Fitness to Drive Among Stroke Patients

Study Overview
=================
Brief Summary
-----------------
The goal of this observational study is to learn more about who can continue driving a car after a stroke. The focus of this study is on the relationship between cognitive abilities and fitness-to-drive. Participants will be asked to perform an extended neuropsychological testing and a real life on-road test, conducted by a professional driving instructor. Feedback will be given to the participants on request.

Detailed Description
-----------------
The relationship between cognitive abilities and driving skills is really complex. This study aims to introduce novel data analysing methods that can be used by medical professionals to decide whether the stroke patient is able to operate a vehicle safely or not. The neuropsychological assessment will involve paper and pencil tests, computerized tests (such as reaction time measurements) and a driving simulator. This part will be approximately 2 hours. Since the first part is really tiresome, the test driving will be on an other day. The driving instructor will guide the participant on a standard route, and will evaluate the performance using standard criteria that will focus mainly on traffic safety. Who can participate in the study: Aged 65 or younger Holds a driving licence Had an ischemic or hemorrhagic stroke Has sufficient physical abilities to operate a car Does not have certain medical conditions such epilepsy

Official Title
-----------------
To Drive or Not to Drive? A Machine Learning Data Analysis Approach Among Stroke Patients

Conditions
-----------------
Stroke, Driving Impaired

Intervention / Treatment
-----------------
* Behavioral: Neuropsychological testing
* Behavioral: On road test


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 65 or younger ischemic or hemorrhagic stroke at least 6 months has passed after the stroke holds a valid driver's licence Exclusion Criteria: visual impairments (eg. visual field loss, nystagmus or diplopia) epilepsy serious movement disorders (eg. hemiplegia) that hider operating a car limb ataxia aphasia types that affect comprehension serious psychiatrical disorders

Ages Eligible for Study
-----------------
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Stroke patients<br>Patients who suffered ischemic or hemorrhagic stroke. | Behavioral: Neuropsychological testing<br>* The neuropsychological assessment will involve paper and pencil tests, computerized tests (such as reaction time measurements) and a driving simulator.<br>Behavioral: On road test<br>* The driving instructor will guide the participant on a standard route, and will evaluate the performance using standard criteria that will focus mainly on traffic safety.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Driving test result | The driving instructor's classification (pass/fail) | through study completion, an average of 2 years | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
fitness to drive, neuropsychology, cognitive, machine learning