Classen Sherrilene, Alvarez Liliana, Ferreira Peter J M, Chen Chien H, Meyer Carly K, Nywening Amy G
University of Western Ontario, London, Canada
University of Western Ontario, London, Canada.
OTJR (Thorofare N J). 2016 Apr;36(2):82-91. doi: 10.1177/1539449216650462.
The Fitness-to-Drive Screening Measure(©) (FTDS) is a valid and reliable screening tool that identifies at-risk older drivers. Although 12,300 Canadians have used the FTDS in the last 2 years, the resources/recommendations targeted the U.S.
The objective of this article is to identify the FTDS resources/recommendations appropriate for Canadian users and the barriers that Canadian stakeholders experience when promoting older driver fitness. Twenty stakeholders from three provinces (eight occupational therapists, three certified driver rehabilitation specialists, four physicians, and five members of advocacy organizations) participated in semi-structured interviews. We conducted summative and thematic content analysis. A comprehensive set of resources/recommendations was identified. Barriers to older driver fitness decisions included fear of losing the license, compromising the physician-client relationship, insufficient training/resources for health care professionals, and inadequate alternative transportation. Canadian context-specific resources/recommendations were integrated into a Canadian version of the FTDS. This version may better serve Canadian older drivers, caregivers, and health care professionals.
驾驶适宜性筛查量表（FTDS）是一种有效且可靠的筛查工具，可识别有风险的老年驾驶员。尽管在过去两年中有12300名加拿大人使用了FTDS，但相关资源/建议是针对美国的。
本文的目的是确定适合加拿大用户的FTDS资源/建议，以及加拿大利益相关者在促进老年驾驶员适宜性方面遇到的障碍。来自三个省份的20名利益相关者（八名职业治疗师、三名认证驾驶员康复专家、四名医生和五名倡导组织成员）参与了半结构化访谈。我们进行了总结性和主题性内容分析。确定了一套全面的资源/建议。老年驾驶员适宜性决策的障碍包括担心失去驾照、损害医患关系、医疗保健专业人员培训/资源不足以及替代交通方式不足。针对加拿大具体情况的资源/建议被整合到加拿大版的FTDS中。这个版本可能会更好地服务于加拿大的老年驾驶员、护理人员和医疗保健专业人员。
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