{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:26:05Z","timestamp":1790789165721,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2010,6,17]],"date-time":"2010-06-17T00:00:00Z","timestamp":1276732800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004411","name":"Heart and Stroke Foundation of Canada","doi-asserted-by":"publisher","award":["NA5529"],"award-info":[{"award-number":["NA5529"]}],"id":[{"id":"10.13039\/100004411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the relationship between driving versus not driving and community integration after stroke. Much research on patients who drive after experiencing a stroke has focused on driving assessment protocols; little attention has been given to the implications of assessment outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Six driving evaluation centers in Ontario, Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Fifty\u2010three community\u2010dwelling patients who were referred for a driving assessment after they experienced a stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data on demographics, living circumstances, health status, driving habits, and driving history were gathered via a semistructured interview and various questionnaires administered on 3 occasions: study entry (\u22651 month after stroke; n = 53), 3 months (n = 44), and 1 year (n = 43).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measurement<\/jats:title>\n                    <jats:p>Reintegration into the community at 1 year, as evaluated with the Reintegration to Normal Living Index (RNLI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The participants had sustained a stroke an average of 12.3 months before study entry. Two subjects were driving at study entry. At 1 year, 28 (65%) of 43 subjects had passed their driving test and had resumed\/continued driving. Nondrivers had a significantly lower mean RNLI score than drivers. Subjects who were not driving at study entry but had resumed driving by 1 year had a significant increase in RNLI score (\n                      <jats:italic>P<\/jats:italic>\n                      = .011). Driving was significantly associated with community integration after adjustment for concomitant health status (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Driving and health status were associated with community integration at 1 year, accounting for 32% of the variance in RNLI score.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Driving after stroke was significantly associated with community integration in patients after adjustment for health status (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Community decision\u2010makers may decide to use the study results when determining the transportation needs of stroke survivors who self\u2010limit their driving because of weather, time of day, or distance concerns.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.pmrj.2010.03.030","type":"journal-article","created":{"date-parts":[[2010,6,18]],"date-time":"2010-06-18T04:46:26Z","timestamp":1276836386000},"page":"497-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Driving and Reintegration Into the Community in Patients After Stroke"],"prefix":"10.1002","volume":"2","author":[{"given":"Hillel M.","family":"Finestone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meiqi","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paddi","family":"O'Hara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Greene\u2010Finestone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn C.","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Hunt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Biggs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Jessup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,6,17]]},"reference":[{"issue":"6","key":"e_1_2_7_2_2","first-page":"S1","article-title":"Organized stroke care: A new era in stroke prevention and treatment","volume":"159","author":"Hakim A.M.","year":"1998","journal-title":"CMAJ"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.37.7.474"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(97)90307-5"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.31179"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1401-98"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/014107688607900404"},{"key":"e_1_2_7_8_2","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3928\/0098-9134-19991201-11","article-title":"Urban older adults and the forfeiture of a driver's license","volume":"5","author":"Johnson J.E.","year":"1999","journal-title":"J Gerontol Nurs"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-199308020-00009"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90005-1"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1630.2003.00376.x"},{"key":"e_1_2_7_12_2","first-page":"1","article-title":"Goal achievement in the six months after inpatient rehabilitation for stroke","volume":"26","author":"Brock K.","year":"2008","journal-title":"Disabil Rehabil"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.01.009"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3181aa001e"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90384-0"},{"key":"e_1_2_7_16_2","first-page":"133","article-title":"Functional assessment scales: A study of persons after stroke","volume":"74","author":"Granger C.V.","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90029-5"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1993.tb05945.x"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2005.00590.x"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1159\/000047676"},{"key":"e_1_2_7_21_2","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1046\/j.1468-1331.2001.00182.x","article-title":"Depression is an independent predictor of poor long\u2010term functional outcome post\u2010stroke","volume":"8","author":"Pohjasvaara T.","year":"2000","journal-title":"Eur J Neurol"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199303000-00006"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_7_24_2","volume-title":"SF\u201036 Health Survey & \u201cSF\u201d Bibliography","author":"Turner\u2010Bowker D.M.","year":"2002"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.10.1812"},{"key":"e_1_2_7_26_2","first-page":"583","article-title":"Assessment of global function: The Reintegration to Normal Living Index","volume":"69","author":"Wood\u2010Dauphinee S.L.","year":"1988","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1505-503"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03004.x"},{"key":"e_1_2_7_29_2","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.apmr.2004.03.020","article-title":"Validation of the Reintegration to Normal Living Index in a population of community\u2010dwelling people with mobility limitations","volume":"86","author":"Stark S.L.","year":"2005","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.01.009"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/63.5.S298"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1603-212"},{"key":"e_1_2_7_33_2","first-page":"697","article-title":"Acquired brain damage and driving: A review","volume":"68","author":"Zomeren A.H.","year":"1987","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_34_2","doi-asserted-by":"publisher","DOI":"10.1080\/15389580801895285"},{"key":"e_1_2_7_35_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/47.5.578"},{"key":"e_1_2_7_36_2","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.aap.2006.06.015","article-title":"Practicing in relation to the outcome of the driving test","volume":"39","author":"Nyberg A.","year":"2007","journal-title":"Accid Anal Prev"},{"key":"e_1_2_7_37_2","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1016\/B978-141603618-0.10045-1","volume-title":"Textbook of Clinical Neurology","author":"Chung C.","year":"2007"},{"key":"e_1_2_7_38_2","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1007\/s10354-005-0191-3","article-title":"Driving after cerebral ischemia\u2014a driving simulator investigation","volume":"155","author":"Kotterba S.","year":"2005","journal-title":"Wien Med Wochenschr"},{"key":"e_1_2_7_39_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/152.5.424"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2010.03.030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148210002996?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148210002996?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2010.03.030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T16:29:39Z","timestamp":1694708979000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2010.03.030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":38,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1016\/j.pmrj.2010.03.030"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2010.03.030","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]},"assertion":[{"value":"2009-10-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-03-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-06-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}