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Updated: Mar 16, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
The development and initial validation of a new tool to measure self-awareness of driving ability after brain injury
James R Gooden1,2,3, Jennie L Ponsford1,2,3, Judith L Charlton4
1School of Psychological Sciences, Monash University, Clayton, Victoria, Australia.
Aim:
The aim of this study was to develop and provide initial validation data for a self-awareness of on-road driving ability measure for individuals with brain injury.
Method:
Thirty-nine individuals with Traumatic Brain Injury completed an on-road driving assessment, the Self-Regulation Skills Interview (SRSI) and the newly developed Brain Injury Driving Self-Awareness Measure (BIDSAM).
Results:
BIDSAM self, clinician and discrepancy scales demonstrated high levels of internal consistency (α = 0.83-0.92). Criterion-related validity was established by demonstrating significantly higher correlations between clinician ratings and on-road performances, rs = 0.82, P < 0.01, compared to self-ratings, rs = 0.45, P < 0.05. Discrepancy scores were significantly correlated with the SRSI emergent, rs = 0.52, P < 0.01, and anticipatory awareness scores, rs = 0.37, P < 0.05, indicative of convergent validity.
Conclusions:
These results provide initial support for the BIDSAM as a reliable and valid measure of self-awareness of on-road driving ability following TBI.
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