Driving Rehabilitation Programs for Older Drivers in the United States

ABSTRACT The objective of this study was to describe the services, referral and reporting practices, and barriers to utilization of driver rehabilitation programs (DRPs) for older drivers. Identified through two national association databases, 204 DRPs completed an online survey. DRP availability varies, with a median of one program per 64,151 older adults (range: 1,006–676,981). The median cost for a complete evaluation was $400; 36% of DRPs reported no third-party reimbursement. Participants thought barriers to DRP use include cost/reimbursement, lack of program awareness, and issues with evaluator training. Models for insurance reimbursement, and increased awareness of program benefits by healthcare providers and older drivers, are needed.

[1]  Matthew C. Crisler,et al.  Physician Knowledge, Assessment, and Reporting of Older Driver Fitness , 2011, Occupational therapy in health care.

[2]  F. Hobbs,et al.  Age and Sex Composition , 2004 .

[3]  A. Dickerson Driving assessment tools used by driver rehabilitation specialists: survey of use and implications for practice. , 2013, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[4]  Lisa J. Molnar,et al.  Maintaining Safe Mobility in an Aging Society , 2008 .

[5]  N. Korner-Bitensky,et al.  Older Individuals' Perceptions Regarding Driving: Focus Group Findings , 2007 .

[6]  A. Dickerson Driving with Dementia: Evaluation, Referral, and Resources , 2014, Occupational therapy in health care.

[7]  L. Molnar,et al.  Transportation and aging: a research agenda for advancing safe mobility. , 2007, The Gerontologist.

[8]  S. Lowenstein,et al.  Recruitment of Older Drivers from Primary Care Clinics for on‐Road Fitness‐to‐Drive Testing: Results of a Pilot Study , 2014, Journal of the American Geriatrics Society.

[9]  Hon K Yuen,et al.  Certified driver rehabilitation specialists' preferred situations for driving simulator scenarios. , 2012, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[10]  Desiree N. Lanford,et al.  Clinical Practice in Driving Rehabilitation , 2006 .

[11]  Lindy Clemson,et al.  Contribution of off-road tests to predicting on-road performance: a critical review of tests. , 2012, Australian occupational therapy journal.

[12]  Lori Cohen,et al.  Licensing Authorities' Options for Managing Older Driver Safety—Practical Advice from the Researchers: Commentary , 2008, Traffic injury prevention.

[13]  H. Yuen,et al.  Survey of driving evaluation and rehabilitation curricula in occupational therapy programs. , 2011, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[14]  Lisa J. Molnar,et al.  2008 North American License Policies Workshop Proceedings , 2008 .

[15]  M. Albert,et al.  Performance-based driving evaluation of the elderly driver: safety, reliability, and validity. , 1994, Journal of gerontology.

[16]  Anita Bundy,et al.  Validity and reliability of the on-road driving assessment with senior drivers. , 2008, Accident; analysis and prevention.

[17]  Sherrilene Classen,et al.  International Older Driver Consensus Conference on Assessment, Remediation and Counseling for Transportation Alternatives: Summary and Recommendations. , 2005, Physical & occupational therapy in geriatrics.

[18]  Carol J Wheatley,et al.  Individualized Assessment of Driving Fitness for Older Individuals with Health, Disability, and Age-Related Concerns , 2008, Traffic injury prevention.

[19]  N. Korner-Bitensky,et al.  Driving evaluation practices of clinicians working in the United States and Canada. , 2006, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[20]  S. Lowenstein,et al.  Perspectives on Tiered Older Driver Assessment in Primary Care Settings. , 2016, The Gerontologist.

[21]  R A Marottoli,et al.  Physician Responsibility in Driver Assessment , 1993, The American journal of the medical sciences.

[22]  P. Harris,et al.  Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support , 2009, J. Biomed. Informatics.

[23]  N. Korner-Bitensky,et al.  A National Survey of Older Driver Refresher Programs: Practice Readiness for a Rapidly Growing Need , 2010 .

[24]  Lisa J Molnar,et al.  Driving fitness and cognitive impairment: issues for physicians. , 2010, JAMA.

[25]  David B Carr,et al.  Physician's guide to assessing and counseling older drivers. , 2004, Annals of emergency medicine.

[26]  Jane C Stutts,et al.  On-road driving evaluations: a potential tool for helping older adults drive safely longer. , 2003, Journal of safety research.

[27]  Bayliss J Camp The overall program effects of California's 3-Tier Assessment System pilot on crashes and mobility among senior drivers. , 2013, Journal of safety research.

[28]  T. Reistetter,et al.  Evaluating driving as a valued instrumental activity of daily living. , 2011, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.