title: Department of Transportation vs self-reported data on motor vehicle collisions and driving convictions for stroke survivors: do they agree?
abstract: OBJECTIVE
  Research on stroke survivors' driving safety has typically used either self-reports or government records, but the extent to which the 2 may differ is not known. We compared government records and self-reports of motor vehicle collisions and driving convictions in a sample of stroke survivors.
  
  
  METHODS
  The 56 participants were originally recruited for a prospective study on driving and community re-integration post-stroke; the study population consisted of moderately impaired stroke survivors without severe communication disorders who had been referred for a driving assessment. The driving records of the 56 participants for the 5 years before study entry and the 1-year study period were acquired with written consent from the Ministry of Transportation of Ontario (MTO), Canada. Self-reports of collisions and convictions were acquired via a semistructured interview and then compared with the MTO records.
  
  
  RESULTS
  Forty-three participants completed the study. For 7 (13.5%) the MTO records did not match the self-reports regarding collision involvement, and for 9 (17.3%) the MTO records did not match self-reports regarding driving convictions. The kappa coefficient for the correlation between MTO records and self-reports was 0.52 for collisions and 0.47 for convictions (both in the moderate range of agreement). When both sources of data were consulted, up to 56 percent more accidents and up to 46 percent more convictions were identified in the study population in the 5 years before study entry compared to when either source was used alone.
  
  
  CONCLUSIONS
  In our population of stroke survivors, self-reports of motor vehicle collisions and driving convictions differed from government records. In future studies, the use of both government and self-reported data would ensure a more accurate picture of driving safety post-stroke.
authors.affiliation: Elisabeth Bruyère Hospital, Bruyère Continuing Care, Ottawa, Ontario, Canada. hfinestone@bruyere.org
authors.forename: Hillel M
authors.initials: HM
authors.lastname: Finestone
authors.forename: Meiqi
authors.initials: M
authors.lastname: Guo
authors.forename: Paddi
authors.initials: P
authors.lastname: O'Hara
authors.forename: Linda
authors.initials: L
authors.lastname: Greene-Finestone
authors.forename: Shawn C
authors.initials: SC
authors.lastname: Marshall
authors.forename: Lynn
authors.initials: L
authors.lastname: Hunt
authors.forename: Anita
authors.initials: A
authors.lastname: Jessup
authors.forename: Jennifer
authors.initials: J
authors.lastname: Biggs
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000368:Aged; D001334:Automobile Driving / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006077:Government Agencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D011446:Prospective Studies; D011996:Records; D015203:Reproducibility of Results; D012449:Safety; D057566:Self Report; D020521:Stroke / Q000453:epidemiology* / Q000523:psychology; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data*