Measuring the impact of driving status: The Centre for Research on Safe Driving–Impact of Driving Status on Quality of Life (CRSD-IDSQoL) tool

Patterson, Loretta; Mullen, Nadia; Stinchcombe, Arne; Weaver, Bruce; Bédard, Michel

doi:10.1177/0008417418824980

Cited by 8 publications

(6 citation statements)

References 32 publications

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“…Driving cessation in the general population can lead to reduced social contacts, reduced activity and increased dependence on others. 13,14 In people with diabetes, driving cessation can cause all the above and impact the quality of life (QOL); hence it is important to identify and intervene to improve IAH. Interventions associated with improvement in hypoglycaemia awareness include Dose Adjustment For Normal Eating structured education, CGM and continuing support.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, clinicians may be unwilling to recommend driving cessation to maintain their patient‐doctor relationship and because they will often have implemented therapy changes to reduce the risk of hypoglycaemia. Driving cessation in the general population can lead to reduced social contacts, reduced activity and increased dependence on others 13,14 . In people with diabetes, driving cessation can cause all the above and impact the quality of life (QOL); hence it is important to identify and intervene to improve IAH.…”

Section: Discussionmentioning

confidence: 99%

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Intermittently scanned continuous glucose monitoring and hypoglycaemia awareness in drivers with diabetes: Insights from the Association of British Clinical Diabetologists Nationwide audit

Mark‐Wagstaff,

Deshmukh,

Wilmot

et al. 2023

Diabetes Obesity Metabolism

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AimFrequent hypoglycaemia results in disruption to usual hypoglycaemic autonomic responses leading to impaired awareness of hypoglycaemia, which is associated with an increased risk of severe hypoglycaemia requiring third‐party assistance (SH). The UK Driving and Vehicle Licensing Agency (DVLA) does not permit car driving if they have either a complete loss of hypoglycaemia awareness or more than one SH event a year.MethodsThe FreeStyle Libre (FSL) Association of British Clinical Diabetologists (ABCD) Nationwide Audit consists of data collected by clinicians during routine clinical work, submitted into a secure web‐based tool held within the National Health Service (NHS) N3 network. Analysis of paired baseline and follow‐up data for people with type 1 diabetes who also held a driving licence was undertaken.ResultsThe study consisted of 6304 people who had data recorded about driving status from 102 UK specialist diabetes centres, of which 4218 held a driving licence: 4178 a group 1, standard licence, 33 a group 2, large lorries and buses, seven a taxi licence; 1819 did not drive. Paired baseline and follow‐up data were available for a sub‐cohort of 1606/4218. At a mean follow‐up of 6.9 months [95% CI (6.8, 7.1)], the Gold score had improved (2.3 ± 1.5 vs. 2.0 ± 1.3 p < .001), and the number of people who experienced an SH episode was also significantly lower (12.1% vs. 2.7%, p < .001).ConclusionThis study suggests that intermittently scanned continuous glucose monitoring may improve impaired awareness of hypoglycaemia and reduce the number of people with type 1 diabetes with a driving licence experiencing a severe hypoglycaemic episode.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intermittently scanned continuous glucose monitoring and hypoglycaemia awareness in drivers with diabetes: Insights from the Association of British Clinical Diabetologists Nationwide audit

Mark‐Wagstaff,

Deshmukh,

Wilmot

et al. 2023

Diabetes Obesity Metabolism

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“…Numerous activities of daily living may be impacted, not least the ability to drive. Driving is a primary means of mobility, and an important function that is linked to quality of life2–4 across a diverse range of populations and cultures 5. Driving status has been shown to have a significant positive effect on physical and psychological health, social networks, productivity and life satisfaction 6.…”

Section: Introductionmentioning

confidence: 99%

Return to driving following surgery to the upper limb: a scoping review protocol

Rankin

Smith

2023

BMJ Open

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IntroductionUpper limb surgery is a common burden on the active and ageing population, often resulting in a transient state of functional impairment. Many activities of daily living can be affected, including ability to drive. Currently there are no guidelines regarding safe return to driving following upper limb surgery. This scoping review aims to systematically review the current literature on the topic of driving following surgery to the upper limb.Methods and analysisInformed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses—Scoping Review extension guidelines, this protocol details the scoping review’s methodological and analytical approaches. The review will consider all primary and secondary source articles that examine return to driving following surgery to the upper limb, including the impact of orthoses on functional ability to drive. All studies will be included regardless of methodology and text and opinion pieces will also be considered. Studies conducted in any geographical location or setting will be included in the review. Systematic searches of scientific databases such as OVID (MEDLINE, EMBASE and Cochrane), NCBI (PubMed), Scopus, PsycINFO, EBSCOhost (CINAHL), Web of Science, Google Scholar and ProQuest will be conducted. In addition, relevant organisational websites, dissertations, theses from university repositories and grey literature will be included. Further articles will be identified by searching references of relevant studies. Studies conducted in English in any year will be included. Two independent reviewers will screen identified literature sources based on predetermined inclusion/exclusion criteria. Discrepancies will be resolved through discussion, therefore, negating the need for a third reviewer. Article data will be presented in tabular or graphical format along with a narrative summary.Ethics and disseminationEthics approval is not required. Findings will be disseminated through professional networks, peer-reviewed publications and conference presentations.

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“…The percentage of older adults who will retain their driver’s license to an older age is increasing and in 2015, 69% of Australians over 80 years were still driving, an increase of 59% since 2007. In Western countries driving is important for community access and participation [ 2 ] and is now considered an activity of daily living (ADL) [ 3 ]. The practical and emotional benefits of driving and the association with quality of life have been well documented [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…In Western countries driving is important for community access and participation [ 2 ] and is now considered an activity of daily living (ADL) [ 3 ]. The practical and emotional benefits of driving and the association with quality of life have been well documented [ 3 , 4 ]. Overall, driving enables people to fulfil ADLs such as banking and shopping, and promotes social and community engagement [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding the relationship between eye disease and driving in very old Australian women: a longitudinal thematic evaluation

et al. 2022

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Background Over recent decades an increasing number of adults will retain their driver’s licenses well into their later years. The aim of this study was to understand and explore the experience of driving and driving cessation in very old Australian women with self-reported eye disease. Methods An interpretative qualitative study. Participants were from the Australian Longitudinal Study on Women’s Health (cohort born in 1921–26), a sample broadly representative of similarly aged Australian women. Responses to open-ended questions were analysed using an inductive thematic approach, employing a process of constant comparison. Results Qualitative data were from 216 older women with eye disease who made 2199 comments about driving, aged between 70 and 90 years depending on the timing of their comments. Themes included: (1) Access to treatment for eye disease promotes driving independence and quality of life; (2) Driving with restrictions for eye disease enables community engagement and (3) Driving cessation due to poor vision leads to significant lifestyle changes. Conclusions Key findings highlighted driving cessation, or reduction, is often attributed to deterioration in vision. The consequence is dependence on others for transport, typically children and friends. Access to successful treatment for eye disease allowed older women to continue driving. We posit that occupational therapists can play an essential role in promote driving confidence and ability as women age. Trial registration: Not applicable.

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Measuring the impact of driving status: The Centre for Research on Safe Driving–Impact of Driving Status on Quality of Life (CRSD-IDSQoL) tool

Cited by 8 publications

References 32 publications

Intermittently scanned continuous glucose monitoring and hypoglycaemia awareness in drivers with diabetes: Insights from the Association of British Clinical Diabetologists Nationwide audit

Intermittently scanned continuous glucose monitoring and hypoglycaemia awareness in drivers with diabetes: Insights from the Association of British Clinical Diabetologists Nationwide audit

Return to driving following surgery to the upper limb: a scoping review protocol

Understanding the relationship between eye disease and driving in very old Australian women: a longitudinal thematic evaluation

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