Promote Awareness of the Driving Abilities of Post-stroke Patients.
Promote Awareness of the Driving Abilities of Post-stroke Patients: Interest of On-board Cameras and Self-assessment Questionnaires During a Driving Situation.
Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape
70 participants
Oct 12, 2021
INTERVENTIONAL
Conditions
Summary
Patients with cerebrovascular accident (CVA) may present with a deficit of awareness of the disorders which results in a lack of correct self-estimation of their own abilities and difficulties in terms of both cognition and driving. It is therefore important to develop tools to help professionals take this deficit into account in their driving assessments and also to help patients better identify their real abilities. This research project thus proposes a protocol making it possible to promote decision-making whether or not to resume driving by multidisciplinary teams. The main objective is to determine to what extent video feedback promotes awareness of the ability to manage post-stroke patients, compared to a group of control patients receiving the usual recommendations.
Eligibility
Inclusion Criteria7
- Stroke (ischemic and / or hemorrhagic) between 1 month and 6 months
- Holder of a driving license for more than 3 years
- No resumption of driving
- MoCA score ≥ 10
- Affiliation to a social security scheme or beneficiary of such a scheme
- Having signed a free, informed and written consent
- Medically stable
Exclusion Criteria8
- Aphasia with severe comprehension disturbances, severe hemineglect, unstable epilepsy, severe visual disturbances (binocular vision <6/10, visual field <120 ° in binocular, <50 ° to the right and to the left beyond the central point, <30 ° vertically.
- History of neurological disease responsible for cognitive impairment
- Need for vehicle modifications except automatic gearbox
- Subject being in a period of exclusion from another protocol
- Insufficient command of the French language
- Protected adults (curators)
- Pregnancy declared
- Being unable to issue their consent
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Interventions
At the end of the driving situation, 35 patients will be asked to express themselves and analyze 4 driving situations resulting from the course of the driving situation using video feedback.
At the end of the driving situation, 35 patients will be asked to express themselves and analyze 4 driving situations resulting from the course of the driving situation without video feedback, according to the usual recommendations. Comparison of responses to all questionnaires and interview grids sent before and after driving, to patients and professionals will determine whether video feedback promotes awareness of the difficulties of driving post-stroke patients.
Locations(1)
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NCT06530134