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Are interventions effective at improving driving in older drivers?: A systematic review

Castellucci H. I., Bravo G., Arezes P. M. et Lavallière Martin. (2020). Are interventions effective at improving driving in older drivers?: A systematic review. BMC Geriatrics, 20, (125), p. 1-25.

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Background: With the aging of the population, the number of older drivers is on the rise. This poses significant challenges for public health initiatives, as older drivers have a relatively higher risk for collisions. While many studies focus on developing screening tools to identify medically at-risk drivers, little research has been done to develop training programs or interventions to promote, maintain or enhance driving-related abilities among healthy individuals. The purpose of this systematic review is to synopsize the current literature on interventions that are tailored to improve driving in older healthy individuals by working on components of safe driving such as: self-awareness, knowledge, behaviour, skills and/or reducing crash/collision rates in healthy older drivers.

Methods: Relevant databases such as Scopus and PubMed databases were selected and searched for primary articles published in between January 2007 and December 2017. Articles were identified using MeSH search terms: (“safety” OR “education” OR “training” OR “driving” OR “simulator” OR “program” OR “countermeasures”) AND (“older drivers” OR “senior drivers” OR “aged drivers” OR “elderly drivers”). All retrieved abstracts were reviewed, and full texts printed if deemed relevant.

Results: Twenty-five (25) articles were classified according to: 1) Classroom settings; 2) Computer-based training for cognitive or visual processing; 3) Physical training; 4) In-simulator training; 5) On-road training; and 6) Mixed interventions. Results show that different types of approaches have been successful in improving specific driving skills and/or behaviours. However, there are clear discrepancies on how driving performance/behaviours are evaluated between studies, both in terms of methods or dependent variables, it is therefore difficult to make direct comparisons between these studies.

Conclusions: This review identified strong study projects, effective at improving older drivers’ performance and thus allowed to highlight potential interventions that can be used to maintain or improve older drivers’ safety behind the wheel. There is a need to further test these interventions by combining them and determining their effectiveness at improving driving performance.

Type de document:Article publié dans une revue avec comité d'évaluation
Pages:p. 1-25
Version évaluée par les pairs:Oui
Date:3 Avril 2020
Sujets:Sciences sociales et humaines
Sciences de la santé
Sciences de la santé > Sciences de l'activité physique et réadaptation
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Programmes d'études en kinésiologie
Mots-clés:elderly drivers, road safety, prevention, collisions, conducteurs âgés, sécurité routière, prévention, collisions
Déposé le:24 févr. 2021 21:18
Dernière modification:24 févr. 2021 21:18
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