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Original Article

Cognitive Perceptual Assessment Tool for Evaluation of Driving Ability of Persons with Brain Injury.

Jang, Soon Ja , Park, Si Woon , Kim, Dong A , Lee, Jong Tae , Lee, Jun Wook , Jeong, Won Kook , Lee, Jang Han , Kim, Sun Il
Journal of the Korean Academy of Rehabilitation Medicine 2006;30(2):128-134.
1Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. swpark@mdhouse.com
2Department of Biomedical Engineering, Hanyang University, Korea.
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Objective
To develop an evaluation tool of cognitive perceptual function for safe driving of the brain injured patients and to check the suitability of the tool. Method: Cognitive Perceptual Assessment for Driving (CPAD) was constructed with 8 tasks of depth perception, sustained attention, divided attention, Stroop test, digit span test, field dependence, trail making test A, and trail making test B. The predriving assessment with CPAD and road test were applied to 101 brain injured patients. The reliability and the validity of CPAD, and the cut-off score to resume driving were determined. Results: The CPAD scores of pass group (n=46) and fail group (n=55) for on-road test were 51.67⁑5.53 and 44.30⁑8.44 respectively (p=0.0001). The internal consistency of the CPAD measured by Cronbach's α was 0.85. The cut-off score based on 95% confidence interval was 53 or above for pass group, 42 or below for fail group, 43∼52 for borderline group. The positive and negative predictive value was 90.7% and 50.3%, respectively. Conclusion: The CPAD could be useful for the evaluation of driving ability of persons with brain injury. (J Korean Acad Rehab Med 2006; 30: 128-134)

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