Effects of a Safe Transportation Educational Program for Older Drivers on Driving Exposure and Community Participation: A Randomized Controlled Trial

Coxon, Kristy; Chevalier, Anna; Brown, Julie; Clarke, Elizabeth C.; Billot, Laurent; Boufous, Soufiane; Ivers, Rebecca; Keay, Lisa

doi:10.1111/jgs.14550

Cited by 9 publications

(15 citation statements)

References 44 publications

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“… 5 , 11 , 43 In addition, existing, scalable programs that support older adults living in the community (eg, home health care, meal assistance, transportation, and community health workers) offer the potential to promote quality of life for older adults who may be considering transitioning into or out of residential LTC. Randomized clinical trials have demonstrated that these programs can positively influence mental health, 44 , 45 , 46 , 47 and other such trials are underway. 48 , 49 There are also ongoing efforts to address barriers to navigating LTC transitions for both residents and family members.…”

Section: Discussionmentioning

confidence: 99%

Suicide Among Older Adults Living in or Transitioning to Residential Long-term Care, 2003 to 2015

Mezuk

Kalesnikava

et al. 2019

JAMA Netw Open

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Key Points Question How common is suicide in residential long-term care (LTC) settings, and is transitioning into or out of LTC associated with suicide among older adults? Findings In this cross-sectional epidemiologic study of 47 759 deaths in the National Violent Death Reporting System (NVDRS) (2003-2015), a natural language processing algorithm identified 1037 suicides among adults 55 years and older associated with LTC. The algorithm identified far more deaths associated with LTC in comparison with the existing NVDRS injury location codes. Meaning Suicide occurs among older adults living in or transitioning to LTC settings, and the mental health and well-being of older adults should be addressed in these settings.

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Section: Discussionmentioning

confidence: 99%

Suicide Among Older Adults Living in or Transitioning to Residential Long-term Care, 2003 to 2015

Mezuk

Kalesnikava

et al. 2019

JAMA Netw Open

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“…Overall results show that 60% of reviewed studies presented positive (+) results, 24% presented negative (−), and the remaining 16% of the studies showed unclear results (+/−). For example, from Table 4, the study by Coxon et al [34] presented unclear overall results (+/−) since self-regulatory driving practices generally showed positive results, but a negative result in the distance driven per week, the restriction of driving space, the use of alternate transportation and community participation 12-months + post-intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Despite the positive findings related to self-regulatory driving practices found in some of the programs [34,36,39], the results must be considered with caution since 2 out of 3 studies with positive results related to education programs were informed by self-reports and/or questionnaires [36,39]. This type of dependent variables could create some problems, for example, in the study developed by Selander et al [69], all the participants self-reported as capable of driving, however, when evaluated by an objective measurement such as a test on route, 20% of them failed.…”

Section: Education-based Training Programsmentioning

confidence: 86%

“…It is also important to highlight that 4 out of 6 of the reviewed studies, including the ones with strong methodology [34,39], did not produce positive results supporting this type of intervention [37,38]. Furthermore, the results obtained by Nasvadi and Vavrik [35] indicate that men and women who attended this education course had a 1.5-time greater chance of being involved in a crash than their matched controls.…”

Section: Education-based Training Programsmentioning

confidence: 97%

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Are interventions effective at improving driving in older drivers?: A systematic review

et al. 2020

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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.

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“…Other training programs that are offered in Germany often are not evaluated, do not include on the road driving training, do not consider the elderly drivers' special needs or heterogeneity or rather have the diagnostic aim of testing the fitness to drive than actual training. The study by Coxon et al (2016) even shows the importance of chosen content and methodology for gaining positive training effects, as the program did not result in behavior modification, but in increased depression scores for the group that had participated in the training sessions.…”

Section: Introductionmentioning

confidence: 96%

MOVE-IT: Development and Evaluation of Efficient Training Procedures for Elderly Road Users to Support their Driving Competence

Schoch

Julier

Kenntner-Mabiala

et al. 2019

Proceedings of the 10th International Driving Symposium on Human Factors in Driver Assessment, Training and Vehicle Design: Dri

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Evaluated training measures for improvement of elderly drivers' driving competency lead to a considerable better driving performance, but so far are time-consuming and costly, making its nationwide implementation difficult. The aim of the present project was to develop and evaluate a modular training program for elderly drivers, which is easy, low-cost and time efficient. Based on an individual profile including driving related performance deficits and the individual need for mobility, a personalized training program is compiled. It includes individualized driving exercises, group sessions to refresh knowledge of traffic rules, consultation regarding the compensation of age-related restrictions and the use of driver assistance systems. For evaluation, a pre-post-design with 30 subjects was realized. The driving performance was measured through different performance parameters and increased through participation. Driving instructors rated the program useful and feasible. Participants were very satisfied with the concept of the training and evaluated it as being helpful. Therefore, this training concept seems to be promising for future use beyond the project work. A scientifically accompanied introduction of the training concept to several driving schools is recommended.

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Effects of a Safe Transportation Educational Program for Older Drivers on Driving Exposure and Community Participation: A Randomized Controlled Trial

Abstract: An individualized safe-transportation program can promote behavior change but did not translate to significant differences in weekly mileage after 12 months. Longer follow-up may detect changes over time.

Cited by 9 publications

References 44 publications

Suicide Among Older Adults Living in or Transitioning to Residential Long-term Care, 2003 to 2015

Suicide Among Older Adults Living in or Transitioning to Residential Long-term Care, 2003 to 2015

Are interventions effective at improving driving in older drivers?: A systematic review

MOVE-IT: Development and Evaluation of Efficient Training Procedures for Elderly Road Users to Support their Driving Competence

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