Older driver training programs: A systematic review of evidence aimed at improving behind-the-wheel performance

Sangrar, Ruheena; Mun, Kyung Joon; Cammarata, Michael J.; Griffith, Lauren; Letts, Lori; Vrkljan, Brenda

doi:10.1016/j.jsr.2019.09.022

Cited by 16 publications

(14 citation statements)

References 65 publications

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“…While this is only a survey on older adults' perceptions, this study supports previous research that active and in-vehicle experience is essential for learning and promoting driving safety [41]. In this study, older adults who were not experienced with technology learned to appreciate how navigational technology may assist them in decreasing their driving risk and potentially extending their driving lifespan.…”

Section: Discussionsupporting

confidence: 81%

Use of GPS for Older Adults to Decrease Driving Risk: Perceptions from Users and Non-Users

Dickerson¹

2020

Geriatrics

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Community mobility is important for social participation and quality of life. Thus, it is important to sustain older adults in their communities by supporting their ability to drive as long as possible. Use of global positioning system (GPS) technology may provide such support. This descriptive study examined 89 healthy community older adults’ perspective on using and programming a GPS after using it for wayfinding to unfamiliar destinations. Participants were equally divided between two age groups (60s, 70s) and familiarity with GPS (familiar, unfamiliar). The results showed age differences in problems following GPS directions and those who were familiar found it significantly easier to use. The majority of the unfamiliar group indicated an increased interest in using GPS and were significantly more interested in training to use a GPS. Preference for learning how to use a GPS included in-person delivery and practice with troubleshooting, using the menus and changing routes as topics critical for training. The implications of these results are discussed.

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Section: Discussionsupporting

confidence: 81%

Use of GPS for Older Adults to Decrease Driving Risk: Perceptions from Users and Non-Users

Dickerson¹

2020

Geriatrics

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“…Understanding the impact of driver training aimed at older adults is a priority area for transportation research, especially given the established link between health and mobility in later life (Dickerson et al, 2019). Evidence suggests certain educational and training approaches, such as behind-thewheel feedback tailored to the older driver in question, are more effective than others at improving behind-the-wheel performance in the aging population (Sangrar et al, 2019). Alongside this evidence, the perceptions of those involved in delivering and receiving such training are also important to ensure such programs meet the unique needs of those being targeted.…”

Section: Discussionmentioning

confidence: 99%

“…OTs were eligible to participate if they spoke English and had experience providing health-related education to older adults in primary care settings (e.g., educational programs on driving retirement, fall prevention, or healthy aging). OTs were excluded if they specialized in driving evaluations for medically at-risk drivers, because those drivers do not represent the target population for older driver training who are generally healthy older adults (Sangrar et al, 2019). Recruitment efforts continued until data saturation was achieved.…”

Section: Participant Recruitmentmentioning

confidence: 99%

“…Results from a recent systematic review suggest driver training programs tailored to the individualized needs of an older driver can improve road safety knowledge, selfperceptions of driving ability, and behind-the-wheel performance (Sangrar et al, 2019). For example, feedback from a driving instructor has been shown to be particularly effective for this age group (e.g., Anstey et al, 2018;Sawula et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Older Adults’ Motivations for Participating in a “Tune-Up” of Their Driving Skills: A Multi-Stakeholder Analysis

et al. 2020

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Driver training has the potential to keep older adults safe behind-the-wheel for longer, yet there is limited evidence describing factors that influence their willingness to participate in training. Focus groups with community-dwelling older drivers ( n = 23; 70–90 years) and semi-structured interviews with driving instructors ( n = 6) and occupational therapists ( n = 5) were conducted to identify these factors. Qualitative descriptive analyses highlighted how self-awareness of behind-the-wheel abilities in later life can influence an older adult’s motivation to participate in driver training, as well as their willingness to discuss their behaviors. Collision-involvement and near-misses prompted participants to reflect on their driving abilities and their openness to feedback. Participants’ preferences for learning contexts that use a strengths-based approach and validate the driving experience of older drivers, while providing feedback on behind-the-wheel performance, were raised. Older driver training initiatives that consider the needs of the aging population in their design can promote road safety and community mobility.

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“…13 Furthermore, a systematic review reported that older driver training, with programs tailored to individual participants, improved their self-perceived driving ability, their behind-thewheel performance, and reduced crashes. 14 Therefore, the contribution of driver education towards road safety remains somewhat controversial.…”

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confidence: 99%

Is driver education contributing towards road safety? a systematic review of systematic reviews

et al. 2021

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Background: There is a vast amount of literature on the effects of driver education. However, the evidence has become somewhat fragmented, making it challenging to understand driver education's effectiveness for improving road safety. The current study aimed to provide the efficacy of pre-LDE and post-LDE interventions aimed at improving the safety of drivers (includes crashes, injuries, or secondary outcomes). Methods:The following online databases were searched up to the 21st of February 2020:Web of Science (WOS), Scopus, PubMed, Cochrane library, and other relevant databases.Systematic reviews (SR) and meta-analyses were selected to investigate the efficacy of driving education in reducing crashes, injuries, or secondary outcomes. Two investigators independently conducted the data extraction and used the assessment of multiple systematic reviews (AMSTAR) tool to conduct a quality assessment of each SR identified.Results: Out of the 229 potential articles, seven SRs were eligible for the current overview of systematic reviews and meta-analyses. This overview showed that pre-and post-license education by people of all ages led to improvements in secondary outcomes, such as performance, self-perceived driving abilities, behind-the-wheel driving performance, and even a small decrease in traffic offenses. However, education was not effective in reducing crashes or injuries, either at the individual or community level. Conclusion:There was no evidence that driver education is an effective approach to reducing crashes or injuries. This negative result might be due to ineffective teaching methods. To improve road safety, it appears necessary to change the method or content of driving education since the current approaches to driving education do not reduce traffic crashes or injuries.

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Older driver training programs: A systematic review of evidence aimed at improving behind-the-wheel performance

Cited by 16 publications

References 65 publications

Use of GPS for Older Adults to Decrease Driving Risk: Perceptions from Users and Non-Users

Use of GPS for Older Adults to Decrease Driving Risk: Perceptions from Users and Non-Users

Older Adults’ Motivations for Participating in a “Tune-Up” of Their Driving Skills: A Multi-Stakeholder Analysis

Is driver education contributing towards road safety? a systematic review of systematic reviews

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