Evidence-Based Review of Interventions for Medically At-Risk Older Drivers / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 68/4 (juillet - août 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 463 Titre : Evidence-Based Review of Interventions for Medically At-Risk Older Drivers Type de document : texte imprimé Auteurs : Sherrilene Classen ; et al. ; Beth AUTEN ; Miriam MONAHAN Année de publication : 2014 Article en page(s) : p. 463 Langues : Anglais (eng) Résumé : OBJECTIVE. To conduct an evidence-based review of intervention studies of older drivers with medical conditions. METHOD. We used the American Occupational Therapy Association’s classification criteria (Levels I–V, I = highest level of evidence) to identify driving interventions. We classified studies using letters to represent the strength of recommendations: A = strongly recommend the intervention; B = recommend intervention is provided routinely; C = weak evidence that the intervention can improve outcomes; D = recommend not to provide the intervention; I = insufficient evidence to recommend for or against the intervention. RESULTS. For clients with stroke, we recommend a graded simulator intervention (A) and multimodal training in traffic theory knowledge and on-road interventions (B); we make no recommendation for or against Dynavision, Useful Field of View, or visual–perceptual interventions (I). For clients with visual deficits, we recommend educational intervention (A) and bioptic training (B); we make no recommendation for or against prism lenses (I). For clients with dementia, we recommend driving restriction interventions (C) and make no recommendation for or against use of compensatory driving strategies (I). CONCLUSION. Level I studies are needed to identify effective interventions for medically at-risk older drivers. Permalink : ./index.php?lvl=notice_display&id=34419 [article] Evidence-Based Review of Interventions for Medically At-Risk Older Drivers [texte imprimé] / Sherrilene Classen ; et al. ; Beth AUTEN ; Miriam MONAHAN . - 2014 . - p. 463. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 463 Résumé : OBJECTIVE. To conduct an evidence-based review of intervention studies of older drivers with medical conditions. METHOD. We used the American Occupational Therapy Association’s classification criteria (Levels I–V, I = highest level of evidence) to identify driving interventions. We classified studies using letters to represent the strength of recommendations: A = strongly recommend the intervention; B = recommend intervention is provided routinely; C = weak evidence that the intervention can improve outcomes; D = recommend not to provide the intervention; I = insufficient evidence to recommend for or against the intervention. RESULTS. For clients with stroke, we recommend a graded simulator intervention (A) and multimodal training in traffic theory knowledge and on-road interventions (B); we make no recommendation for or against Dynavision, Useful Field of View, or visual–perceptual interventions (I). For clients with visual deficits, we recommend educational intervention (A) and bioptic training (B); we make no recommendation for or against prism lenses (I). For clients with dementia, we recommend driving restriction interventions (C) and make no recommendation for or against use of compensatory driving strategies (I). CONCLUSION. Level I studies are needed to identify effective interventions for medically at-risk older drivers. Permalink : ./index.php?lvl=notice_display&id=34419

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