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Driving Errors That Predict On-Road Outcomes in Adults With Multiple Sclerosis.

Sarah Krasniuk1, Sherrilene Classen2, Sarah A Morrow3

  • 11 University of Western Ontario, London, Canada.

OTJR : Occupation, Participation and Health
|May 26, 2017
PubMed
Summary

Driving errors like adjustment-to-stimuli and gap acceptance significantly predict on-road success for people with multiple sclerosis (PwMS). These findings can inform driving safety assessments and rehabilitation strategies.

Keywords:
drivingmultiple sclerosisregression analysis

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Area of Science:

  • Neurology
  • Rehabilitation Science
  • Traffic Safety

Background:

  • Driving errors predicting on-road outcomes for people with multiple sclerosis (PwMS) are not well understood.
  • Standardized on-road assessments are crucial for evaluating driving competence in PwMS.

Purpose of the Study:

  • To determine if adjustment-to-stimuli and gap acceptance errors predict passing or failing a standardized on-road driving assessment in PwMS.
  • To identify specific error types that are significant predictors of on-road driving performance.

Main Methods:

  • Thirty-seven PwMS completed visual ability and visual attention assessments.
  • Participants underwent a standardized on-road driving assessment to record driving errors and pass/fail outcomes.

Main Results:

  • Adjustment-to-stimuli and gap acceptance errors significantly predicted on-road assessment outcomes (AUC = 91.6%, p < .0001).
  • Specific combinations of these errors optimally determined pass/fail outcomes, highlighting their predictive power.

Conclusions:

  • Adjustment-to-stimuli and gap acceptance errors are key indicators of driving performance in PwMS.
  • Future research should explore underlying impairments to develop targeted rehabilitation strategies for driving safety in PwMS.