Evidence map›Paper›PMID 40745347›Full record

ArticleNeurological research and practice2025

Stroke survivors show an overestimation of their on-road driving performance.

Daniel A Schlueter, Gernot Horstmann, Kim L Austerschmidt, Jessica Koenig, Maximilian Flieger, Thomas Beblo, Martin Driessen, Wolf Schäbitz, Max Toepper

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Article in Neurological research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Daniel A SchlueterDepartment of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Remterweg 69-71, 33617, Bielefeld, Germany. daniel.schlueter@evkb.de.ORCID http://orcid.org/0009-0004-0708-5147
Gernot HorstmannDepartment of Neuro-Cognitive Psychology, Bielefeld University, Universitätsstraße 25, 33615, Bielefeld, Germany.
Kim L AusterschmidtDepartment of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Remterweg 69-71, 33617, Bielefeld, Germany.
Jessica KoenigDepartment of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Remterweg 69-71, 33617, Bielefeld, Germany.
Maximilian FliegerDepartment of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Remterweg 69-71, 33617, Bielefeld, Germany.
Thomas BebloDepartment of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Remterweg 69-71, 33617, Bielefeld, Germany.
Martin DriessenDepartment of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Remterweg 69-71, 33617, Bielefeld, Germany.
Wolf Schäbitz *Department of Neurology, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Burgsteig 13, 33617, Bielefeld, Germany.
Max Toepper *Department of Psychiatry and Psychotherapy, Evangelisches Klinikum Bethel (EvKB), University Medical Center OWL, Bielefeld University, Remterweg 69-71, 33617, Bielefeld, Germany.

Funding

Anschubfonds für Medizinische Forschung - Bielefeld University Drivefit
6 · The paper itself

Abstract

objectivesStrokes are often accompanied by physical and cognitive impairments affecting driving safety. After the recommended period of abstinence from driving, the patient must decide whether his or her driving safety is still impaired, which requires a valid self-assessment of the own driving skills. At present, it is uncertain whether stroke survivors are able to provide a valid self-assessment.

methods12 stroke patients and 17 healthy controls participated in this prospective longitudinal on-road study. All participants underwent repeated neuropsychological and standardized on-road assessment at 4-month intervals (2 and 6 months after the stroke in the patient group). Statistical analyses included repeated measures ANOVA, group comparisons and correlation analyses.

resultsOur results revealed that in stroke survivors compared to healthy drivers, the validity of self-assessment (VSA) of the own on-road driving performance is impaired in the direction of overestimation (at both time points). In addition, the VSA of stroke survivors at second time point correlated with driving-relevant cognitive and non-cognitive measures. DISCUSSION: Our results suggest that the VSA of the own driving competence is impaired after stroke. Other than expected, the differences between stroke survivors and healthy drivers did not disappear within the 4-months-interval. Consequently, an impaired VSA in stroke survivors must be considered before deciding to let them drive again.

Indexed as

Driving skillsFitness to driveSelf-assessmentSelf-ratingStroke

Identifiers

PMID40745347
PMCPMC12315422

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.