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A driving cessation program to identify and improve transport and lifestyle issues of older retired and retiring drivers

Published online by Cambridge University Press:  04 January 2012

Louise Gustafsson ,
Jacki Liddle ,
Phyllis Liang ,
Nancy Pachana ,
Melanie Hoyle ,
Geoff Mitchell  and
Kryss McKenna
Louise Gustafsson*
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
Jacki Liddle
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
Phyllis Liang
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
Nancy Pachana
Affiliation:
School of Psychology, The University of Queensland, St Lucia, Australia
Melanie Hoyle
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
Geoff Mitchell
Affiliation:
School of Medicine, The University of Queensland, St Lucia, Australia
Kryss McKenna
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
*
Correspondence should be addressed to: Louise Gustafsson, PhD, Lecturer, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane Queensland 4072, Australia. Phone: +61 7 33652926. Email: l.gustafsson@uq.edu.au.
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Abstract

Background: This study explored the transport and lifestyle issues of older retired and retiring drivers participating in the University of Queensland Driver Retirement Initiative (UQDRIVE), a group program to promote adjustment to driving cessation for retired and retiring older drivers.

Methods: A mixed method research design explored the impact of UQDRIVE on the transport and lifestyle issues of 55 participants who were of mean age 77.9 years and predominantly female (n = 40). The participants included retired (n = 32) and retiring (n = 23) drivers. Transport and lifestyle issues were identified using the Canadian Occupational Performance Measure and rated pre- and post-intervention.

Results: Paired t-tests demonstrated a statistically significant improvement in performance (t = 10.5, p < 0.001) and satisfaction (t = 9.9, p < 0.001) scores of individual issues. Qualitative content analysis identified three categories of issues including: protecting my lifestyle; a better understanding of transport options; and being prepared and feeling okay.

Conclusions: Participation in UQDRIVE had a positive and significant effect on the issues of the participants. The results highlight that although all participants stated issues related predominantly to practical concerns, there were trends in the issues identified by the drivers and retired drivers that were consistent with their current phase of the driving cessation process.

Keywords

community mobilityolder driversCanadian Occupational Performance Measure concernsintervention
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 5 , May 2012 , pp. 794 - 802
Copyright
Copyright © International Psychogeriatric Association 2012

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References

Baptiste, S. and Rochon, S. (2008). Client-centered assessment: the Canadian occupational performance measure. In Hemphill-Pearson, B. J. (ed.), Assessments in Occupational Therapy Mental Health: An Integrative Approach, 2nd edn (pp. 41–58). Thorofare, NJ: SLACK.Google Scholar
Burkhardt, J. E. (1999). Mobility changes: their nature, effects, and meaning for elders who reduce or cease driving. Transportation Research Record, 1671, 11–18.CrossRefGoogle Scholar
Burkhardt, J. E. (2003). Better transportation services for older persons. Transportation Research Record, 1843, 105–112.CrossRefGoogle Scholar
Burkhardt, J. E., McGavock, A. T. and Nelson, C. A. (2002). Improving Public Transit Options for Older Persons. Washington, DC: Transportation Research Board.Google Scholar
Coughlin, J. (2001). Transportation and Older Persons: Perceptions and Preferences. Washington, DC: AARP.Google Scholar
Cup, E. H., Scholte op Reimer, W. J., Thijssen, M. C. and van Kuyk-Minis, M. A. (2003). Reliability and validity of the Canadian occupational performance measure in stroke patients. Clinical Rehabilitation, 17, 402–409.CrossRefGoogle ScholarPubMed
Dellinger, A. M., Sehgal, M., Sleet, D. A. and Barrett-Connor, E. (2001). Driving cessation: what older former drivers tell us. Journal of the American Geriatrics Society, 49, 431–435.CrossRefGoogle ScholarPubMed
Eberhard, J. W. et al. (2006). Strategies and tools to enable safe mobility for older adults. Topics in Geriatric Rehabilitation, 22, 3–17.CrossRefGoogle Scholar
Eisenhandler, S. A. (1990). The asphalt identikit: old age and the driver's license. International Journal of Aging and Human Development, 30, 1–14.CrossRefGoogle ScholarPubMed
Elo, S. and Kyngas, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62, 107–115.CrossRefGoogle ScholarPubMed
Everard, K. M. (1999). The relationship between the reasons for activity and older adult well-being. Journal of Applied Gerontology, 18, 325–340.CrossRefGoogle Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Fonda, S. J., Wallace, R. B. and Herzog, A. R. (2001). Changes in driving patterns and worsening depressive symptoms among older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56, S343–S351.CrossRefGoogle ScholarPubMed
Gardezi, F. et al. (2006). Qualitative research on older drivers. Clinical Gerontologist, 30, 5–22.CrossRefGoogle Scholar
Hakamies-Blomqvist, L. and Siren, A. (2003). Deconstructing a gender difference: driving cessation and personal driving history of older women. Journal of Safety Research, 34, 383–388.CrossRefGoogle ScholarPubMed
Harrison, A. and Ragland, D. R. (2003). Consequences of driving reduction or cessation for older adults. Transportation Research Record, 1843, 96–104.CrossRefGoogle Scholar
Holland, C. A. (2002). Older Drivers: A Literature Review. Road Safety Research Report No. 25. London: Department for Transport.Google Scholar
Law, M., Baptiste, S., McColl, M., Opzoomer, A., Polatajko, H. and Pollock, N. (1990). The Canadian occupational performance measure: an outcome measure for occupational therapy. Canadian Journal of Occupational Therapy, 57, 82–87.CrossRefGoogle ScholarPubMed
Law, M. and Stewart, D. (1996). Test Retest Reliability of the COPM with Children. Unpublished manuscript. Hamilton, Ontario: School of Rehabilitation Science, McMaster University.Google Scholar
Lewis, J. and Jones, P. (2001). Measuring handicap in rheumatic disease: evaluation of the Canadian occupational performance measure. ARHP Annual Meeting, 45, S90.Google Scholar
Liddle, J. and McKenna, K. (2003). Older drivers and driving cessation. British Journal of Occupational Therapy, 66, 125–132.CrossRefGoogle Scholar
Liddle, J., Carlson, G. and McKenna, K. (2004). Using a matrix in life transition research. Qualitative Health Research, 14, 1396–1417.CrossRefGoogle ScholarPubMed
Liddle, J., McKenna, K. and Bartlett, H. (2007). Improving outcomes for older retired drivers: the UQDRIVE program. Australian Occupational Therapy Journal, 54, 303–306.CrossRefGoogle Scholar
Liddle, J., Turpin, M., Carlson, G. and McKenna, K. (2008). The needs and experiences related to driving cessation for older people. British Journal of Occupational Therapy, 71, 379–388.CrossRefGoogle Scholar
Lyman, J. M., McGwin, G. and Sims, R. V. (2001). Factors related to driving difficulty and habits in older drivers. Accident Analysis and Prevention, 33, 413–421.CrossRefGoogle ScholarPubMed
Marottoli, R. A. et al. (1997). Driving cessation and increased depressive symptoms: prospective evidence from the New Haven EPESE. Journal of the American Geriatrics Society, 45, 202–206.CrossRefGoogle ScholarPubMed
Marottoli, R. A., Mendes de Leon, C. F., Glass, T. A., Williams, C. S., Cooney, L. M. and Berkman, L. F. (2000). Consequences of driving cessation: decreased out-of-home activity levels. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55, S334–S340.CrossRefGoogle ScholarPubMed
McColl, M. A., Paterson, M., Davies, D., Doubt, L. and Law, M. (2000). Validity and community utility of the Canadian occupational performance measure. Canadian Journal of Occupational Therapy, 67, 22–30.CrossRefGoogle ScholarPubMed
Miles, M. B. and Huberman, A. M. (1994). Qualitative Data Analysis: An Expanded Sourcebook, 2nd edn. Thousand Oaks, CA: Sage.Google Scholar
Molnar, L. J., Eby, D. W., St Louis, R. M. and Neumeyer, A. L. (2008). Promising Approaches for Promoting Lifelong Community Mobility. Ann Arbor, MI: University of Michigan Transportation Research Institute.Google Scholar
Murray, J., Banerjee, S., Byng, R., Tylee, A., Bhugra, D. and Macdonald, A. (2006). Primary care professionals’ perceptions of depression in older people: a qualitative study. Social Science & Medicine, 63, 1363–1373.CrossRefGoogle ScholarPubMed
Oxley, J., Fildes, B. and Dewar, R. E. (2004). Safety of older pedestrians. In Transportation in an Aging Society: A Decade of Experience, Conference Proceedings 27 (pp. 167–191). Washington, DC: Transportation Research Board.Google Scholar
Park, S. (2009). Goal setting in occupational therapy: a client-centred perspective. In Duncan, E. A. S. (ed.), Skills for Practice in Occupational Therapy (pp. 105–122). Edinburgh: Churchill Livingstone.Google Scholar
Ragland, D. R., Satariano, W. A. and MacLeod, K. E. (2005). Driving cessation and increased depressive symptoms. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60, 399–403.CrossRefGoogle ScholarPubMed
Ralston, L. S., Bell, S. L., Mote, J. K., Rainey, T. B., Brayman, S. and Shotwell, M. (2001). Giving up the car keys: perceptions of well elders and families. Physical & Occupational Therapy in Geriatrics, 19, 59–70.Google Scholar
Rudman, D. L., Friedland, J., Chipman, M. and Sciortino, P. (2006). Holding on and letting go: the perspectives of pre-seniors and seniors on driving self-regulation in later life. Canadian Journal on Aging, 25, 65–76.CrossRefGoogle ScholarPubMed
Sanford, J., Law, M., Swanson, L. and Guyatt, G. (1994). Assessing Clinically Important Change as an Outcome of Rehabilitation in Older Adults. San Francisco, CA: American Society on Aging.Google Scholar
Shope, J. T. (2003). What does giving up driving mean to older drivers, and why is it so difficult? Generations, 27, 57–59.Google Scholar
Sterns, H. L., Sterns, R., Aizenberg, R. and Anapolle, J. (2001). Family and Friends Concerned About an Older Driver. Final Report No. DOT HS 809 307. Washington, DC: Office of Research and Traffic Records, National Highway Traffic Safety Administration.Google Scholar
Unruh, A. M. (2004). “So. . . what do you do?” Occupation and the construction of identity. Canadian Journal of Occupational Therapy, 71, 290–295.CrossRefGoogle Scholar
Windsor, T. D., Anstey, K. J., Butterworth, P., Luszcz, M. A. and Andrews, G. R. (2007). The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study. Gerontologist, 47, 215–223.CrossRefGoogle ScholarPubMed