Managing driving issues after an acquired brain injury: Strategies used by health professionals

Liddle, Jacki, Hayes, Rebecca, Gustafsson, Louise and Fleming, Jennifer (2014) Managing driving issues after an acquired brain injury: Strategies used by health professionals. Australian Occupational Therapy Journal, 61 4: 215-223. doi:10.1111/1440-1630.12119

Author Liddle, Jacki
Hayes, Rebecca
Gustafsson, Louise
Fleming, Jennifer
Title Managing driving issues after an acquired brain injury: Strategies used by health professionals
Journal name Australian Occupational Therapy Journal   Check publisher's open access policy
ISSN 0045-0766
Publication date 2014
Year available 2014
Sub-type Article (original research)
DOI 10.1111/1440-1630.12119
Open Access Status
Volume 61
Issue 4
Start page 215
End page 223
Total pages 9
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2015
Language eng
Abstract Background/aim: The ability to drive safely can be affected by an acquired brain injury. Following acquired brain injury, clients may experience driving disruptions, formal assessment, return to driving or permanent cessation. Health professionals may be involved in formal driving or component skills' assessment and rehabilitation, or interventions for continued community participation. Meeting the needs of clients related to driving remains a challenging area of clinical practice. The aim of this study was to investigate how driving issues are currently managed by acquired brain injury rehabilitation teams. Method: This study utilised a qualitative phenomenological approach to gain insight into the approaches undertaken by four rehabilitation teams working with clients post-acquired brain injury. Semi-structured, audiotaped interviews were conducted with 25 participants who had identified driving as part of their role. Results: Health professional participants described three major areas of clinical focus, describing strategies and challenges associated with each. These were as follows: 'Integrating driving goals into rehabilitation' which involved optimising timing and acknowledging the clients' focus on driving while enhancing driving and rehabilitation outcomes; 'Managing emotional responses' which required protecting therapeutic relationships and providing information, as well as responding to more extreme responses; and finally 'Managing unlicensed driving and meeting long-term needs', which participants identified as the most challenging aspect. Strategies involved using set procedures, building on knowledge of the client, supporting the family and exploring alternatives. Conclusion: The teams described a range of strategies used to address the challenges related to driving and driving cessation which can be applied to successfully manage this issue in acquired brain injury rehabilitation.
Keyword ABI
Rehabilitation teams
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
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