Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Int J Geriatr Psychiatry. 2017 May;32(5):484-491. doi: 10.1002/gps.4681. Epub 2017 Feb 9.
The aim of this project was to review the literature on interventions aimed at facilitating driving cessation in older adults, with and without dementia.
A literature search was performed using the databases MEDLINE, CINAHL, Cochrane Central, Embase, and PsycINFO, from 1994 to September 2014. Two independent raters screened articles for inclusion and extracted study data. We only included articles if they directly addressed the topic of intervention approaches to facilitate the process of driving cessation in older adults or to support the adaptation of older adults who have had to stop driving and included a control group.
Of an initial 477 unique records identified, 111 pertained to driving cessation in older adults, and only three articles were controlled trials of intervention approaches related to driving cessation. One article described an intervention for retired drivers with dementia, while another was aimed at caregivers of drivers with dementia, and the third included retired and retiring drivers without dementia. Outcomes such as reduced depressive symptoms, increased trips out of home, and efficacy in dealing with the driving cessation process were positive, but the specific outcome measures and magnitude of effects varied across studies.
Although the results summarized in this review point toward potentially promising effects of interventions for facilitating driving cessation in older adults, these findings must be interpreted with caution given the significant methodological limitations of the studies, including small samples, participant attrition, lack of blinding, and non-validated outcome measures. Copyright © 2017 John Wiley & Sons, Ltd.
本项目旨在综述旨在帮助老年人群（包括痴呆患者和非痴呆患者）停止驾驶的干预措施相关文献。
从 1994 年至 2014 年 9 月，我们使用 MEDLINE、CINAHL、Cochrane 中心、Embase 和 PsycINFO 数据库进行文献检索。两名独立的评估员筛选纳入的文章并提取研究数据。我们仅纳入直接针对干预措施方法以促进老年人群停止驾驶过程或支持已停止驾驶的老年人群适应的文章，且这些文章必须包含对照组。
在最初确定的 477 篇独特记录中，有 111 篇与老年人群的驾驶停止有关，仅有 3 篇文章是关于与驾驶停止相关的干预措施的对照试验。一篇文章描述了针对痴呆退休驾驶员的干预措施，另一篇文章针对痴呆驾驶员的护理人员，第三篇文章则包括无痴呆的退休和即将退休的驾驶员。减少抑郁症状、增加外出次数和有效应对驾驶停止过程等结果是积极的，但研究之间的具体结果衡量标准和效果大小存在差异。
尽管本综述总结的结果表明干预措施可能对促进老年人群停止驾驶具有潜在的积极作用，但考虑到研究存在显著的方法学局限性，包括样本量小、参与者流失、缺乏盲法和非验证的结果衡量标准，这些发现必须谨慎解释。版权所有 © 2017 John Wiley & Sons, Ltd.
