Publication

Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility

Piersma, D., Fuermaier, A. B., de Waard, D., Davidse, R. J., de Groot, J., Doumen, M. J. A., Ponds, R. W. H. M., De Deyn, P. P., Brouwer, W. H. & Tucha, O., 17-Sep-2018, In : BMC Geriatrics. 18, 12 p., 216.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Piersma, D., Fuermaier, A. B., de Waard, D., Davidse, R. J., de Groot, J., Doumen, M. J. A., ... Tucha, O. (2018). Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility. BMC Geriatrics, 18, [216]. https://doi.org/10.1186/s12877-018-0910-4

Author

Piersma, Dafne ; Fuermaier, Anselm B. ; de Waard, Dick ; Davidse, Ragnhild J. ; de Groot, Jolieke ; Doumen, Michelle J. A. ; Ponds, Rudolf W. H. M. ; De Deyn, Peter P. ; Brouwer, Wiebo H. ; Tucha, Oliver. / Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility. In: BMC Geriatrics. 2018 ; Vol. 18.

Harvard

Piersma, D, Fuermaier, AB, de Waard, D, Davidse, RJ, de Groot, J, Doumen, MJA, Ponds, RWHM, De Deyn, PP, Brouwer, WH & Tucha, O 2018, 'Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility', BMC Geriatrics, vol. 18, 216. https://doi.org/10.1186/s12877-018-0910-4

Standard

Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility. / Piersma, Dafne; Fuermaier, Anselm B.; de Waard, Dick ; Davidse, Ragnhild J.; de Groot, Jolieke; Doumen, Michelle J. A.; Ponds, Rudolf W. H. M.; De Deyn, Peter P.; Brouwer, Wiebo H.; Tucha, Oliver.

In: BMC Geriatrics, Vol. 18, 216, 17.09.2018.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Piersma D, Fuermaier AB, de Waard D, Davidse RJ, de Groot J, Doumen MJA et al. Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility. BMC Geriatrics. 2018 Sep 17;18. 216. https://doi.org/10.1186/s12877-018-0910-4


BibTeX

@article{b25afaf3103a4bac866089fc01caf4fc,
title = "Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility",
abstract = "Background: Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility.Methods: Patients with cognitive impairment (n= 172) participated in a fitness-to-drive assessment study, including an on-road driving assessment. Afterwards, patients were advised to either continue driving, to follow driving lessons, or to cease driving. Approximately seven months thereafter, patients were asked in a follow-up interview about their adherence to the driving recommendation. Factors influencing driving cessation were identified using abinary logistic regression analysis. Use of alternative transportation was also evaluated.Results: Respectively 92 and 79{\%} of the patients adhered to the recommendation to continue or cease driving. Female gender, a higher Clinical Dementia Rating-score, perceived health decline, and driving cessation advice facilitated driving cessation. Patients who ceased driving made use of less alternative modes of transportation than patients who still drove. Nonetheless, around 40{\%} of the patients who ceased driving increased their frequency ofcycling and/or public transport use.Conclusions: Adherence to the recommendations given after the fitness-to-drive assessments was high. Female patients were in general more likely to cease driving. However, a minority of patients did not adhere to driving cessation advice. These drivers with dementia should be made aware of the progression of their cognitive impairment and general health decline to facilitate driving cessation. There are large differences in mobility between patients with cognitive impairment. Physicians should discuss options for alternative transportation in order to promote sustained safe mobility of patients with cognitive impairment.",
keywords = "OLDER-ADULTS, ALZHEIMER-TYPE, FRONTOTEMPORAL DEMENTIA, DISEASE, DRIVERS, HEALTH, PERFORMANCE, PREDICTORS, STRATEGIES, CRASHES",
author = "Dafne Piersma and Fuermaier, {Anselm B.} and {de Waard}, Dick and Davidse, {Ragnhild J.} and {de Groot}, Jolieke and Doumen, {Michelle J. A.} and Ponds, {Rudolf W. H. M.} and {De Deyn}, {Peter P.} and Brouwer, {Wiebo H.} and Oliver Tucha",
year = "2018",
month = "9",
day = "17",
doi = "10.1186/s12877-018-0910-4",
language = "English",
volume = "18",
journal = "BMC Geriatrics",
issn = "1471-2318",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility

AU - Piersma, Dafne

AU - Fuermaier, Anselm B.

AU - de Waard, Dick

AU - Davidse, Ragnhild J.

AU - de Groot, Jolieke

AU - Doumen, Michelle J. A.

AU - Ponds, Rudolf W. H. M.

AU - De Deyn, Peter P.

AU - Brouwer, Wiebo H.

AU - Tucha, Oliver

PY - 2018/9/17

Y1 - 2018/9/17

N2 - Background: Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility.Methods: Patients with cognitive impairment (n= 172) participated in a fitness-to-drive assessment study, including an on-road driving assessment. Afterwards, patients were advised to either continue driving, to follow driving lessons, or to cease driving. Approximately seven months thereafter, patients were asked in a follow-up interview about their adherence to the driving recommendation. Factors influencing driving cessation were identified using abinary logistic regression analysis. Use of alternative transportation was also evaluated.Results: Respectively 92 and 79% of the patients adhered to the recommendation to continue or cease driving. Female gender, a higher Clinical Dementia Rating-score, perceived health decline, and driving cessation advice facilitated driving cessation. Patients who ceased driving made use of less alternative modes of transportation than patients who still drove. Nonetheless, around 40% of the patients who ceased driving increased their frequency ofcycling and/or public transport use.Conclusions: Adherence to the recommendations given after the fitness-to-drive assessments was high. Female patients were in general more likely to cease driving. However, a minority of patients did not adhere to driving cessation advice. These drivers with dementia should be made aware of the progression of their cognitive impairment and general health decline to facilitate driving cessation. There are large differences in mobility between patients with cognitive impairment. Physicians should discuss options for alternative transportation in order to promote sustained safe mobility of patients with cognitive impairment.

AB - Background: Driving is related to social participation; therefore older drivers may be reluctant to cease driving. Continuation of driving has also been reported in a large proportion of patients with cognitive impairment. The aim of this study is to investigate whether patients with cognitive impairment adhere to driving cessation advice after a fitness-to-drive assessment and what the consequences are with regard to mobility.Methods: Patients with cognitive impairment (n= 172) participated in a fitness-to-drive assessment study, including an on-road driving assessment. Afterwards, patients were advised to either continue driving, to follow driving lessons, or to cease driving. Approximately seven months thereafter, patients were asked in a follow-up interview about their adherence to the driving recommendation. Factors influencing driving cessation were identified using abinary logistic regression analysis. Use of alternative transportation was also evaluated.Results: Respectively 92 and 79% of the patients adhered to the recommendation to continue or cease driving. Female gender, a higher Clinical Dementia Rating-score, perceived health decline, and driving cessation advice facilitated driving cessation. Patients who ceased driving made use of less alternative modes of transportation than patients who still drove. Nonetheless, around 40% of the patients who ceased driving increased their frequency ofcycling and/or public transport use.Conclusions: Adherence to the recommendations given after the fitness-to-drive assessments was high. Female patients were in general more likely to cease driving. However, a minority of patients did not adhere to driving cessation advice. These drivers with dementia should be made aware of the progression of their cognitive impairment and general health decline to facilitate driving cessation. There are large differences in mobility between patients with cognitive impairment. Physicians should discuss options for alternative transportation in order to promote sustained safe mobility of patients with cognitive impairment.

KW - OLDER-ADULTS

KW - ALZHEIMER-TYPE

KW - FRONTOTEMPORAL DEMENTIA

KW - DISEASE

KW - DRIVERS

KW - HEALTH

KW - PERFORMANCE

KW - PREDICTORS

KW - STRATEGIES

KW - CRASHES

U2 - 10.1186/s12877-018-0910-4

DO - 10.1186/s12877-018-0910-4

M3 - Article

C2 - 30223796

VL - 18

JO - BMC Geriatrics

JF - BMC Geriatrics

SN - 1471-2318

M1 - 216

ER -

ID: 65037944