Alcohol dependence and driving: A survey of patients' knowledge of DVLA regulations and possible clinical implications

Culshaw, M. G.; Wootton, L. H.; Wylie, Scott A.

doi:10.1192/pb.29.3.90

Cited by 2 publications

(2 citation statements)

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“…Despite considerable evidence to suggest that health professionals may not give accurate and consistent advice on driving, few studies have explored the reasons why this should be. Culshaw et al (2005) suggested that clinicians may be reluctant to give driving advice out of concern for their therapeutic relationship with patients and that informing a patient that s/he is unfit to drive may discourage that patient from continuing with treatment. Hawley (2010) identified other barriers to advising patients, which included simply 'forgetting to do it' or an assumption that another health professional had advised the patient.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes of occupational therapists to giving advice on fitness to drive

Hawley

2015

British Journal of Occupational Therapy

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Introduction: A range of medical conditions can affect driving, and health professionals should advise patients accordingly. This study examined the knowledge of occupational therapists, other therapists and psychologists regarding medical standards for driving, their attitudes to advising patients about driving, and barriers to giving that advice. Method: A structured questionnaire measured knowledge of medical standards and attitudes to advising patients about driving. Analyses compared responses of occupational therapists with those of other therapists and psychologists. Semi-structured interviews were carried out with therapists and psychologists after they had watched a video-taped clinical consultation with an actor-patient who was unfit to drive. Interviewees, unaware that the study was about driving, were asked how they would advise the patient. Focus groups were held with a range of health professionals to discuss facilitators and barriers to giving driving advice. Results: Eighty-two questionnaires were completed. Occupational therapists were most aware of driving guidelines and most likely to advise patients to stop driving (p < 0.01). A total of 98% of occupational therapists believed they should discuss driving compared with 68% of other therapists and psychologists (p < 0.01). Therapists were more likely than psychologists to spontaneously raise the issue of driving after viewing the video-consultation. Conclusion: Occupational therapists are well placed to expand their role in advising patients about fitness to drive. For this they require additional training and clarification of their role and legal responsibilities.

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Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes of occupational therapists to giving advice on fitness to drive

Hawley

2015

British Journal of Occupational Therapy

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“…Culshaw et al suggest that health professionals may be avoiding such discussions in the fear that it may adversely affect the doctor-patient relationship. 10 This reluctance to ask patients about driving and give appropriate advice was found across 1519 health professionals across all specialties in a report published by the Department for Transport. 11 There may also be a wider uncertainty about which health professionals have responsibility to give advice to patients about driving.…”

Section: Discussionmentioning

confidence: 99%

Advice on driving while under the care of a crisis resolution team: findings from two audits

Curwen

Jebreel

2012

Psychiatrist

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Aims and methodTo examine the documentation regarding patients driving while under the care of a crisis resolution team and whether advice is being given by all members of the team. An audit was carried out looking at the case records of patients and information was collated about whether they had been asked if they were driving and whether any advice had been given. Following the audit there was a team presentation and guidelines distributed. The audit was repeated 6 months later.ResultsThe first cycle of the audit included 58 patients. There was documentation about driving for two patients and appropriate advice given for one. The second cycle included 53 patients. There was documentation about two patients and advice given for one.Clinical implicationsPatients are not being asked whether they drive and advice is not routinely being given despite clear guidelines. Further research is needed to look at interventions at a local level that could improve this.

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Alcohol dependence and driving: A survey of patients' knowledge of DVLA regulations and possible clinical implications

Cited by 2 publications

References 1 publication

Knowledge and attitudes of occupational therapists to giving advice on fitness to drive

Knowledge and attitudes of occupational therapists to giving advice on fitness to drive

Advice on driving while under the care of a crisis resolution team: findings from two audits

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