Behavioural ratings of self-regulatory mechanisms and driving behaviour after an acquired brain injury
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Updated: Apr 25, 2026

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Published on: January 30, 2018
Per-Ola Rike1, Pål Ulleberg, Maria T Schultheis
1Sunnaas Rehabilitation Hospital , Nesodden , Norway .
Objective:
To explore whether measurements of self-regulatory mechanisms and cognition predict driving behaviour after an acquired brain injury (ABI).
Design:
Consecutive follow-up study.
Participants:
At baseline participants included 77 persons with stroke and 32 persons with a traumatic brain injury (TBI), all of whom completed a multidisciplinary driving assessment (MDA). A follow-up cohort of 34 persons that succeeded the MDA was included. Baseline measurements: Neuropsychological tests and measurements of self-regulatory mechanisms (BRIEF-A and UPPS Impulsive Behaviour Scale), driving behaviour (DBQ) and pre-injury driving characteristics (mileage, compensatory driving strategies and accident rates). Follow-up measurements: Post-injury driving characteristics were collected by mailed questionnaires from the participants who succeeded the MDA.
Methods:
A MDA, which included a medical examination, neuropsychological testing and an on-road driving test, was considered in the decision for or against granting a driver's license. Self-regulatory mechanisms and driving behaviour were examined for research purposes only.
Results:
At baseline, self-regulatory mechanisms were significantly associated to aberrant driving behaviour, but not with neuropsychological data or with the outcome of the on-road driving test. Aspects of self-regulation were associated to driving behaviour at follow-up.
Conclusion:
It is recommended that self-regulatory measurements should regularly be considered in the driving assessments after ABI.

