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Driving Intervention for Returning Combat Veterans.

Sherrilene Classen¹, Sandra Winter^1,2, Miriam Monahan³

¹1 University of Florida, Gainesville, FL, USA.

OTJR : Occupation, Participation and Health

|November 11, 2016

Summary

Simulator-based occupational therapy driving intervention (OT-DI) significantly reduced driving errors in veterans compared to traffic safety education. This traffic safety research supports OT-DI efficacy for improving veteran driving performance.

Keywords:

driving efficacy trial simulation veterans

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Area of Science:

Occupational Therapy
Traffic Safety Research
Veteran Health

Background:

Veterans experience increased crash incidence and driving difficulties post-deployment.
Traffic safety research is crucial for this demographic.
A simulator-based intervention was developed to address these issues.

Purpose of the Study:

To evaluate the efficacy of a simulator-based occupational therapy driving intervention (OT-DI).
To compare OT-DI with traffic safety education (TSE) in a randomized controlled trial.
To analyze driving performance errors in veterans.

Main Methods:

A randomized controlled trial was conducted with two groups: OT-DI (n=13) and TSE (n=13).
Driving performance errors were measured using a high-fidelity simulator (DriveSafety CDS-250) at baseline and post-testing.
The OT-DI group received visual-search retraining and error-focused sessions; the TSE group received general traffic safety education.

Main Results:

The OT-DI group showed a significant reduction in driving errors from baseline to Post-Test 1 (p < .0001).
The OT-DI group had significantly fewer errors than the TSE group at Post-Test 1 (p = .01).
Wilcoxon rank-sum analysis supported these findings.

Conclusions:

The simulator-based occupational therapy driving intervention (OT-DI) is effective in reducing driving errors for veterans.
Findings support the efficacy of OT-DI and warrant further effectiveness studies.
This intervention shows promise for enhancing veteran road safety.