"Are You Still Driving?" Metasynthesis of Patient Preferences for Communication with Health Care Providers

Overview

Journal Traffic Inj Prev

Specialties Emergency Medicine
Public Health

Date 2015 Oct 29

PMID 26507251

Citations 21

Authors

Marian E Betz

Kenneth Scott

Jacqueline Jones

Carolyn DiGuiseppi

Affiliations

Soon will be listed here.

Abstract

Aim: The aim of this study was to synthesize published qualitative studies to identify older adults' preferences for communication about driving with health care providers.

Background: Health care providers play a key role in addressing driving safety and driving retirement with older adults, but conversations about driving can be difficult. Guides exist for family members and providers, but to date less is known about the types of communication and messages older drivers want from their health care providers.

Design: A qualitative metasynthesis of studies published on or before October 10, 2014, in databases (PubMed, CINAHL, PsycINFO, and Web of Science) and grey literature was performed.

Review Methods: Twenty-two published studies representing 518 older adult drivers met the following inclusion criteria: the study (1) was about driving; (2) involved older drivers; (3) was qualitative (rather than quantitative or mixed methods); and (4) contained information on older drivers' perspectives about communication with health care providers.

Results: We identified 5 major themes regarding older adults' communication preferences: (1) driving discussions are emotionally charged; (2) context matters; (3) providers are trusted and viewed as authority figures; (4) communication should occur over a period of time rather than suddenly; and (5) older adults desire agency in the decision to stop driving.

Conclusion: Various stakeholders involved in older driver safety should consider older drivers' perspectives regarding discussions about driving. Health care providers can respect and empower older drivers-and support their family members-through tactful communication about driving safety and mobility transitions during the life course.

Citing Articles

"You just have to be careful how you do it": A qualitative study of the Healthwise decision aid for older drivers.

Betz M, Fowler N, Meza K, Bletz A, Omeragic F, Matlock D Traffic Inj Prev. 2024; 25(6):781-787.

PMID: 38860882 PMC: 11226350. DOI: 10.1080/15389588.2024.2351203.

'It is empowering and gives people dignity in a very difficult process': A multistage, multimethod qualitative study to understand the views of end users in the cultural adaptation of a dementia and driving decision aid.

Veerhuis N, Merizzi A, Papoulias S, Bradbury C, Sheret K, Traynor V Health Expect. 2024; 27(2):e14006.

PMID: 38497286 PMC: 10945392. DOI: 10.1111/hex.14006.

Special Report from the CDC: Provider knowledge and practices around driving safety and fall prevention screening and recommendations for their older adult patients, DocStyles 2019.

Ortmann N, Haddad Y, Beck L J Safety Res. 2023; 86:401-408.

PMID: 37718068 PMC: 11323765. DOI: 10.1016/j.jsr.2023.06.011.

A qualitative study exploring the experiences and needs of people living with young onset dementia related to driving cessation: 'It's like you get your legs cut off'.

Scott T, Rooney D, Liddle J, Mitchell G, Gustafsson L, Pachana N Age Ageing. 2023; 52(7).

PMID: 37481262 PMC: 10362976. DOI: 10.1093/ageing/afad109.

"The Challenge is Not to Make Her Feel Old and Bad": Exploring Australian Family Member Experiences of Conversations About Driving With Older Adults Using an Online Survey.

Veerhuis N, Harada T, Murray K, Andrew C, Traynor V, Randle M J Appl Gerontol. 2023; 42(8):1830-1839.

PMID: 37021328 PMC: 10394968. DOI: 10.1177/07334648231162696.

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