Sarah Sanford1, Gary Naglie1,2,3,4, Duncan H Cameron5, Mark J Rapoport6,7. 1. Rotman Research Institute, Toronto, Canada. 2. Department of Medicine, Baycrest Health Sciences, Toronto, Canada. 3. Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada. 4. Research Department, Toronto Rehabilitation Institute-University Health Network, Toronto, Canada. 5. Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Canada. 6. Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada. 7. Department of Psychiatry, University of Toronto, Toronto, Canada.
Abstract
Objectives: To review qualitative research on the specific challenges and strategies that relate to driving cessation for older adults with dementia, from the perspectives of key informant groups.Method: A meta-synthesis of qualitative studies was conducted. Structured inclusion criteria were applied to screen 616 titles and abstracts, and 9 qualitative studies were included, published from 2002 to 2016. Descriptive themes were identified using content analysis and synthesized to generate analytic themes. Results: The study samples and methodologies represented a diverse range. Cross-cutting themes on experiences of driving cessation for people with dementia are the: importance of open communication and autonomy in decision-making, and advanced planning to connect people with resources; significance of relationships; importance of providing support for the impact of cessation on identity and emotional wellbeing; and benefit of individualizing supportive approaches. Conclusion: This review identifies some important areas for consideration when designing supportive programs to address driving.Clinical Implications: Interventions to support driving cessation for people with dementia should prioritize support for communication, advanced planning, and emotional effects of stopping driving.
Objectives: To review qualitative research on the specific challenges and strategies that relate to driving cessation for older adults with dementia, from the perspectives of key informant groups.Method: A meta-synthesis of qualitative studies was conducted. Structured inclusion criteria were applied to screen 616 titles and abstracts, and 9 qualitative studies were included, published from 2002 to 2016. Descriptive themes were identified using content analysis and synthesized to generate analytic themes. Results: The study samples and methodologies represented a diverse range. Cross-cutting themes on experiences of driving cessation for people with dementia are the: importance of open communication and autonomy in decision-making, and advanced planning to connect people with resources; significance of relationships; importance of providing support for the impact of cessation on identity and emotional wellbeing; and benefit of individualizing supportive approaches. Conclusion: This review identifies some important areas for consideration when designing supportive programs to address driving.Clinical Implications: Interventions to support driving cessation for people with dementia should prioritize support for communication, advanced planning, and emotional effects of stopping driving.
Authors: Jonathon M Vivoda; Jiawei Cao; Athena Koumoutzis; Annie C Harmon; Ganesh M Babulal Journal: Transp Res Part F Traffic Psychol Behav Date: 2020-12-18
Authors: Shabnam Haghzare; Ghazaleh Delfi; Elaine Stasiulis; Hodan Mohamud; Erica Dove; Mark J Rapoport; Gary Naglie; Alex Mihailidis; Jennifer L Campos Journal: Gerontologist Date: 2022-08-12