Awareness Tool for Safe and Responsible Driving (OSCAR): A Potential Educational Intervention for Increasing Interest, Openness and Knowledge About the Abilities Required and Compensatory Strategies Among Older Drivers
Abstract:In summary, in addition to increasing older adults' interest, openness, and knowledge to discussion about driving, OSCAR also improved awareness of the changes that could negatively impact safe driving and enhanced utilization of compensatory strategies. While promoting safe driving and the prevention of crashes and injuries, this intervention could ultimately help older adults maintain or increase their transportation mobility. More studies are needed to further evaluate OSCAR and identify ways to improve its… Show more
“…Following a complete review of the corresponding full-texts, 29 papers were then selected based on the previously mentioned inclusion criteria. Seven (7) papers were not considered due to different situations [61][62][63][64][65][66][67], for example: the objective of the paper by Joanisse et al [61] was to report the findings from an evaluability assessment of the 55 alive mature driver-refresher course offered by the Canada Safety Council. Another example is the study by Musselwhite [63] where different issues were addressed through an expert group opinion identifying age related physiological and cognitive changes that may be involved in collisions.…”
Background: With the aging of the population, the number of older drivers is on the rise. This poses significant challenges for public health initiatives, as older drivers have a relatively higher risk for collisions. While many studies focus on developing screening tools to identify medically at-risk drivers, little research has been done to develop training programs or interventions to promote, maintain or enhance driving-related abilities among healthy individuals. The purpose of this systematic review is to synopsize the current literature on interventions that are tailored to improve driving in older healthy individuals by working on components of safe driving such as: selfawareness, knowledge, behaviour, skills and/or reducing crash/collision rates in healthy older drivers. Methods: Relevant databases such as Scopus and PubMed databases were selected and searched for primary articles published in between January 2007 and December 2017. Articles were identified using MeSH search terms: ("safety" OR "education" OR "training" OR "driving" OR "simulator" OR "program" OR "countermeasures") AND ("older drivers" OR "senior drivers" OR "aged drivers" OR "elderly drivers"). All retrieved abstracts were reviewed, and full texts printed if deemed relevant. Results: Twenty-five (25) articles were classified according to: 1) Classroom settings; 2) Computer-based training for cognitive or visual processing; 3) Physical training; 4) In-simulator training; 5) On-road training; and 6) Mixed interventions. Results show that different types of approaches have been successful in improving specific driving skills and/or behaviours. However, there are clear discrepancies on how driving performance/behaviours are evaluated between studies, both in terms of methods or dependent variables, it is therefore difficult to make direct comparisons between these studies. Conclusions: This review identified strong study projects, effective at improving older drivers' performance and thus allowed to highlight potential interventions that can be used to maintain or improve older drivers' safety behind the wheel. There is a need to further test these interventions by combining them and determining their effectiveness at improving driving performance.
“…Following a complete review of the corresponding full-texts, 29 papers were then selected based on the previously mentioned inclusion criteria. Seven (7) papers were not considered due to different situations [61][62][63][64][65][66][67], for example: the objective of the paper by Joanisse et al [61] was to report the findings from an evaluability assessment of the 55 alive mature driver-refresher course offered by the Canada Safety Council. Another example is the study by Musselwhite [63] where different issues were addressed through an expert group opinion identifying age related physiological and cognitive changes that may be involved in collisions.…”
Background: With the aging of the population, the number of older drivers is on the rise. This poses significant challenges for public health initiatives, as older drivers have a relatively higher risk for collisions. While many studies focus on developing screening tools to identify medically at-risk drivers, little research has been done to develop training programs or interventions to promote, maintain or enhance driving-related abilities among healthy individuals. The purpose of this systematic review is to synopsize the current literature on interventions that are tailored to improve driving in older healthy individuals by working on components of safe driving such as: selfawareness, knowledge, behaviour, skills and/or reducing crash/collision rates in healthy older drivers. Methods: Relevant databases such as Scopus and PubMed databases were selected and searched for primary articles published in between January 2007 and December 2017. Articles were identified using MeSH search terms: ("safety" OR "education" OR "training" OR "driving" OR "simulator" OR "program" OR "countermeasures") AND ("older drivers" OR "senior drivers" OR "aged drivers" OR "elderly drivers"). All retrieved abstracts were reviewed, and full texts printed if deemed relevant. Results: Twenty-five (25) articles were classified according to: 1) Classroom settings; 2) Computer-based training for cognitive or visual processing; 3) Physical training; 4) In-simulator training; 5) On-road training; and 6) Mixed interventions. Results show that different types of approaches have been successful in improving specific driving skills and/or behaviours. However, there are clear discrepancies on how driving performance/behaviours are evaluated between studies, both in terms of methods or dependent variables, it is therefore difficult to make direct comparisons between these studies. Conclusions: This review identified strong study projects, effective at improving older drivers' performance and thus allowed to highlight potential interventions that can be used to maintain or improve older drivers' safety behind the wheel. There is a need to further test these interventions by combining them and determining their effectiveness at improving driving performance.
“…A driving assessment is a comprehensive driving evaluation administered by driving rehabilitation specialists that assesses these behaviors. Safe driving by older adults has traditionally been measured by evaluating driving history, including citations or violation history, crash rates, and crash-related morbidity and mortality rates, but they have not captured specific driving characteristics, including patterns of driving behavior and driving errors 5 ) .…”
[Purpose] The Safe Driving Behavior Measure (SDBM) is a self-report measurement tools
that assesses the safe-driving behaviors of the elderly. The purpose of this study was to
evaluate the test-retest reliability of the SDBM among community-dwelling elderly drivers.
[Subjects and Methods] A total of sixty-one community-dwelling elderly were enrolled to
investigate the reliability of the SDBM. The SDBM was assessed in two sessions that were
conducted three days apart in a quiet and well-organized assessment room. That test-retest
reliability of overall scores and three domain scores of the SDBM were statistically
evaluated using intraclass correlation coefficients [ICC (2.1)]. Pearson correlation
coefficients were used to quantify bivariate associations among the three domains of the
SDBM. [Results] The SDBM demonstrated excellent rest-retest reliability for
community-dwelling elderly drivers. The Cronbach alpha coefficients of the three domains
of person-vehicle (0.979), person-environment (0.944), and person-vehicle-environment
(0.971) of the SDBM indicate high internal consistency. [Conclusion] The results of this
study suggest that the SDBM is a reliable measure for evaluating the safe- driving of
automobiles by community-dwelling elderly, and is adequate for detecting changes in scores
in clinical settings.
“…Avant de diffuser cette nouvelle intervention, les effets de l'OSCARPA auprès des proches doivent toutefois être vérifiés. Les personnes ayant accepté de participer étaient âgées entre 25 et 79 ans, la plupart était des femmes, avait plus de 14 ans de scolarité, travaillait à temps plein et était la fille ou le fils du conducteur âgé (Tableau 2) Levasseur et al, 2015). et représente un document de 25 pages incluant les facteurs qui peuvent influencer la conduite automobile comme les habiletés, telles que le jugement, la vision, la force et la flexibilité, et les habitudes de vie, par exemple, la consommation d'alcool et de médicaments et les habitudes de conduite.…”
This study aimed to explore the impact of an awareness tool for relatives of older drivers (OSCARPA) on i) their interest, openness and knowledge, ii) changes of abilities required for safe driving, and iii) utilization of compensatory strategies. A pre-experimental design with pretest (T0) and post-test (T1) eight to ten weeks after the intervention was realized with 45 relatives in contact with an older driver of 65 years old or older and who was driving at least once a week. Overall, the results demonstrated that OSCARPA increased i) interest, openness and knowledge of relatives (p<0.001), as well as their perceptions of ii) changes of abilities of older drivers (p=0.02), and iii) their utilization of compensatory strategies (p=0.001). Future studies would be relevant to further evaluate and increase the effectiveness of OSCARPA.
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