Older driver retraining: An updated systematic review of evidence of effectiveness

Korner‐Bitensky, Nicol; Kua, Ailene; Zweck, Claudia von; Benthem, Kathleen Van

doi:10.1016/j.jsr.2009.02.002

Cited by 74 publications

(52 citation statements)

References 16 publications

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“…A systematic review of the effectiveness of retraining in older drivers indicated that education combined with on-road training improved driving performance, as strong evidence [21]. The conclusion that intervention could change knowledge of and on-road driving behaviors of older drivers is highly encouraging [21].…”

Section: Discussionmentioning

confidence: 99%

“…Although there is evidence of driving rehabilitation in disabled adults [20, 22], the effects of interventions on safe driving were not clear in older adults with cognitive impairment [20, 21] who had low driving skills [23, 24]. More evidence from research is needed on older adults with cognitive impairment to propose recommendations regarding interventions for improving driving skills.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

et al. 2018

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Background: Driving cessation is strongly associated with adverse health outcomes in the older adults. Although there were numerous documentations of driving rehabilitation in disabled adults, the effects of interventions on safe driving were not clear in older adults with cognitive impairment who had low driving skills. Objective: This randomized controlled trial was designed to determine whether a safe driving skill program consisting of classroom and on-road training could enhance driving performance of older drivers with cognitive impairment in Japan. Methods: A total of 160 community-living older drivers participated in the randomized controlled trial with blinded endpoint assessment. Participants randomized to intervention underwent 10 1-h classroom sessions and 10 1-h on-road sessions focused on common problem areas of older drivers. Controls received 1 classroom education. On-road driving performance was assessed by certified driving school instructors in a driving school. The participants carried out dynamic vision and cognitive performance tests. Results: One hundred and forty-six (intervention group, n = 71) subjects completed the 3-month follow-up. Mean adherence to classroom-based vision training and driving simulator training and on-road training programs, including the 71 participants, was 99.0 ± 6.4 and 99.0 ± 7.2%, respectively. Regarding the safe driving skill score, there were group × time interactions (p < 0.01) indicating benefits of the intervention over time. Although there were no significant group × time interactions in cognitive tests, dynamic vision showed group × time interactions (p < 0.01). Conclusion: The driving skill program significantly improved safe driving performance in older adults with cognitive impairment who were at a potentially high risk of a car accident.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

et al. 2018

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“…However, another study found that such interventions were not effective in reducing at-fault MVCs among older drivers (Ichikawa et al, 2015). Moreover, a systematic review on the effectiveness of retraining older drivers found no evidence that the retraining reduces MVCs (Korner-Bitensky et al, 2009). Therefore, instead of educating older drivers to continue driving safely, and with the objective of reducing MVCs and injuries especially among the oldest drivers, it might be more practical to reduce their driving by providing more convenient transportation alternatives.…”

Section: Discussionmentioning

confidence: 99%

Older drivers’ risks of at-fault motor vehicle collisions

Ichikawa

Nakahara

Taniguchi

2015

Accident Analysis & Prevention

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“…Until now, and despite several local and governmental initiatives (for a review, see Dunbar et al, 2004), only one study has found evidence that educational training can improve the safety of older adults' streetcrossing decisions . Note that studies on older drivers have shown that educational programs improve knowledge, but the existence of safety benefits has not been proven (for a review, see Korner-Bitensky et al, 2009). Consequently, more studies that evaluate the effectiveness of educational interventions are required for older pedestrians.…”

Section: Training Programs For Older Pedestriansmentioning

confidence: 99%

Review of safety and mobility issues among older pedestrians

Tournier

Dommès²,

Cavallo³

2016

Accident Analysis & Prevention

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a b s t r a c tAlthough old people make up an extremely vulnerable road-user group, older pedestrians' difficulties have been studied less extensively than those of older drivers, and more knowledge of this issue is still required. The present paper reviews current knowledge of older-adult problems with the main components of pedestrian activity, i.e., walking and obstacle negotiation, wayfinding, and road crossing. Compared to younger ones, old pedestrians exhibit declining walking skills, with a walking speed decrease, less stable balance, less efficient wayfinding strategies, and a greater number of unsafe road crossing behaviors. These difficulties are linked to age-related changes in sensorial, cognitive, physical, and self-perception abilities. It is now known that visual impairment, physical frailty, and attention deficits have a major negative impact on older pedestrians' safety and mobility, whereas the roles of self-evaluation and self-regulation are still poorly understood. All these elements must be taken into consideration, not only in developing effective safety interventions targeting older pedestrians, but also in designing roads and cars. Recent initiatives are presented here and some recommendations are proposed.

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Older driver retraining: An updated systematic review of evidence of effectiveness

Cited by 74 publications

References 16 publications

Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment

Older drivers’ risks of at-fault motor vehicle collisions

Review of safety and mobility issues among older pedestrians

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