Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility
Abstract Background Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cogniti...
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-018-0910-4 |
| _version_ | 1819013325815545856 |
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| author | Dafne Piersma Anselm B. M. Fuermaier Dick De Waard Ragnhild J. Davidse Jolieke De Groot Michelle J. A. Doumen Rudolf W. H. M. Ponds Peter P. De Deyn Wiebo H. Brouwer Oliver Tucha |
| author_facet | Dafne Piersma Anselm B. M. Fuermaier Dick De Waard Ragnhild J. Davidse Jolieke De Groot Michelle J. A. Doumen Rudolf W. H. M. Ponds Peter P. De Deyn Wiebo H. Brouwer Oliver Tucha |
| author_sort | Dafne Piersma |
| collection | DOAJ |
| description | Abstract Background Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility. Methods Patients with cognitive impairment (n = 172) participated in a fitness-to-drive assessment study, including an on-road driving assessment. Afterwards, patients were advised to either continue driving, to follow driving lessons, or to cease driving. Approximately seven months thereafter, patients were asked in a follow-up interview about their adherence to the driving recommendation. Factors influencing driving cessation were identified using a binary logistic regression analysis. Use of alternative transportation was also evaluated. Results Respectively 92 and 79% of the patients adhered to the recommendation to continue or cease driving. Female gender, a higher Clinical Dementia Rating-score, perceived health decline, and driving cessation advice facilitated driving cessation. Patients who ceased driving made use of less alternative modes of transportation than patients who still drove. Nonetheless, around 40% of the patients who ceased driving increased their frequency of cycling and/or public transport use. Conclusions Adherence to the recommendations given after the fitness-to-drive assessments was high. Female patients were in general more likely to cease driving. However, a minority of patients did not adhere to driving cessation advice. These drivers with dementia should be made aware of the progression of their cognitive impairment and general health decline to facilitate driving cessation. There are large differences in mobility between patients with cognitive impairment. Physicians should discuss options for alternative transportation in order to promote sustained safe mobility of patients with cognitive impairment. |
| first_indexed | 2024-12-21T01:58:10Z |
| format | Article |
| id | doaj.art-71c7e1e1e1d44a349581d5f7f430fb34 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-21T01:58:10Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-71c7e1e1e1d44a349581d5f7f430fb342022-12-21T19:19:43ZengBMCBMC Geriatrics1471-23182018-09-0118111210.1186/s12877-018-0910-4Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobilityDafne Piersma0Anselm B. M. Fuermaier1Dick De Waard2Ragnhild J. Davidse3Jolieke De Groot4Michelle J. A. Doumen5Rudolf W. H. M. Ponds6Peter P. De Deyn7Wiebo H. Brouwer8Oliver Tucha9Department of Clinical and Developmental Neuropsychology, University of GroningenDepartment of Clinical and Developmental Neuropsychology, University of GroningenDepartment of Clinical and Developmental Neuropsychology, University of GroningenSWOV Institute for Road Safety ResearchSWOV Institute for Road Safety ResearchDepartment of Clinical and Developmental Neuropsychology, University of GroningenDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neurosciences (MHeNS), Maastricht UniversityDepartment of Neurology and Alzheimer Research Center, University of Groningen and University Medical Center GroningenDepartment of Clinical and Developmental Neuropsychology, University of GroningenDepartment of Clinical and Developmental Neuropsychology, University of GroningenAbstract Background Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility. Methods Patients with cognitive impairment (n = 172) participated in a fitness-to-drive assessment study, including an on-road driving assessment. Afterwards, patients were advised to either continue driving, to follow driving lessons, or to cease driving. Approximately seven months thereafter, patients were asked in a follow-up interview about their adherence to the driving recommendation. Factors influencing driving cessation were identified using a binary logistic regression analysis. Use of alternative transportation was also evaluated. Results Respectively 92 and 79% of the patients adhered to the recommendation to continue or cease driving. Female gender, a higher Clinical Dementia Rating-score, perceived health decline, and driving cessation advice facilitated driving cessation. Patients who ceased driving made use of less alternative modes of transportation than patients who still drove. Nonetheless, around 40% of the patients who ceased driving increased their frequency of cycling and/or public transport use. Conclusions Adherence to the recommendations given after the fitness-to-drive assessments was high. Female patients were in general more likely to cease driving. However, a minority of patients did not adhere to driving cessation advice. These drivers with dementia should be made aware of the progression of their cognitive impairment and general health decline to facilitate driving cessation. There are large differences in mobility between patients with cognitive impairment. Physicians should discuss options for alternative transportation in order to promote sustained safe mobility of patients with cognitive impairment.http://link.springer.com/article/10.1186/s12877-018-0910-4DementiaDriving cessationAdherence to driving cessation adviceAlternative transportationMobility |
| spellingShingle | Dafne Piersma Anselm B. M. Fuermaier Dick De Waard Ragnhild J. Davidse Jolieke De Groot Michelle J. A. Doumen Rudolf W. H. M. Ponds Peter P. De Deyn Wiebo H. Brouwer Oliver Tucha Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility BMC Geriatrics Dementia Driving cessation Adherence to driving cessation advice Alternative transportation Mobility |
| title | Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility |
| title_full | Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility |
| title_fullStr | Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility |
| title_full_unstemmed | Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility |
| title_short | Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility |
| title_sort | adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility |
| topic | Dementia Driving cessation Adherence to driving cessation advice Alternative transportation Mobility |
| url | http://link.springer.com/article/10.1186/s12877-018-0910-4 |
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