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Research Article  |   March 2008
Evidence-Based and Occupational Perspective of Effective Interventions for Older Clients That Remediate or Support Improved Driving Performance
Author Affiliations
  • Linda A. Hunt, PhD, OTR/L, is Associate Professor, School of Occupational Therapy, Pacific University, 222 SE Eighth Avenue, Hillsboro, OR 97123; lhunt@pacificu.edu
  • Marian Arbesman, PhD, OTR/L, is President, ArbesIdeas, Inc.; Consultant, AOTA Evidence-Based Literature Review Project; and Clinical Assistant Professor, Department of Rehabilitation Science, University at Buffalo, State University of New York
Article Information
Community Mobility and Driving / Evidence-Based Practice / Driving and Community Mobility
Research Article   |   March 2008
Evidence-Based and Occupational Perspective of Effective Interventions for Older Clients That Remediate or Support Improved Driving Performance
American Journal of Occupational Therapy, March/April 2008, Vol. 62, 136-148. doi:10.5014/ajot.62.2.136
American Journal of Occupational Therapy, March/April 2008, Vol. 62, 136-148. doi:10.5014/ajot.62.2.136
Abstract

To assess the effectiveness of person-related interventions on driving ability in older adults, this literature review was completed as a part of the Evidence-Based Literature Review Project of the American Occupational Therapy Association. Nineteen articles were incorporated into the systematic review and include interventions in the following areas: visual, cognitive, and motor; educational; passengers; and medical. The results provide inconclusive evidence for the use of interventions such as the Useful Field of View training, home exercise programs, and passenger interactions. Conclusive evidence shows that older adults respond positively to programs stressing self-awareness of driving skills and that some medical interventions affect the ability to drive. Despite limitations, the studies reviewed provide useful information that deserves further exploration. Reading the literature provides therapists with knowledge that might improve client care. Learning about cutting-edge interventions and educating peers and students about evidence-based interventions may lead to safer community mobility for older adults