Are older drivers getting the information they need from their health care provider?
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20182143Keywords:
Older drivers, Mobility counseling, Driving cessation, Health care provider, Aging, Injury preventionAbstract
Background: The number of drivers aged 65 or older is expected to increase, creating a significant public health issue. Health care providers (HCPs) can provide counseling to their older patients to assist with continuing to drive safely. The goal of the current study was to determine the frequency with which older drivers recall having had received driving-related information from their HCP.
Methods: Current and former drivers aged 65 or older in the upper Midwest were surveyed about whether a HCP had provided information to them about driving issues.
Results: Of the 59 completed responses for former drivers, less than 15% reported having received information from their HCP on driving issues prior to stopping driving. Of the 775 completed responses for current drivers, 0.7% of respondents aged 65 to 74, 0.4% of respondents aged 75 to 84, and 7.0% of respondents aged 85 or older recalled their HCP ever having provided them with information about safe driving habits, or been told they should limit or discontinue their driving.
Conclusions: Few adults aged 65 or older are receiving information related to driving safety from their HCP. HCP conversations are an important part of normalizing the transition through the stages of driving cessation, and may assist older adults get prepared, both emotionally and logistically, for the time when they have to stop driving. Additional research on HCP provision of driving safety information to older adults is needed.
References
Lyman JM, McGwin Jr G, Sims RV. Factors related to driving difficulty and habits in older drivers. Accident Analysis Prevention. 2001;33(3):413-21.
U.S. Census Bureau. 2012 Statistical Abstract – The National Data Book. 2012.
National Highway Traffic Safety Administration (NHTSA). Traffic Safety Facts 2015 Data – Older population. US Department of Transportation, DOT HS 812372, 2017.
Anstey KJ, Wood J, Lord S, Walker JG. Cognitive, sensory and physical factors enabling driving safety in older adults. Clinical Psychol Rev. 2005;25(1):45-65.
Kwon M, Huisingh C, Rhodes LA, McGwin G, Wood JM, Owsley C. Association between Glaucoma and At–fault Motor Vehicle Collision Involvement among Older Drivers: A Population-based Study. Ophthalmology. 2016;123(1):109-16.
Mathias JL, Lucas LK. Cognitive predictors of unsafe driving in older drivers: a meta-analysis. International Psychogeriatrics. 2009;21(4):637-53.
Haustein S, Siren A. Older people's mobility: Segments, factors, trends. Transport Reviews. 2015;35(4):466-87.
Betz ME, Lowenstein SR, Schwartz R. Older adult opinions of “advance driving directives”. J Primary Care Community Health. 2013;4(1):14-27.
Betz ME, Jones J, Petroff E, Schwartz R. “I wish we could normalize driving health:” a qualitative study of clinician discussions with older drivers. J General Internal Med. 2013;28(12):1573-80.
Nelson CS, Wissow LS, Cheng TL. Effectiveness of anticipatory guidance: recent developments. Current Opinion Pediatrics. 2003;15(6):630-5.
DiGuiseppi C, Roberts IG. Individual-level injury prevention strategies in the clinical setting. The Future Children. 2000: 53-82.
Huseth-Zosel AL, Sanders G, O'Connor M. Predictors of health care provider anticipatory guidance provision for older drivers. Traffic Injury Prevention. 2016;17(8):815-20.
Dellinger AM, Sehgal M, Sleet DA, Barrett‐Connor E. Driving cessation: What older former drivers tell us. J Am Geriatrics Society. 2001;49(4):431-5.
Hakamies-Blomqvist L, Wahlström B. Why do older drivers give up driving? Accident Analysis & Prevention. 1998;30(3):305-12.
NHTSA. National Highway Traffic Safety Administration Regional Offices. 2012.
Lum HD, Brown JB, Juarez-Colunga E, Betz ME. Physician involvement in life transition planning: a survey of community-dwelling older adults. BMC Family Practice. 2015;16(1):92.
Liddle J, Carlson G, McKenna K. Using a matrix in life transition research. Qualitative Health Res. 2004;14(10):1396-417.
Hansen MH, Hurwitz WN. The problem of non-response in sample surveys. J American Statistical Association. 1946;41(236):517-29.
Groves RM, Cialdini RB, Couper MP. Understanding the decision to participate in a survey. Public Opinion Quarterly. 1992;56(4):475-95.
Paganini-Hill A, Hsu G, Chao A, Ross RK. Comparison of early and late respondents to a postal health survey questionnaire. Epidemiology. 1993:375-9.
Maclennan B, Kypri K, Langley J, Room R. Non-response bias in a community survey of drinking, alcohol-related experiences and public opinion on alcohol policy. Drug Alcohol Dependence. 2012;126(1):189-94.
