Exploratory pilot study of driving perceptions among OIF/OEF Veterans with mTBI and PTSD

M. Hannold, Sherrilene Classen, Sandra Winter, Desiree N. Lanford, Charles E. Levy
2013 Journal of rehabilitation research and development  
Veterans of Iraq and Afghanistan may experience driving-related challenges postdeployment, including more atfault crashes. Causes may include defensive driving tactics learned for combat zones and consequences of traumatic brain injuries (TBIs) and posttraumatic stress disorder (PTSD). Tailoring driver interventions to meet Veterans' needs requires an understanding of their driving perceptions. We explored the driving perceptions of five combat Veterans (4 men, 1 woman) with mild TBI and PTSD
more » ... mild TBI and PTSD using grounded theory methods. Veterans participated in single, semistructured interviews during a comprehensive driving evaluation. Interviews were digitally recorded, transcribed verbatim, verified, and imported into NVivo 8 software for coding and analysis. Veterans were insightful about driving and identified specific environmental triggers for anxious driving, speeding, and road rage. Veterans used strategies to moderate driving behaviors, but continued to drive aggressively. Themes were used to develop a conceptual framework of driving postdeployment, laying the foundation for intervention studies. Abbreviations: IED = improvised explosive device, IRB = institutional review board, mTBI = mild traumatic brain injury, MMSE = Mini-Mental State Examination, NF/SG = North Florida/South Georgia, OT/CDRS = occupational therapist/ certified driver rehabilitation specialist, OEF = Operation Enduring Freedom, OIF = Operation Iraqi Freedom, PTSD = posttraumatic stress disorder, PI = principal investigator, QCo-I = qualitative co-investigator, QOL = quality of life, SE = standard error, TBI = traumatic brain injury, VA = Department of Veterans Affairs, VAHS = VA Health System, VBIED = vehicleborne improvised explosive device.
doi:10.1682/jrrd.2013.04.0084 pmid:24699968 fatcat:xai7mor7s5gdjgiecjw7zisdey