Driving Intervention for Returning Combat Veterans

OTJR (Thorofare N J). 2017 Apr;37(2):62-71. doi: 10.1177/1539449216675582. Epub 2016 Nov 29.

Abstract

Increased crash incidence following deployment and veterans' reports of driving difficulty spurred traffic safety research for this population. We conducted an interim analysis on the efficacy of a simulator-based occupational therapy driving intervention (OT-DI) compared with traffic safety education (TSE) in a randomized controlled trial. During baseline and post-testing, OT-Driver Rehabilitation Specialists and one OT-Certified Driver Rehabilitation Specialist measured driving performance errors on a DriveSafety CDS-250 high-fidelity simulator. The intervention group ( n = 13) received three OT-DI sessions addressing driving errors and visual-search retraining. The control group ( n = 13) received three TSE sessions addressing personal factors and defensive driving. Based on Wilcoxon rank-sum analysis, the OT-DI group's errors were significantly reduced when comparing baseline with Post-Test 1 ( p < .0001) and comparing the OT-DI group with the TSE group at Post-Test 1 ( p = .01). These findings provide support for the efficacy of the OT-DI and set the stage for a future effectiveness study.

Trial registration: ClinicalTrials.gov NCT02764983.

Keywords: driving; efficacy trial; simulation; veterans.

Publication types

  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Accidents, Traffic / prevention & control
  • Accidents, Traffic / psychology
  • Adult
  • Automobile Driving / education*
  • Automobile Driving / psychology
  • Combat Disorders / psychology
  • Combat Disorders / rehabilitation*
  • Computer Simulation
  • Humans
  • Male
  • Occupational Diseases / psychology
  • Occupational Diseases / rehabilitation*
  • Occupational Therapy / methods*
  • United States
  • Veterans / psychology*

Associated data

  • ClinicalTrials.gov/NCT02764983