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Driver Simulator Training to Improve Driving After Stroke

RecruitingObservational study

Driving Simulator Training to Improve Driving Performance in Veteran Stroke Patients

Who can join

Ages 40 to 80 · All sexes

Full eligibility criteria
Inclusion Criteria:

* U.S. Veterans
* History of a unilateral stroke (at least 3 months post-onset)
* Ages 40-80
* pre-morbidly right hand dominant
* prior driving experience/U.S. driver's license

Exclusion Criteria:

* History of other neurologic illness (e.g., TBI, dementia, epilepsy, Parkinson's, etc.)
* History of severe psychiatric illness (e.g., schizophrenia or other psychotic disorders)
* Recent substance abuse/dependence disorder (\< 1 year)
* Non-Veteran status

About the study

One hundred Veteran stroke survivors will participate in both an Active Driver Training intervention and a Control intervention in a fully interactive driving simulator. In addition, all participants will complete pre- and post-intervention driving assessments in the driving simulator to measure driving performance and types of driving errors committed. Half the participants will receive the Active Driver Training first, whereas the other half will receive the Control intervention first. Each Active Driver Training session will provide targeted practice and feedback on each of four unique driving skills including: speed management, collision avoidance, lane positioning, and dashboard attention. The Control intervention will be matched for total time but will only provide extra familiarization with the operation of the driving simulator, with no skill-specific practice. It is predicted that the Active Driver Training Intervention will result in improved driving performance, relative to the Control condition. In addition, after a delay period of at least 6 months, all participants will be re-assessed in the driving simulator and will complete a survey to capture changes in driving status.

What is being tested

Sponsor: VA Office of Research and Development · Participants: 100 · Started: Nov 17, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06672107

Locations in the U.S.

CaliforniaVA Northern California Health Care System, Mather, CA, Sacramento

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.