{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:40:20Z","timestamp":1787013620743,"version":"build-2736575974"},"reference-count":65,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T00:00:00Z","timestamp":1744502400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Changes arising from acquired brain injury may influence how individuals engage in valued community\u2010based occupations such as driving. \u2018Lifespace\u2019 describes the area within which a person lives their life and represents opportunity for participation in out\u2010of\u2010home occupations. This study explored lifespace trajectory from pre\u2010 to 6\u2009months post\u2010occupational therapy driver assessment, to understand how, why, where, and with whom access and participation in community\u2010based occupations is influenced by assessment outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults with acquired brain injury referred for occupational therapy driver assessment were recruited to the mixed methods study involving a travel diary, lifespace assessment, and semi\u2010structured interviews. Qualitative analysis was guided by interpretive description.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and Community Involvement<\/jats:title>\n                    <jats:p>No consumer and community involvement<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 38 participants (55.3% male) aged 26 to 65\u2009years reported increased lifespace 6 months following the conduct of an occupational therapy driver assessment. There was increased engagement in leisure pursuits (175%), work (23%), and social participation (21%) with reduced participation in health management (\u221250%) and instrumental activities of daily living (\u221215.4%) occupations post\u2010OTDA. However, lifespace was significantly related to driver status, with those who had returned to driving more likely to access their community with greater frequency and less support (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Non\u2010drivers experienced a deteriorating restricted lifespace. Analysis of semi\u2010structured interviews (n\u2009=\u200912) created three broad themes that largely differed according to driver status: (i) \u2018Being me\u2019\u2014reconstructing occupational identity, (ii) opportunities for participation and the influence of choice, and (iii) \u2018Having connection\u2019 and impacts on wellbeing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Driver status influences the trajectory of lifespace following participation in an occupational therapy driver assessment after acquired brain injury. Drivers experienced increased lifespace with greater opportunities to control engagement in community\u2010based occupations with flexibility and spontaneity. Non\u2010drivers reported diminished lifespace and occupational participation trajectories and require further support to facilitate occupational adaptation to increase opportunities for engagement in away\u2010from\u2010home occupations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PLAIN LANGUAGE SUMMARY<\/jats:title>\n                    <jats:p>After an acquired brain injury (ABI), many people find it harder to go out and do activities away from home. A common change is losing the ability to drive. An occupational therapy driver assessment (OTDA) checks if someone is ready to drive again. This study looked at how getting back to driving, or not, affected involvement in community activities. People who returned to driving reported doing more activities, more often, and with less help. They spent more time on leisure, work, and social activities. Those who did not drive went out less, visited fewer places, and relied more on others. When they did go out, it was mostly for essential tasks like shopping and health appointments. For those not able to drive, extra services and supports are needed to help build skills. This is the first study to look at how driving is connected to taking part in community activities after a brain injury. More research is needed to confirm findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70017","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T01:35:51Z","timestamp":1744594551000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Changes in lifespace and participation in community\u2010based occupations of people with acquired brain injury: A mixed methods exploration 6\u2009months following occupational therapy driving assessment"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8847-8671","authenticated-orcid":false,"given":"Louise","family":"Bassingthwaighte","sequence":"first","affiliation":[{"name":"Discipline of Occupational Therapy, School of Health Sciences and Social Work Griffith University  Brisbane Queensland Australia"},{"name":"Occupational Therapy Department Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5232-0987","authenticated-orcid":false,"given":"Louise","family":"Gustafsson","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, School of Health Sciences and Social Work Griffith University  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6671-4140","authenticated-orcid":false,"given":"Matthew","family":"Molineux","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Social Work Griffith University  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,13]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Rural, regional and remote health: A guide to remoteness classifications","author":"Australian Institute of Health and Welfare","year":"2004"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51512.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2024.2338192"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.09.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2020.74S2001"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-2012-01561"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-040241"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2012.01005.x"},{"key":"e_1_2_11_10_1","volume-title":"Research design: Qualitative, quantitative, and mixed methods approaches","author":"Creswell J. W.","year":"2018"},{"key":"e_1_2_11_11_1","volume-title":"Designing and conducting mixed methods research","author":"Creswell J. W.","year":"2018"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1808089"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0308022614562785"},{"key":"e_1_2_11_14_1","volume-title":"Promoting occupational participation: Collaborative relationship\u2010focused occupational therapy: 10th Canadian occupational therapy guidelines","author":"Egan M.","year":"2022"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1539449218757739"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930211065917"},{"key":"e_1_2_11_17_1","volume-title":"Australian competency standards for occupational therapy driver assessors","author":"Fields S. M.","year":"2018"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-131012"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14884"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/BrImp.2019.1"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2022.2070358"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1603-212"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14254"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0733464816630637"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2022.2110192"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10902-018-0030-z"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S196944"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558689817743108"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2011.00989.x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1757153"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1858351"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2005.9686543"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad119"},{"key":"e_1_2_11_34_1","volume-title":"Studying\u2010up in qualitative research: Lessons from member checking in a qualitative case study","author":"LaCroix E.","year":"2022"},{"key":"e_1_2_11_35_1","unstructured":"Laerd Statistics. (2017).Point\u2010biserial correlation using SPSS Statistics. Statistical tutorials and software guides. Retrieved fromhttp:\/\/statistics.laerd.com\/"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2015.56.6.1694"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2246377"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12258"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2011.00978.x"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.2799"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(18)30415-0"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbae053"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/acref\/9780191773624.001.0001"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13636"},{"key":"e_1_2_11_45_1","volume-title":"Assessing fitness to drive 2022","author":"National Transport Commission","year":"2022"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/0308022617709165"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.14109"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2008.00753.x"},{"key":"e_1_2_11_49_1","volume-title":"Qualitative research & evaluation methods: Integrating theory and practice","author":"Patton M. Q.","year":"2015"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/0361198119846092"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2013.2997"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2013.22"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/1463429"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14380"},{"key":"e_1_2_11_55_1","volume-title":"Interpretive description: Qualitative research for applied practice","author":"Thorne S. E.","year":"2017"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11186-019-09348-2"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2016-003230"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.2001054"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13160"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2016.1269240"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1080\/09602011.2021.1933087"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2020.1857433"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.623754"},{"key":"e_1_2_11_64_1","volume-title":"International classification of functioning, disability and health","author":"World Health Organization","year":"2001"},{"key":"e_1_2_11_65_1","volume-title":"WHO reveals leading causes of death and disability worldwide: 2000\u20132019","author":"World Health Organization","year":"2020"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2017.41.5.761"}],"container-title":["Australian Occupational Therapy Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1440-1630.70017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T06:17:48Z","timestamp":1745389068000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1440-1630.70017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":65,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/1440-1630.70017"],"URL":"https:\/\/doi.org\/10.1111\/1440-1630.70017","archive":["Portico"],"relation":{},"ISSN":["0045-0766","1440-1630"],"issn-type":[{"value":"0045-0766","type":"print"},{"value":"1440-1630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-10-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70017"}}