A driving cessation program to identify and improve transport and lifestyle issues of older retired and retiring drivers

Gustafsson, Louise; Liddle, Jacki; Liang, Phyllis; Pachana, Nancy A.; Hoyle, Melanie; Mitchell, G.; McKenna, Kryss

doi:10.1017/s1041610211002560

Cited by 17 publications

(13 citation statements)

References 28 publications

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“…While peer leaders may be involved in transport training and driving cessation programmes (see, for example, Molnar et al, 2007), no formal exploration of the experiences of peer leaders within these programmes has been conducted. UQDRIVE is a relatively new programme and, although outcomes for participants have been reported (Gustafsson et al, 2011(Gustafsson et al, , 2012Liddle et al, 2014), the experiences of peer leaders have not been examined. Therefore, this paper intends to address these gaps by examining the experiences of peer leaders in a driving cessation programme.…”

Section: Current Studymentioning

confidence: 99%

The experiences of peer leaders in a driving cessation programme

Liddle

Liu

Aplin

et al. 2015

British Journal of Occupational Therapy

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Introduction: Peer leaders are increasingly involved in health-related programmes due to the perceived benefits that they bring to the group process. This exploratory study examined the experiences of peer leaders in the University of Queensland Driver Retirement Initiative, an educational support group for older people undergoing driving cessation. Method: Semi-structured interviews were conducted with five peer leaders (two men, three women, age range: 67-81 years) regarding their role and involvement as a peer leader in the University of Queensland Driver Retirement Initiative programme as well as their positive and negative experiences. Results: Inductive thematic analysis revealed three themes: diversity of peer leaders, drawing on personal strengths and experiences, and taking the middle ground. Conclusion: This study revealed that peer leaders drew from their diverse range of personal resources and experiences to perform the role of peer leader, using varying approaches to perform the role successfully. The provision of broad guidelines in training allowed individual approaches to be developed and this contributed to a positive experience for peer leaders in the University of Queensland Driver Retirement Initiative. These findings have implications for the development of future peer-led driving cessation programmes and the selection of their peer leaders.

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Section: Current Studymentioning

confidence: 99%

The experiences of peer leaders in a driving cessation programme

Liddle

Liu

Aplin

et al. 2015

British Journal of Occupational Therapy

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“…Individual goals set at the beginning of the programme were used in tailoring the intervention. Various educational strategies used in the programme included peer leaders, information sharing, exercises, group discussion, as well as practical community outings (Liddle et al, 2007), with proven efficacy of the intervention demonstrated (Gustafsson et al, 2012;Liddle et al, 2013).…”

Section: Literature Reviewmentioning

confidence: 99%

An intervention to support professional driver retirement transition: Results of a pilot study for older taxi drivers in Singapore

Chan

Gustafsson

Liddle

2015

British Journal of Occupational Therapy

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Introduction: Older taxi drivers in Singapore face mandatory retirement at 73 years of age, often marked by the simultaneous loss of the worker and driver roles. The Driver Retirement Program was developed as an intervention to support this transition. Method: A pre-and post-experimental design was conducted with retired 73-year-old, male taxi drivers (n ¼ 15) to investigate the hypotheses: (i) the Driver Retirement Program would increase activity participation (e.g. time use) and wellbeing (e.g. mood) outcomes at immediate post-intervention and (ii) maintain these changes at 3 months' follow-up. Non-parametric tests were used to compare changes between (i) pre-and post-intervention and (ii) 3 months follow-up to post-intervention. Participants' feedback on the Driver Retirement Program was obtained using a semi-structured questionnaire. Results: The Driver Retirement Program significantly improved mood, self-efficacy and satisfaction with individualised goals at post-intervention and maintained these changes at 3 months' follow-up. A significant decrease in time spent alone was found at follow-up compared with post-intervention. Participants rated high satisfaction with the Driver Retirement Program but also recommended a shorter programme without compulsory group sessions. Conclusion: The Driver Retirement Program was useful to support some aspects of work and driver retirement transition. Further work to enhance sensitivity to cultural and gender issues is indicated.

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“…The effectiveness of CarFreeMe has been systematically explored with a general older adult population in a randomized controlled trial (Liddle et al, 2013b). Improvement in community mobility outcomes, self-efficacy (Liddle et al, 2013b), individualized transport and lifestyle goals (Liddle, Hayes, Gustafsson & Fleming, 2014) and high levels of satisfaction (Gustafsson et al, 2012) have been reported by participants. While CarFreeMe was developed for older people without cognitive impairment, there is a clear need for such an intervention to support people living with dementia and their family members.…”

Section: Driving Cessation Intervention For Older Peoplementioning

confidence: 99%

“…Outcome measures included socio demographic questions; geriatric depression scale (GDS; Yesavage et al, 1982); geriatric anxiety index (GAI; Pachana et al, 2007), and a modified version of the Canadian Occupation (COPM) was used to focus goals on transport and lifestyle considerations as used in the original program trial (Gustafsson et al, 2012). The GDS consists of 30 dichotomous (yes/no) items measuring depressive symptoms across the previous week, higher scores indicate more symptoms.…”

Section: Measurement Instrumentsmentioning

confidence: 99%

Adaptation of the CarFreeMe driver retirement intervention to provide driving cessation support to older people living with dementia

et al. 2020

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Objective: Driving and stopping driving present challenging issues for older people living with memory problems and the family members supporting them. Changes to driving status impact the individual stopping driving and their family members. CarFreeMe is an existing, effective driving cessation program for older people that may be applicable to older people living with dementia. The purpose of this study was to adapt the program and explore feasibility and key stakeholder perspectives. Methods: The Medical Research Council guidelines for conducting research into complex interventions guided the development, acceptability and feasibility piloting. A multidisciplinary approach was taken, and key stakeholders were involved throughout the process. This included an adaptation process, followed by expert reference group feedback and case series pilot study. Results: The background research indicated that some key changes were required to meet the needs of people living with dementia. Aspects of the content, language, format and activities were adapted and an additional module was created for family members – whose involvement was identified as important. A more personalized, flexible approach was recommended. The expert reference group [psychologists (n = 2), occupational therapists (n = 3) and dementia behavior consultants (n = 2)] indicated the program was appropriate and needed, and made recommendations for feasibility. Pilot testing with three families indicated acceptability. Conclusion: A driving cessation program adapted for use with people living with dementia and their families required some changes to meet the needs and situations based on feedback from key stakeholders. Future studies will evaluate implementation outcomes across a range of settings.

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A driving cessation program to identify and improve transport and lifestyle issues of older retired and retiring drivers

Cited by 17 publications

References 28 publications

The experiences of peer leaders in a driving cessation programme

The experiences of peer leaders in a driving cessation programme

An intervention to support professional driver retirement transition: Results of a pilot study for older taxi drivers in Singapore

Adaptation of the CarFreeMe driver retirement intervention to provide driving cessation support to older people living with dementia

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