scholarly journals Comparison of the Effect of Two Driving Retraining Programs on On-Road Performance After Stroke

2009 ◽  
Vol 23 (7) ◽  
pp. 699-705 ◽  
Author(s):  
Hannes Devos ◽  
Abiodun Emmanuel Akinwuntan ◽  
Alice Nieuwboer ◽  
Mark Tant ◽  
Steven Truijen ◽  
...  
Keyword(s):  
Training Program ◽  
Cognitive Training ◽  
Driving Simulator ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Simulator Training ◽  
Road Test ◽  
Item Score ◽  
Driving Skills ◽  
Subacute Stroke

Background. Several driving retraining programs have been developed to improve driving skills after stroke. Those programs rely on different rehabilitation concepts. Objectives. The current study sought to examine the specific carryover effect of driving skills of a comprehensive training program in a driving simulator when compared with a cognitive training program. Methods. Further analysis from a previous randomized controlled trial that investigated the effect of simulator training on driving after stroke. Forty-two participants received simulator-based driving training, whereas 41 participants received cognitive training for 15 hours. Overall performance in the on-road test and each of its 13 items were compared between groups immediately posttraining and at 6 months poststroke. Results. Generalized estimating equation analysis showed that the total score on the on-road test and each item score improved significantly over time for both groups. Those who received driving simulator training achieved better results when compared with the cognitive training group in the overall on-road score and the items of anticipation and perception of signs, visual behavior and communication, quality of traffic participation, and turning left. Most of the differences in improvement between the 2 interventions were observed at 6 months poststroke. Conclusions . Contextual training in a driving simulator appeared to be superior to cognitive training to treat impaired on-road driving skills after stroke. The effects were primarily seen in visuointegrative driving skills. Our results favor the implementation of driving simulator therapy in the conventional rehabilitation program of subacute stroke patients with mild deficits.

Connected Vehicle Training Framework and Lessons Learned to Improve Safety of Highway Patrol Troopers

2020 ◽  
Vol 2674 (12) ◽  
pp. 447-463
Author(s):  
Biraj Subedi ◽  
Sherif M. Gaweesh ◽  
Guangchuan Yang ◽  
Mohamed M. Ahmed
Keyword(s):  
Training Program ◽  
New Technologies ◽  
Driving Simulator ◽  
Real Life ◽  
Lessons Learned ◽  
Simulator Training ◽  
Connected Vehicle ◽  
Training Module ◽  
Increased Risk ◽  
Highway Patrol

The Wyoming Highway Patrol (WHP) investigates more than 7,000 vehicle crashes yearly, often as first-hand responders. They often drive at high speeds through difficult road/weather conditions and under enormous secondary workloads, leading to an increased risk of crash. Connected vehicle (CV) technology can communicate timely road and traveler information messages (TIMs) to troopers, which could significantly reduce the frequency, severity, or both, of these crashes. The majority of the troopers, however, might not be familiar with driving a CV. This paper developed a “first responder-specific” training program on safe interaction with the technology and an in-depth assessment of how these new technologies are perceived by the troopers. The training program contains an E-training module and a hands-on driving simulator training module. The E-training presents concept of various CV warnings and notifications, including forward collision warning (FCW), spot weather warnings, work zone warnings, and other TIMs. Two scenarios were developed to familiarize troopers to simulated driving, two single-alert scenarios to help mastering the two most important warnings (FCW and variable speed limit), and two multiple-alert scenarios to train the troopers to drive in a comprehensive connected environment. A quiz section in the E-training module and comprehensive pre- and post-training questionnaire surveys were performed to evaluate the effectiveness of the developed CV training program. According to the trainees from the WHP, the driving simulator provided impressively realistic real-life-like scenarios for the troopers to practice the CV warnings they learned during the E-training.

Speed-of-Processing and Driving Simulator Training Result in Improved Driving Performance

2003 ◽  
Vol 45 (2) ◽  
pp. 218-233 ◽  
Author(s):  
Daniel L. Roenker ◽  
Gayla M. Cissell ◽  
Karlene K. Ball ◽  
Virginia G. Wadley ◽  
Jerri D. Edwards
Keyword(s):  
Older Adults ◽  
Training Program ◽  
Driving Simulator ◽  
Driving Performance ◽  
Low Risk ◽  
Field Of View ◽  
Simulator Training ◽  
Speed Of Processing ◽  
Useful Field Of View ◽  
Speed Of Processing Training

Useful field of view, a measure of processing speed and spatial attention, can be improved with training. We evaluated the effects of this improvement on older adults' driving performance. Elderly adults participated in a speed-of-processing training program ( N = 48), a traditional driver training program performed in a driving simulator ( N = 22), or a low-risk reference group ( N = 25). Before training, immediately after training or an equivalent time delay, and after an 18-month delay each participant was evaluated in a driving simulator and completed a 14-mile (22.5-km) open-road driving evaluation. Speed-of-processing training, but not simulator training, improved a specific measure of useful field of view (UFOV®), transferred to some simulator measures, and resulted in fewer dangerous maneuvers during the driving evaluation. The simulator-trained group improved on two driving performance measures: turning into the correct lane and proper signal use. Similar effects were not observed in the speed-of-processing training or low-risk reference groups. The persistence of these effects over an 18-month test interval was also evaluated. Actual or potential applications of this research include driver assessment and/or training programs and cognitive intervention programs for older adults.

scholarly journals Study protocol for an online randomised controlled trial among non-treatment seeking problem gamblers: training inhibition in online problem gambling (TRAIN-online) trial

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e051641
Author(s):  
Antoine Santiago ◽  
Arnaud Carré ◽  
Ruben Miranda ◽  
Cédric Lemogne ◽  
Yann LeStrat ◽  
...  
Keyword(s):  
Problem Gambling ◽  
Training Program ◽  
Cognitive Training ◽  
Inhibitory Control ◽  
Controlled Trial ◽  
Treatment Seeking ◽  
Gambling Behaviour ◽  
Web Based ◽  
Problem Gamblers ◽  
Randomised Controlled

IntroductionDevelopment of fully internet-based programs could provide a new avenue to improve access to healthcare for problem gamblers. In this project, we aim to assess the efficacy of a web-based cognitive intervention targeting inhibitory control among problem gamblers, using a randomised controlled design. As impaired inhibitory control is involved in self-regulation difficulties in behavioural addictions, it represents a particularly relevant cognitive process to target for an online psychological intervention.Methods and analysisThis will be a single-blinded, randomised, comparative therapeutic web-based, controlled trial. Up to 200 non-treatment seeking adult problem gamblers with a Problem Gambling Severity Index-recent (PGSI-recent) score ≥5 will be included. The intervention will be a computerised cognitive training program targeting inhibitory skills. The comparator, an active control, will be a computerised neutral sensorial program. Both programs will be carried out under similar conditions: biweekly online training for 6 weeks and optional telephone support will be offered to patients for debriefing. The main objective of the study is to assess the clinical efficacy of the online cognitive training program at 6 weeks, measured with the PGSI-recent. The secondary objectives are to assess the efficacy on the gambling behaviour assessed by the account-based gambling data, on the self-reported gambling practice, and on the inhibition performance at the neuropsychological level at 6, 14 and 52 weeks. We will also assess the acceptability of this program and the preferred level of guidance. Data analysis will be in intention-to-treat.Ethics and disseminationThis randomized controlled trial will be executed in compliance with the Helsinki Declaration, and was approved by the local ethics boards (Comité de Protection des Personnes) in October 2017. The findings will be published in peer-reviewed journals.Trial registration numberNCT03673800.

Development and Assessment of a Connected Vehicle Training Program for Truck Drivers

2019 ◽  
Vol 2673 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Mohamad M. Ahmed ◽  
Guangchuan Yang ◽  
Sherif Gaweesh
Keyword(s):  
Training Program ◽  
Driving Simulator ◽  
Truck Drivers ◽  
Simulator Training ◽  
Connected Vehicle ◽  
Training Module ◽  
Traveler Information ◽  
Learning Module ◽  
Hands On ◽  
E Learning

In Wyoming, because of the high likelihood of dangerous winter driving conditions, truck-related crashes on the freeway have resulted in remarkable fatalities, extended closures, and significant economic losses. The emerging connected vehicle (CV) technology has the potential to communicate road and traveler information to commercial truck drivers, which would eventually promote traffic safety. Nevertheless, currently there is a lack of a systems training program to deliver the CV technology to truck drivers. This paper developed a CV training program which contained an e-learning conceptual education module and a hands-on driving simulator training module. The e-learning module presented the concept of various CV warnings and notifications, including forward collision warning (FCW), distress notification (DN), and traveler information messages (TIMs). The hands-on driving simulator training module provided participants with a simulated environment where they could practice the CV warnings that they had met during the e-learning. Five simulation scenarios were provided to the participants, including two single-alert scenarios and three multiple-alert scenarios. A quiz section in the e-learning module and a comprehensive post-training questionnaire survey within the hands-on module were employed to evaluate the effectiveness of the developed CV training program. Based on the feedback of 18 professional snowplow truck drivers from the Wyoming Department of Transportation, it was found that the proposed training program provided truck drivers with up-to-date knowledge and experience on CV technology.

scholarly journals Few Effects of a 5-week Computerized Cognitive Training Program in Healthy Older Adults

2019 ◽  
Author(s):  
Sheida Rabipour ◽  
Cassandra Morrison ◽  
Jessica Crompton ◽  
Marcelo Petrucelli ◽  
Murillo de Oliveira Gonçalves Germano ◽  
...  
Keyword(s):  
Older Adults ◽  
Training Program ◽  
Cognitive Training ◽  
Cognitive Aging ◽  
Controlled Trial ◽  
A Priori ◽  
Control Program ◽  
Double Blind ◽  
Healthy Older Adults ◽  
Computerized Cognitive Training

AbstractComputerized cognitive training programs are becoming increasingly popular and practical for cognitive aging. Nevertheless, basic questions remain about the benefits of such programs, and about the degree to which participant expectations might influence training and transfer. Here we examined a commercial cognitive training program (Activate) in a 5-week double-blind, pseudo-randomized placebo-controlled trial. Based on a priori power analysis, we recruited 99 healthy older adults 59-91 years of age (M = 68.87, SD = 6.31; 69 women), assigning them to either the intervention or an active control program (Sudoku and n-back working memory exercises). We subdivided both groups into high and low expectation priming conditions, to probe for effects of participants’ expectations on training and transfer. We assessed transfer using a battery of standard neuropsychological and psychosocial measures that had been agreed to by the training program developers. We planned and pre-registered our analyses (on osf.io). The majority (88%) of participants progressed through the training, and most provided positive feedback about it. Similarly, the majority (80%) of participants believed they were truly training their brains. Yet, transfer of training was minimal. Also minimal were any effects of expectations on training and transfer, although participants who received high expectation priming tended to engage more with their assigned program overall. Our findings suggest limited benefits ofActivatetraining on cognition and psychosocial wellbeing in healthy older adults, at least under the conditions we used.

scholarly journals An innovative training based on robotics for older people with subacute stroke: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Elvira Maranesi ◽  
Roberta Bevilacqua ◽  
Mirko Di Rosa ◽  
Giuseppe Pelliccioni ◽  
Valentina Di Donna ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Control Group ◽  
Stroke Patients ◽  
End Effector ◽  
Traditional Therapy ◽  
Randomized Controlled ◽  
Subacute Stroke ◽  
Robotic Gait

Abstract Background Stroke is a leading cause of disability, injury, and death in elderly people and represents a major public health problem with substantial medical and economic consequences. The incidence of stroke rapidly increases with age, doubling for each decade after age 55 years. Gait impairment is one of the most important problems after stroke, and improving walking function is often a key component of any rehabilitation program. To achieve this goal, a robotic gait trainer seems to be promising. In fact, some studies underline the efficacy of robotic gait training based on end-effector technology, for different diseases, in particular in stroke patients. In this randomized controlled trial, we verify the efficacy of the robotic treatment in terms of improving the gait and reducing the risk of falling and its long-term effects. Methods In this single-blind randomized controlled trial, we will include 152 elderly subacute stroke patients divided in two groups to receive a traditional rehabilitation program or a robotic rehabilitation using G-EO system, an end-effector device for the gait rehabilitation, in addition to the traditional therapy. Twenty treatment sessions will be conducted, divided into 3 training sessions per week, for 7 weeks. The control group will perform traditional therapy sessions lasting 50 min. The technological intervention group, using the G-EO system, will carry out 30 min of traditional therapy and 20 min of treatment with a robotic system. The primary outcome of the study is the evaluation of the falling risk. Secondary outcomes are the assessment of the gait improvements and the fear of falling. Further evaluations, such as length and asymmetry of the step, walking and functional status, and acceptance of the technology, will be carried. Discussion The final goal of the present study is to propose a new approach and an innovative therapeutic plan in the post-stroke rehabilitation, focused on the use of a robotic device, in order to obtain the beneficial effects of this treatment. Trial registration ClinicalTrials.gov NCT04087083. Registered on September 12, 2019

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