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The effect of traumatic brain injury on drivers’ hazard perception

Abstract

Individuals recovering from traumatic brain injury (TBI) often experience perceptual, cognitive, and motor deficits that adversely affect their driving. However, many individuals with TBI return to driving, despite evidence that they are at increased risk. This study examined the effects of TBI on drivers’ hazard perception, i.e. the ability to search the road ahead and quickly identify potentially dangerous traffic situations. Slower hazard perception has been associated with higher crash rates (e.g. Quimby et al., 1986), but hazard perception has never been assessed after TBI. A convenience sample of adults recovering from mild, moderate and severe TBI was recruited from the rehabilitation unit of a tertiary level hospital. Uninjured controls were recruited from the community. Participants completed a hazard perception test, in which they viewed videos of genuine traffic scenes filmed from the driver’s perspective and indicated as soon as they detected a potential traffic hazard (mean response latency was the main dependent measure). Participants also completed a simple spatial reaction time task, a digit symbol substitution task and several measures related to pre- and post-injury functioning. Preliminary results indicate that individuals with TBI were significantly slower to detect traffic hazards than controls. The findings may signify the need for hazard perception testing or training post-TBI before return to driving

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