Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-02T03:37:04.329Z Has data issue: false hasContentIssue false

Older Driver Safety: A Survey of Psychologists’ Attitudes, Knowledge, and Practices

Published online by Cambridge University Press:  01 August 2016

Janet Love
Affiliation:
Centre on Aging and Department of Psychology, University of Victoria, British Columbia
Holly Tuokko*
Affiliation:
Centre on Aging and Department of Psychology, University of Victoria, British Columbia
*
La correspondance et les demandes de tire-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Dr. Holly Tuokko, Ph.D., RPsych Institute on Aging & Lifelong Health University of Victoria PO Box 1700, STN CSC Victoria, BC V8W 2Y2 ([email protected])

Abstract

Using an online survey, we examined the knowledge, attitudes, and practices with respect to older driver safety concerns of clinical psychologists from across Canada who self-identified as working with at least some drivers over 60 years of age. Eighty-four psychologists completed the survey, and many were aware of the issues relevant to older driver safety, although only about half reported that assessing fitness to drive was an important issue in their practice. The majority (75%) reported that they would benefit from education concerning evaluation of fitness to drive. The primary recommendation emerging from this investigation is to increase efforts to inform and educate psychologists about driving-related assessment and regulatory issues in general, and specifically with respect to older adults. As the population ages, it is of growing importance for all health care providers to understand the influence of mental health conditions—including cognitive impairment and dementia—on driving skills.

Résumé

Utilisant un sondage en ligne, nous avons examiné les connaissances, les attitudes et les pratiques en ce qui concerne les problèmes de sécurité des conducteurs âgés détenus par des psychologues cliniciens de tout le Canada qui se sont identifiés comme travaillant avec au moins quelques conducteurs de plus de 60 ans. Quatre-vingt-quatre psychologues ont répondu au sondage, et beaucoup étaient au courant des questions relatives à la sécurité des conducteurs âgés, bien que seulement environ la moitié ont déclaré que l’évaluation de l’aptitude à conduire est une question importante dans leur pratique. La majorité (75%) ont indiqué qu’ils bénéficieraient de l’éducation relative à l’évaluation de l’aptitude à conduire. La principale recommandation qui ressort de cette enquête est qu’il faut des efforts accrus pour sensibiliser les psychologues sur l’évaluation liée à la conduite et les questions réglementaires en général, mais en particulier en ce qui concerne les personnes âgées. En tant que la population vieillit, il est d’une importance croissante que tous les fournisseurs de soins de santé comprennent l’influence des conditions mentales—y compris des troubles cognitifs et de la démence—sur les compétences de conduite.

Type
Policy and Practice Notes / Notes sur les politiques et les pratiques
Copyright
Copyright © Canadian Association on Gerontology 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adler, G. & Rottunda, S. (2006). Older adults’ perspectives on driving cessation. Journal of Aging Studies, 20, 227235.CrossRefGoogle Scholar
Adler, G., & Rottunda, S. J. (2011). The driver with dementia: A survey of physician attitudes, knowledge, and practice. American Journal of Alzheimer’s Disease and Other Dementias, 26, 5864.Google Scholar
Adler, G., Rottunda, S., & Kuskowski, M. (1999). The impact of dementia on driving: Perceptions and changing habits. Clinical Gerontologist, 20, 2334.Google Scholar
American Association of Motor Vehicle Administrators (2009). Driver Fitness Medical Guidelines. Washington, D.C.: National Traffic Safety Administration, US Department of Transportation.Google Scholar
Anstey, K. J., Wood, J., Lord, S., & Walker, J. (2005). Cognitive, sensory and physical factors enabling driving safety in older adults. Clinical Psychology Review, 25(1), 4565.Google Scholar
Betz, M. E., Jones, J., Petroff, E., & Schwartz, R. (2013). “I wish we could normalize driving health”: A qualitative study of clinician discussions with older drivers. Journal of General Internal Medicine, 28(12), 15731580.Google Scholar
British Columbia Psychogeriatric Association. (2009). No particular place to go. A theatre production that explores issues concerning older driver safety [DVD and Guidebook]. Victoria, BC: Author.Google Scholar
Brooks, J. O., Dickerson, A., Crisler, M. C., Logan, W. C., Beeco, R. W., & Witte, J. C. (2011). Physician knowledge, assessment, and reporting of older driver fitness. Occupational Therapy in Health Care, 25, 213224.Google Scholar
Canadian Medical Association (2012). CMA Driver’s Guide: Determining Medical Fitness to Operate MeVehicles (8th ed.). Toronto, ON: Author.Google Scholar
Dellinger, A. M., Langlois, J. A., & Li, G. (2002). Fatal crashes among older drivers: Decomposition of rates into contributing factors. American Journal Epidemiology, 155, 231–224.Google Scholar
Hakamies-Blomqvist, L. (2006). Are there safe and unsafe drivers? Transportation Research Part F, 9, 347353.Google Scholar
Jang, R. W., Man-Son-Hing, M., Molnar, F. J., Hogan, D. B., Marshall, S. C., Auger, J., et al. (2007). Family physicians’ attitudes and practices regarding assessments of medical fitness to drive in older persons. Journal of General Internal Medicine, 22, 531543.Google Scholar
Johnston, C. (1993). Failure to report drivers’ medical problems could have serious legal consequences for MDs. Canadian Medical Association Journal, 149, 322325.Google ScholarPubMed
Jouk, A. (2014). Down the road: An interactive toolkit for caregivers about driving. Victoria, BC: Author.Google Scholar
Korner-Bitensky, N., Gelinas, I., Man-Son-Hing, M., & Marshall, S. C. (2005). Recommendations of the Canadian consensus conference on driving evaluation in older drivers. Physical and Occupational Therapy in Geriatrics, 23, 123–44.Google Scholar
Korner-Bitensky, N., Kua, A., von Zweck, C., & Van Benthem, K. (2007). Older driver retraining: A systematic review of evidence of effectiveness. Journal of Safety Research, 38, 8190.Google Scholar
Korner-Bitensky, N., Kua, A., von Zweck, C., & Van Benthem, K. (2009). Older driver retraining: An updated systematic review of evidence of effectiveness. Journal of Safety Research, 40, 105111.Google Scholar
Kryworuk, P. W., & Nickle, S. E. (2004). Mandatory physician reporting of drivers with medical conditions: Legal considerations. Canadian Journal of Cardiology, 20, 13241328.Google Scholar
Langford, J., & Koppel, S. (2006). The case for and against mandatory age-based assessment of older drivers. Transportation Research Part F, 9, 353362.Google Scholar
Langford, J., Methorst, R., & Hakamies-Blomqvist, L. (2006). Older drivers do not have a high crash risk–A replication of low mileage bias. Accident Analysis and Prevention 38, 574578.Google Scholar
LePore, M. (2011). When you are concerned. Retrieved from the New York State Office for the Aging website: http://www.aging.ny.gov/transportation/olderdriver/handbook2011.pdf Google Scholar
Lloyd, S., Cormack, C. N., Blais, K., Messeri, G., McCallum, M. A., Spicer, K., et al. (2001). Driving and dementia: A review of the literature. Canadian Journal of Occupational Therapy, 68, 149156.Google Scholar
MacLean, K., Berg-Weger, M., Meuser, T. M., & Carr, D. B. (2007). Driving retirement: Help with counseling older drivers. Family Practice Recertification, 29, 16.Google Scholar
Man-Son-Hing, M., Marshall, S. C., Molnar, F. J., & Wilson, K. G. (2007). Systematic review of driving risk and the efficacy of compensatory strategies in persons with dementia. Journal of the American Geriatrics Society, 55, 878884.Google Scholar
Marottoli, R. A., deLeon, C. F. M., Glass, T. A., Williams, C. S., Cooney, L. M., & Berkman, L. F. (2000). Consequences of driving cessation: Decreased out-of-home activity levels. Journal of Gerontology, 55B, S334S340.Google Scholar
Marshall, S. C., & Gilbert, N. (1999). Saskatchewan physicians’ knowledge and attitudes regarding assessment of medical fitness to drive. Canadian Medical Association Journal, 160, 17011704.Google Scholar
Ménard, I., Korner-Bitensky, N., Dobbs, B., Cascalenda, N., Beck, P. R., Gélinas, I., et al. (2006). Canadian psychiatrists’ current attitudes, practices and knowledge regarding fitness to drive in individuals with mental illness: A cross-Canadian survey. Canadian Journal of Psychiatry, 51, 836846.Google Scholar
Meuser, T. M., Carr, D. B., Irmiter, C., Schwartzberg, J. G., & Ulfarsson, G. F. (2010). The American Medical Association older driver curriculum for health professionals: Changes in trainee confidence, attitudes, and practice behavior. Gerontology & Geriatrics Education, 312, 290309.Google Scholar
Organization for Economic Co-operation and Development (OECD) (2001). Ageing and transport: Mobility needs and safety issues. Paris, FRA: Author.Google Scholar
Ragland, D. R., Satarino, W. A., & MacLeod, K. E. (2005). Driving cessation and increased depressive symptoms. Journal of Gerontology, 60A, 399403.Google Scholar
Redelmeier, D. A., Venkatesh, V., & Stanbrook, M. B. (2008). Mandatory reporting by physicians of patients potentially unfit to drive. Open Medicine, 2(1), E817.Google Scholar
Reuben, D. B., & St. George, P. (1996). Driving and dementia: California’s approach to a medical and policy dilemma. Western Journal of Medicine, 164, 111121.Google Scholar
Ruechel, S., & Mann, W. C. (2005). Self-regulation of driving by older persons. Physical and Occupational Therapy in Geriatrics, 23(2–3), 91101.Google Scholar
Siren, A., & Meng, A. (2012). Cognitive screening of older drivers does not produce safety benefits. Accident Analysis and Prevention, 45, 634638.Google Scholar
Statistics Canada (2010). Population projections for Canada, Provinces and Territories. Retrieved from the Statistics Canada website: http://www.statcan.gc.ca/pub/91-520-x/91-520-x2010001-eng.pdf Google Scholar
The Hartford. (2010a). At the cross-roads: Family conversations and Alzheimer’s disease, dementia & driving. Retrieved from https://www.thehartford.com/sites/the_hartford/files/cmme-crossroads.pdf Google Scholar
The Hartford. (2010b). We need to talk: Family conversations with older drivers. Retrieved from The Hartford website: http://hartfordauto.thehartford.com/UI/Downloads/FamConHtd.pdf Google Scholar
Tuokko, H., & Hunter, F. (2002). Using “Age” as a Fitness-to-Drive Criterion for Older Adults. Ottawa, ON: Law Commission of Canada.Google Scholar
Turcotte, M. (2012). Profile of seniors’ transportation habits. Canadian Social Trends, 93, 116.Google Scholar
Vrkljan, B. H., Myers, A. M., Crizzle, A. M., Blanchard, R. A., & Marshall, S. C. (2013). Evaluating medically at-risk drivers: A survey of assessment practices in Canada. Canadian Journal of Occupational Therapy, 80, 295303.Google Scholar
Wilson, L. R., & Kirby, N. H. (2008). Individual differences in South Australian general practitioners’ knowledge, procedures and opinions of the assessment of older drivers. Australasian Journal on Ageing, 27, 121125.CrossRefGoogle ScholarPubMed