Marian Arbesman, Deborah Lieberman, Debra R. Berlanstein; Method for the Systematic Reviews on Occupational Therapy and Driving and Community Mobility for Older Adults. Am J Occup Ther 2014;68(6):657-661. doi: 10.5014/ajot.2014.013425.
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© 2019 American Occupational Therapy Association
Systematic reviews of literature relevant to driving and community mobility for older adults are important to the practice of occupational therapy. We describe the four questions that served as the focus for the systematic reviews of the effectiveness of occupational therapy assessments and interventions for driving and community mobility for older adults. We include the background for the reviews; the process followed for each question, including search terms and search strategy; the databases searched; and the methods used to summarize and critically appraise the literature. The final number of articles included in each systematic review, a summary of the themes of the results, the strengths and limitations of the findings, and the implications for practice, education, and research are presented.
Level I: Systematic reviews, meta-analyses, randomized controlled trials
Level II: Two groups, nonrandomized studies (e.g., cohort, case control)
Level III: One group, nonrandomized (e.g., before and after, pretest and posttest)
Level IV: Descriptive studies that include analysis of outcomes (e.g., single-subject design, case series)
Level V: Case reports and expert opinion that include narrative literature reviews and consensus statements.
What is the evidence supporting the use of clinical assessments (e.g., vision, cognition, physical function) and performance-based assessments (e.g., behind the wheel, simulated) for determining driving safety or competence and driving cessation for older adults?
What is the evidence for the effectiveness of interventions to address cognitive and visual function, motor function, driving skills, self-regulation and self-awareness, and the role of passengers and family involvement in the driving ability, performance, and safety of older adults?
What is the evidence for the effect of policy and community mobility programs (e.g., alternative transportation, walkable communities, education, driving cessation programs, and pedestrian programs) on the performance and participation of older adults?
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