“Are you still driving?” Metasynthesis of patient preferences for communication with health care providers

Betz, Marian E.; Scott, Kenneth A.; Jones, Jacqueline; DiGuiseppi, Carolyn

doi:10.1080/15389588.2015.1101078

Cited by 48 publications

(34 citation statements)

References 43 publications

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“…Older drivers who anticipate and prepare for driving cessation experience better health outcomes, emphasizing the benefits of advance planning. 3 Yet few participants had discussed driving safety with family or physicians, which is consistent with past research and may reflect avoidance of this sensitive subject 13 or unawareness that many older adults are unable to drive for the last years of life. 2 Physicians in particular may believe that conversations about driving safety adversely affects patient-physician relationships, especially when they include recommendations for driving cessation.…”

Section: Discussionsupporting

confidence: 65%

Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study

et al. 2019

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on behalf of the LongROAD Research Team Background: Older adult drivers may experience decreases in driving safety with age or health status change. Discussing driving safety may help them plan for driving restriction and eventual cessation. Here, we sought to examine conversations between older adults and their family members and physicians. Methods: In this multi-site cross-sectional analysis of baseline data from the AAA Longitudinal Research on Aging Drivers (LongROAD) cohort study, we measured the prevalence and characteristics of family and physician driving discussions. We examined associations between having driving discussions and participant characteristics using multivariate logistic regression. Results: Of 2990 current drivers aged 65 to 79 years (53% female, 85.5% White), only 14.2% reported discussing driving safety with family and 5.5% had discussions with physicians. Men (adjusted OR, 1.32; 95% CI, 1.05 to 1.66) and those with Master's degrees or higher (adjusted OR, 1.65; 95% CI, 1.27 to 2.13) more often had family discussions. Those with at least a Master's degree were also more likely to speak with their physician (adjusted OR, 1.77; 95% CI, 1.17 to 2.68). Conclusion: Few older adults had driving safety conversations with their family or physicians. Practical and effective interventions are needed to engage family and physicians in assisting older adults with risk assessment and driving cessation planning to maintain mobility and well-being. (

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Section: Discussionsupporting

confidence: 65%

Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study

et al. 2019

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“…Older people may be defensive and feel misjudged and scrutinized if family members or friends comment on their driving skills (Betz et al, 2015;Liddle et al, 2016). We have found this to be the case, particularly when family members know of our research focus on older drivers.…”

Section: What Do Older Drivers Want From Family Members?mentioning

confidence: 85%

“…The issue of driving and driving cessation is an extremely challenging aspect of aging for many older people, their families, and their health teams (Betz, Scott, Jones, & DiGuiseppi, 2015;Liddle et al, 2016;Organisation for Economic Cooperation and Development, 2001). Road crash statistics indicate a complex situation where changing driving abilities, combined with increasing physical frailty, and vehicles and a built environment which are not optimized for older people, lead to an increasing road toll (Cicchino, 2015;Koppel, Bohensky, Langford, & Taranto, 2011).…”

mentioning

confidence: 99%

A Difficult Journey: Reflections on Driving and Driving Cessation From a Team of Clinical Researchers

Liddle

Gustafsson²,

Mitchell³

et al. 2016

GERONT

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Recognizing the clinical importance and safety and well-being implications for the population, a multidisciplinary team has been researching older drivers and driving cessation issues for more than 15 years. Using empirical approaches, the team has explored quality of life and participation outcomes related to driving and nondriving for older people and has developed interventions to improve outcomes after driving cessation. The team members represent occupational therapists, medical practitioners, and clinical and neuropsychologists. While building the evidence base for driving-and driving cessation-related clinical practice, the researchers have also had first-hand experiences of interruptions to their own or parents' driving; involvement of older family members in road crashes; and provision of support during family members' driving assessment and cessation. This has led to reflection on their understandings and re-evaluation and refocusing of their perspectives in driving cessation research. This work will share the narratives of the authors and note their developing perspectives and foci within research as well as their clinical practice. Personal reflections have indicated the far-reaching implications for older drivers and family members of involvement in road crashes: the potential for interruptions to driving as a time for support and future planning and the conflicting and difficult roles of family members within the driving cessation process. Overall the lived, personal experience of the authors has reinforced the complex nature of driving and changes to driving status for the driver and their support team and the need for further research and support.

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“…Other research has shown that older adult drivers support routine questioning of driving habits by health professionals as a way to normalize the topic of driving cessation (Betz et al 2013), but that this communication should occur over time rather than abruptly (Betz et al 2016). Vision-care providers seem to display more confidence in their abilities to determine whether an older adult can still drive safely.…”

Section: Discussionmentioning

confidence: 99%

Driving concerns among older adults: Associations with driving skill, behaviors, and experiences

Allen

Beck

Zanjani

2019

Traffic Injury Prevention

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Objectives. The purpose of this investigation was to determine what older adults find most concerning about driving as they age and how these concerns are related to driving skill, behaviors, and experiences. Methods. In partnership with the Maryland Motor Vehicle Administration, a sample of 751 older adults ages 65 and older completed an online survey between October 2017 and May 2018. A content analysis was used to code open-ended responses about driver concerns, and multivariate logistic regression models were used to analyze the associations between driving concerns and driving skill, behavior, and experiences. Results. Eighty-four percent of participants reported at least one driving concern, with 44% concerned about others’ driving, 34% concerned about their own driving, and 24% concerned about driving conditions. The most frequently mentioned driving concerns were other drivers in general, driving at night, visual ability and awareness, and other drivers being aggressive or reckless. Being concerned with their own driving was significantly associated with decreased perceived driving skill and increased odds of experiencing negative driving experiences in the past year. Being concerned about others’ driving was associated with increased odds of wearing a seatbelt (AOR = 2.67; 95% CI = 1.02, 7.00), having high perceived driving skills in emergency situations (AOR = 1.56; 95% CI = 1.14, 2.12), and getting in a near crash or collision in the past year (AOR = 1.50; 95% CI = 1.04, 2.18). Conclusions. Older adult drivers are frequently concerned about their own driving as well as the driving of others. Implications for future research and health practice are discussed.

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“Are you still driving?” Metasynthesis of patient preferences for communication with health care providers

Cited by 48 publications

References 43 publications

Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study

Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study

A Difficult Journey: Reflections on Driving and Driving Cessation From a Team of Clinical Researchers

Driving concerns among older adults: Associations with driving skill, behaviors, and experiences

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