Development and pilot testing of a decision aid for drivers with dementia

BMC Medical Informatics and Decision Making

Research Article

Sanjay Bhargava¹  John Carmody²  Kate Lewis³  Victoria Traynor³  Don Iverson³  Jan Potter⁴ 

[1] Department of Aged Care, Wollongong Hospital, 2500, Wollongong, NSW, Australia;Department of Neurology, Wollongong Hospital, 2500, Wollongong, NSW, Australia;Faculty of Science, Medicine and Health, University of Wollongong, 2522, Wollongong, NSW, Australia;Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, 2522, Wollongong, NSW, Australia;Faculty of Science, Medicine and Health, University of Wollongong, 2522, Wollongong, NSW, Australia;Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, 2522, Wollongong, NSW, Australia;Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, 2522, Wollongong, NSW, Australia;Department of Aged Care, Wollongong Hospital, 2500, Wollongong, NSW, Australia;

关键词: Automobile;    Decision aid;    Decision making;    Dementia;    Driving;    Patient education;   

DOI  :  10.1186/1472-6947-14-19

 received in 2013-08-05, accepted in 2014-03-11,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundAn increasing number of older adults drive automobiles. Given that the prevalence of dementia is rising, it is necessary to address the issue of driving retirement. The purpose of this study is to evaluate how a self-administered decision aid contributed to decision making about driving retirement by individuals living with dementia. The primary outcome measure in this study was decisional conflict. Knowledge, decision, satisfaction with decision, booklet use and booklet acceptability were the secondary outcome measures.MethodsA mixed methods approach was adopted. Drivers with dementia were recruited from an Aged Care clinic and a Primary Care center in NSW, Australia. Telephone surveys were conducted before and after participants read the decision aid.ResultsTwelve participants were recruited (mean age 75, SD 6.7). The primary outcome measure, decisional conflict, improved following use of the decision aid. Most participants felt that the decision aid: (i) was balanced; (ii) presented information well; and (iii) helped them decide about driving. In addition, mean knowledge scores improved after booklet use.ConclusionsThis decision aid shows promise as an acceptable, useful and low-cost tool for drivers with dementia. A self-administered decision aid can be used to assist individuals with dementia decide about driving retirement. A randomized controlled trial is underway to evaluate the effectiveness of the tool.

【 授权许可】

CC BY   
© Carmody et al.; licensee BioMed Central Ltd. 2014