prepares individuals with brain injuries for real-world driving in terms of comfort, confidence, and independence.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants will be randomly assigned to either the driving simulator (eight sessions) or eight sessions of traditional occupational therapy as a control group. Clients in the driving simulator intervention arm will receive eight sessions in a Drive Safety R-300 driving simulator. This simulator is a partial Ford Focus cab with a full interior, standard driving controls, and instrumentation, 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.
Participants will be randomly assigned to either the driving simulator (eight sessions) or eight sessions of traditional occupational therapy as a control group. Participants in the control, occupational therapy group will receive interventions 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 using occupation-based interventions to improve their assessed deficits.
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Who Is Running the Clinical Trial?
Sacred Heart University
Lead Sponsor
Citations
Training driving ability in a traumatic brain-injured individual ...
This pilot study shows that a TBI individual responded positively to feedback during an in-simulator driving rehabilitation training program and ...
Driving Simulator Training For Adults With Acquired Brain ...
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 ...
Driving Simulator Performance After Acquired Brain Injury
Results showed that individuals with ABI performed comparably to controls in basic operational tasks but demonstrated reduced performance in cognitively ...
State-of-the-art applications of driving simulators in ...
Simulator-based interventions showed benefits for patients with stroke, traumatic brain injury, or Parkinson's disease, particularly for ...
Training driving ability in a traumatic brain-injured ...
We aimed to evaluate the effectiveness of an in-simulator training program with automated feedback on driving performance in a TBI individual.
Patient and clinician perspectives of the use of driving ...
Driving simulators may help to reduce on-road driving anxiety in patients with acquired brain injury (Dimech-Betancourt, Ponsford, et al., 2021), and enhanced ...
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