Literature DB >> 15014051

The role of physicians in assessing older drivers: barriers, opportunities, and strategies.

Hillary R Bogner1, Joseph B Straton, Joseph J Gallo, George W Rebok, Penelope M Keyl.   

Abstract

BACKGROUND: Evaluation of the older driver is a difficult task for primary care physicians. We investigated the physician-perceived barriers to assessing older drivers in primary care practice.
METHODS: Twenty family physicians whose patients had completed a clinical questionnaire and neuropsychological tests participated in one of 2 focus groups. Physicians were asked about barriers to assessing older drivers in primary care and the usefulness of neuropsychological tests for assessing driving ability.
RESULTS: A number of themes emerged related to barriers in the assessment of the older driver. Major themes included concerns about being liable for the results of driving related screening and about patients reacting unfavorably to a driving assessment including cognitive tests. Physicians uniformly agreed that a protocol to guide driving assessment would be useful.
CONCLUSIONS: Physicians encounter a number of barriers to assessing older drivers but recognize the importance of driving within the context of geriatric functional assessment.

Entities:  

Mesh:

Year:  2004        PMID: 15014051      PMCID: PMC2804856          DOI: 10.3122/jabfm.17.1.38

Source DB:  PubMed          Journal:  J Am Board Fam Pract        ISSN: 0893-8652


  12 in total

1.  Prospective study of brief neuropsychological measures to assess crash risk in older primary care patients.

Authors:  Sandra E Lesikar; Joseph J Gallo; George W Rebok; Penelope M Keyl
Journal:  J Am Board Fam Pract       Date:  2002 Jan-Feb

2.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician.

Authors:  M F Folstein; S E Folstein; P R McHugh
Journal:  J Psychiatr Res       Date:  1975-11       Impact factor: 4.791

3.  Development of a test battery to identify older drivers at risk for self-reported adverse driving events.

Authors:  R A Marottoli; E D Richardson; M H Stowe; E G Miller; L M Brass; L M Cooney; M E Tinetti
Journal:  J Am Geriatr Soc       Date:  1998-05       Impact factor: 5.562

4.  A preliminary assessment of the medical and functional factors associated with vehicle crashes by older adults.

Authors:  R V Sims; C Owsley; R M Allman; K Ball; T M Smoot
Journal:  J Am Geriatr Soc       Date:  1998-05       Impact factor: 5.562

5.  Driving performance in persons with mild senile dementia of the Alzheimer type.

Authors:  L Hunt; J C Morris; D Edwards; B S Wilson
Journal:  J Am Geriatr Soc       Date:  1993-07       Impact factor: 5.562

Review 6.  The older driver. Clinical assessment and injury prevention.

Authors:  M Underwood
Journal:  Arch Intern Med       Date:  1992-04

Review 7.  The aging driver. Medicine, policy, and ethics.

Authors:  D B Reuben; R A Silliman; M Traines
Journal:  J Am Geriatr Soc       Date:  1988-12       Impact factor: 5.562

8.  The driving habits of adults aged 60 years and older.

Authors:  J J Gallo; G W Rebok; S E Lesikar
Journal:  J Am Geriatr Soc       Date:  1999-03       Impact factor: 5.562

9.  Predictors of automobile crashes and moving violations among elderly drivers.

Authors:  R A Marottoli; L M Cooney; R Wagner; J Doucette; M E Tinetti
Journal:  Ann Intern Med       Date:  1994-12-01       Impact factor: 25.391

10.  Neuropsychological characteristics of college males who show attention dysfunction.

Authors:  P Huhtaniemi; R J Haier; P Fedio; M S Buchsbaum
Journal:  Percept Mot Skills       Date:  1983-10
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  11 in total

1.  Health Care Provider Mobility Counseling Provision to Older Adults: A Rural/Urban Comparison.

Authors:  Andrea L Huseth-Zosel; Gregory Sanders; Melissa O'Connor; Heather Fuller-Iglesias; Linda Langley
Journal:  J Community Health       Date:  2016-02

2.  Driving concerns among older adults: Associations with driving skill, behaviors, and experiences.

Authors:  Hannah K Allen; Kenneth H Beck; Faika Zanjani
Journal:  Traffic Inj Prev       Date:  2019-02-04       Impact factor: 1.491

3.  Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study.

Authors:  Marian E Betz; Leon Villavicencio; Deepika Kandasamy; Tara Kelley-Baker; Woon Kim; Carolyn DiGuiseppi; Thelma J Mielenz; David W Eby; Lisa J Molnar; Linda Hill; David Strogatz; David B Carr; Guohua Li
Journal:  J Am Board Fam Med       Date:  2019 Jul-Aug       Impact factor: 2.657

Review 4.  Driving and dementia: Efficient approach to driving safety concerns in family practice.

Authors:  Linda Lee; Frank Molnar
Journal:  Can Fam Physician       Date:  2017-01       Impact factor: 3.275

5.  System facilitators and barriers to discussing older driver safety in primary care settings.

Authors:  Marian E Betz; Jacqueline Jones; David B Carr
Journal:  Inj Prev       Date:  2015-01-23       Impact factor: 2.399

6.  "I wish we could normalize driving health:" a qualitative study of clinician discussions with older drivers.

Authors:  Marian E Betz; Jacqueline Jones; Emma Petroff; Robert Schwartz
Journal:  J Gen Intern Med       Date:  2013-05-29       Impact factor: 5.128

Review 7. 

Authors:  Linda Lee; Frank Molnar
Journal:  Can Fam Physician       Date:  2017-01       Impact factor: 3.275

8.  Older emergency department drivers: patterns, behaviors, and willingness to enroll in a safe driver program.

Authors:  Kirk A Stiffler; Scott T Wilber
Journal:  West J Emerg Med       Date:  2011-02

9.  Test-retest reliability of the safe driving behavior measure for community-dwelling elderly drivers.

Authors:  Chiang-Soon Song; Joo-Hyun Lee; Sang-Woo Han
Journal:  J Phys Ther Sci       Date:  2016-06-28

10.  Barriers to assessing fitness to drive in dementia in nova scotia: informing strategies for knowledge translation.

Authors:  Paige Moorhouse; Laura Hamilton; Tracey Fisher; Kenneth Rockwood
Journal:  Can Geriatr J       Date:  2011-11-11
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