Anne E. Dickerson, Danielle Brown Meuel, Cyrus David Ridenour, Kristen Cooper; Assessment Tools Predicting Fitness to Drive in Older Adults: A Systematic Review. Am J Occup Ther 2014;68(6):670–680. https://doi.org/10.5014/ajot.2014.011833
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© 2021 American Occupational Therapy Association
This systematic review synthesizes the research on screening and assessment tools used to determine older adults’ fitness to drive. After a comprehensive search of the literature targeting tools commonly used by occupational therapists, 64 studies were reviewed and synthesized. The evidence demonstrated that a single tool measuring cognition, vision, perception, or physical ability individually is not sufficient to determine fitness to drive. Although some tools have stronger evidence than others, this review supports using different and focused assessment tools together for specific medical conditions. Results indicate that behind-the-wheel assessment remains the gold standard for driving evaluation; however, emerging evidence for observation of complex instrumental tasks of daily living and driving simulation supports further investigation with these tools.
Increased medical costs (depression rates are higher among former drivers; Marottoli et al., 1997; Ragland, Satariano, & MacLeod, 2005)
Increased economic loss due to decreased consumers in the economy
Loss of income for caregivers as a result of interruptions in employment to provide transportation for the nondriver (D’Ambrosio, Coughlin, Pratt, & Mohyde, 2012).
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