{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T05:59:24Z","timestamp":1781071164654,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":159,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002457","name":"Chosun University","doi-asserted-by":"publisher","award":["2024"],"award-info":[{"award-number":["2024"]}],"id":[{"id":"10.13039\/501100002457","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Occupational Therapy International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This review aimed to comprehensively synthesise evidence on the therapeutic efficacy of driving rehabilitation for patients with acquired brain injury (ABI) and identify and analyse key predictors of successful return\u2010to\u2010driving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search was conducted using four databases: PubMed, Embase, Web of Science and ProQuest. Eleven studies (four randomised controlled trials and seven cross\u2010sectional studies) were included in the final analysis. Reporting completeness and methodological quality were assessed using PRISMA checklists. A random\u2010effects model was used to calculate the standardised mean differences (SMDs) and odds ratios (ORs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Findings<\/jats:title>\n                    <jats:p>\n                      A qualitative analysis of cross\u2010sectional studies identified cognitive processing speed, reaction time and functional independence as frequently reported predictors of returning to driving, with a pooled meta\u2010analysis further highlighting lower initial injury severity (higher GCS scores) as a significant predictor of returning to driving. The meta\u2010analysis revealed that simulator\u2010 and VR\u2010based training significantly reduced driving errors (SMD\u2009=\u2009\u22121.19, 95% confidence interval [CI]: \u22121.75 to \u22120.64;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). The intervention significantly increased the likelihood of passing the on\u2010road driving test by approximately 3.37 times (OR\u2009=\u20093.37, 95% CI: 1.36\u20138.35).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results of this review suggest that simulator\u2010based interventions may positively impact driving performance and current cognitive and functional activities, as well as psychological self\u2010efficacy, and facilitat a successful return to driving in patients with ABI. These findings provide a baseline for developing clinical guidelines for the safe resumption of driving.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/oti\/9280995","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T05:15:56Z","timestamp":1781068556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Return to Driving in Patients With Acquired Brain Injury: A Systematic Review With Meta\u2010Analysis"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8471-0103","authenticated-orcid":false,"given":"Sujin","family":"Hwang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7522-4496","authenticated-orcid":false,"given":"Chiang-soon","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0000000000000558"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e3182795211"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2021.02.006"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-023-02228-5"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0256527"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-192718"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-161354"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.01.009"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.00144"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/arclin\/acw050"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.50495"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1114310"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2025.1651443"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2023.2165273"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12694"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-24-00523"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0549"},{"key":"e_1_2_9_19_2","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins J. P. T.","year":"2014"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.09.027"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2024.2376763"},{"key":"e_1_2_9_22_2","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-09-00081"},{"key":"e_1_2_9_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2013.862738"},{"key":"e_1_2_9_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692155211002455"},{"key":"e_1_2_9_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050400017205"},{"key":"e_1_2_9_26_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2015.1074293"},{"key":"e_1_2_9_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2025.108012"},{"key":"e_1_2_9_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0018720820976476"},{"key":"e_1_2_9_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/15394492241229993"},{"key":"e_1_2_9_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trip.2024.101033"},{"key":"e_1_2_9_31_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.682973"},{"key":"e_1_2_9_32_2","doi-asserted-by":"publisher","DOI":"10.1080\/15472450.2023.2197115"},{"key":"e_1_2_9_33_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0233125"},{"key":"e_1_2_9_34_2","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics1030017"}],"container-title":["Occupational Therapy International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/oti\/9280995","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/oti\/9280995","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/oti\/9280995","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T05:15:58Z","timestamp":1781068558000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/oti\/9280995"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/oti\/9280995"],"URL":"https:\/\/doi.org\/10.1155\/oti\/9280995","archive":["Portico"],"relation":{},"ISSN":["0966-7903","1557-0703"],"issn-type":[{"value":"0966-7903","type":"print"},{"value":"1557-0703","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9280995"}}