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Special Issue: Driving and community mobility (II) – interventions to enable driving / Carolyn Unsworth in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.337-338 Titre : Special Issue: Driving and community mobility (II) – interventions to enable driving Type de document : texte imprimé Auteurs : Carolyn Unsworth, Auteur ; Priscilla Harries, Auteur Année de publication : 2015 Article en page(s) : p.337-338 Langues : Anglais (eng) Résumé : The first part of our Special Issue on ‘Driving and community mobility’ (British Journal of Occupational Therapy 78(2)) focused on the assessment of drivers with health or age-related declines, and revealed over 25 years of research evidence that occupational therapists can use to help determine an individual’s fitness-to-drive. The focus of this second part of our Special Issue is on occupational therapy interventions that support access to the community. What happens when an individual’s driving skills are impaired due to either congenital or acquired disabilities or the health declines associated with normal ageing? Being mobile around our community enables us to access services and link with friends, family and supports, thereby promoting community participation. Using either public or private transport, catching the bus or driving a car, is a vital occupation as well as being an occupational enabler. However, many clients are neither able to access transport nor to commence, resume or cease driving without some form of intervention. This issue opens with a paper examining occupational therapists’ knowledge and attitudes toward giving advice on fitness-to-drive (Hawley, 2015) that found occupational therapists to have greater awareness and knowledge of United Kingdom (UK) guidelines on the medical standards of fitness-to-drive than psychologists and other health professionals. They suggest occupational therapists are well placed to expand their role in this practice area. A systematic review (Frith et al., 2015) of literature on return to driving following stroke and adherence to the guidelines on the medical standards also examined the extent to which stroke survivors routinely received education in the acute setting. Two papers focus on supporting clients who have mental health conditions to drive: McNamara et al. (2015) examined the lived experience of drivers who have bipolar disorder, while Dun and colleagues (2015) reported on the Drive Safe initiative implemented in their mental health service to monitor and support client driving. Many driving clinics include the use of simulators to re/train driving skills. A randomized controlled trial (Mazer et al. 2015) did not support the use of simulator training for clients in general with neurological impairments, suggesting instead that clients with moderate impairment may benefit. The advantages of clients being able to test and practise using vehicle modifications on a simulator prior to using these on the road are documented by Naveh et al. (2015). Although many individuals with health conditions can learn to drive, resume driving after an acquired incident, or maintain their driving despite age-related health declines, the complex skill level required to control a vehicle safely and independently is not always attained. The final papers examine occupational therapy interventions to support driving cessation, with one (Liddle et al., 2015) describing the experiences of peer leaders who run educational support groups for older people undergoing driving cessation, and another (Chan et al., 2015) reporting on how a driver retirement programme can support older taxi drivers’ transition from their worker and driver roles. The papers in this second part of our two-part Special Issue on ‘Driving and community mobility’ focus on interventions and achieve several aims: they document occupational therapists’ expertise in this practice area; highlight the need to embed driving and community mobility issues in routine practice; and call for further training to enhance occupational therapists’ knowledge in the domain. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36562 [article] Special Issue: Driving and community mobility (II) – interventions to enable driving [texte imprimé] / Carolyn Unsworth, Auteur ; Priscilla Harries, Auteur . - 2015 . - p.337-338. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.337-338 Résumé : The first part of our Special Issue on ‘Driving and community mobility’ (British Journal of Occupational Therapy 78(2)) focused on the assessment of drivers with health or age-related declines, and revealed over 25 years of research evidence that occupational therapists can use to help determine an individual’s fitness-to-drive. The focus of this second part of our Special Issue is on occupational therapy interventions that support access to the community. What happens when an individual’s driving skills are impaired due to either congenital or acquired disabilities or the health declines associated with normal ageing? Being mobile around our community enables us to access services and link with friends, family and supports, thereby promoting community participation. Using either public or private transport, catching the bus or driving a car, is a vital occupation as well as being an occupational enabler. However, many clients are neither able to access transport nor to commence, resume or cease driving without some form of intervention. This issue opens with a paper examining occupational therapists’ knowledge and attitudes toward giving advice on fitness-to-drive (Hawley, 2015) that found occupational therapists to have greater awareness and knowledge of United Kingdom (UK) guidelines on the medical standards of fitness-to-drive than psychologists and other health professionals. They suggest occupational therapists are well placed to expand their role in this practice area. A systematic review (Frith et al., 2015) of literature on return to driving following stroke and adherence to the guidelines on the medical standards also examined the extent to which stroke survivors routinely received education in the acute setting. Two papers focus on supporting clients who have mental health conditions to drive: McNamara et al. (2015) examined the lived experience of drivers who have bipolar disorder, while Dun and colleagues (2015) reported on the Drive Safe initiative implemented in their mental health service to monitor and support client driving. Many driving clinics include the use of simulators to re/train driving skills. A randomized controlled trial (Mazer et al. 2015) did not support the use of simulator training for clients in general with neurological impairments, suggesting instead that clients with moderate impairment may benefit. The advantages of clients being able to test and practise using vehicle modifications on a simulator prior to using these on the road are documented by Naveh et al. (2015). Although many individuals with health conditions can learn to drive, resume driving after an acquired incident, or maintain their driving despite age-related health declines, the complex skill level required to control a vehicle safely and independently is not always attained. The final papers examine occupational therapy interventions to support driving cessation, with one (Liddle et al., 2015) describing the experiences of peer leaders who run educational support groups for older people undergoing driving cessation, and another (Chan et al., 2015) reporting on how a driver retirement programme can support older taxi drivers’ transition from their worker and driver roles. The papers in this second part of our two-part Special Issue on ‘Driving and community mobility’ focus on interventions and achieve several aims: they document occupational therapists’ expertise in this practice area; highlight the need to embed driving and community mobility issues in routine practice; and call for further training to enhance occupational therapists’ knowledge in the domain. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36562

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Returning to driving after stroke: A systematic review of adherence to guidelines and legislation / Janet Frith in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.348-355 Titre : Returning to driving after stroke: A systematic review of adherence to guidelines and legislation Type de document : texte imprimé Auteurs : Janet Frith, Auteur ; Isobel J. Hubbard, Auteur ; Carole L. James, Auteur Année de publication : 2015 Article en page(s) : p.348-355 Langues : Anglais (eng) Mots-clés : Automobile driving evaluation  Stroke acute  Practice guidelines Résumé : Abstract Introduction: This systematic review aimed to determine whether stroke survivors routinely received return-to-driving education in the acute hospital setting prior to discharge home; and if education was provided, were the restrictions in driving guidelines adhered to. Method: A systematic search was conducted of PubMed, Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, Web of Science, Scopus, Pedro and OTseeker databases for original research reporting findings on the adherence to return-to-driving legislation and clinical guidelines after stroke, and return-to-driving behaviours in stroke survivors up to 1 month post stroke. Results: Three studies met the inclusion criteria and reported on a combined total of 252 stroke survivors living in the United Kingdom. Forty-eight per cent of stroke survivors received education on the 1 month driving restriction. A total of 61.4% of participants waited 1 month prior to returning to driving. Conclusion: This review found that there is limited literature available on the management of return to driving following acute stroke but there is evidence that education may not be routinely provided in the acute hospital setting and that many stroke survivors could be returning to driving within the 1 month restriction. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36563 [article] Returning to driving after stroke: A systematic review of adherence to guidelines and legislation [texte imprimé] / Janet Frith, Auteur ; Isobel J. Hubbard, Auteur ; Carole L. James, Auteur . - 2015 . - p.348-355. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.348-355 Mots-clés : Automobile driving evaluation  Stroke acute  Practice guidelines Résumé : Abstract Introduction: This systematic review aimed to determine whether stroke survivors routinely received return-to-driving education in the acute hospital setting prior to discharge home; and if education was provided, were the restrictions in driving guidelines adhered to. Method: A systematic search was conducted of PubMed, Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, Web of Science, Scopus, Pedro and OTseeker databases for original research reporting findings on the adherence to return-to-driving legislation and clinical guidelines after stroke, and return-to-driving behaviours in stroke survivors up to 1 month post stroke. Results: Three studies met the inclusion criteria and reported on a combined total of 252 stroke survivors living in the United Kingdom. Forty-eight per cent of stroke survivors received education on the 1 month driving restriction. A total of 61.4% of participants waited 1 month prior to returning to driving. Conclusion: This review found that there is limited literature available on the management of return to driving following acute stroke but there is evidence that education may not be routinely provided in the acute hospital setting and that many stroke survivors could be returning to driving within the 1 month restriction. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36563

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Knowledge and attitudes of occupational therapists to giving advice on fitness to drive / Carol Hawley in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.339-348 Titre : Knowledge and attitudes of occupational therapists to giving advice on fitness to drive Type de document : texte imprimé Auteurs : Carol Hawley, Auteur Année de publication : 2015 Article en page(s) : p.339-348 Langues : Anglais (eng) Mots-clés : Automobile driving  Transport  Attitudes  Knowledge  Information Résumé : Introduction A range of medical conditions can affect driving, and health professionals should advise patients accordingly. This study examined the knowledge of occupational therapists, other therapists and psychologists regarding medical standards for driving, their attitudes to advising patients about driving, and barriers to giving that advice. Method A structured questionnaire measured knowledge of medical standards and attitudes to advising patients about driving. Analyses compared responses of occupational therapists with those of other therapists and psychologists. Semi-structured interviews were carried out with therapists and psychologists after they had watched a video-taped clinical consultation with an actor–patient who was unfit to drive. Interviewees, unaware that the study was about driving, were asked how they would advise the patient. Focus groups were held with a range of health professionals to discuss facilitators and barriers to giving driving advice. Results Eighty-two questionnaires were completed. Occupational therapists were most aware of driving guidelines and most likely to advise patients to stop driving (p < 0.01). A total of 98% of occupational therapists believed they should discuss driving compared with 68% of other therapists and psychologists (p < 0.01). Therapists were more likely than psychologists to spontaneously raise the issue of driving after viewing the video-consultation. Conclusion Occupational therapists are well placed to expand their role in advising patients about fitness to drive. For this they require additional training and clarification of their role and legal responsibilities. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36564 [article] Knowledge and attitudes of occupational therapists to giving advice on fitness to drive [texte imprimé] / Carol Hawley, Auteur . - 2015 . - p.339-348. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.339-348 Mots-clés : Automobile driving  Transport  Attitudes  Knowledge  Information Résumé : Introduction A range of medical conditions can affect driving, and health professionals should advise patients accordingly. This study examined the knowledge of occupational therapists, other therapists and psychologists regarding medical standards for driving, their attitudes to advising patients about driving, and barriers to giving that advice. Method A structured questionnaire measured knowledge of medical standards and attitudes to advising patients about driving. Analyses compared responses of occupational therapists with those of other therapists and psychologists. Semi-structured interviews were carried out with therapists and psychologists after they had watched a video-taped clinical consultation with an actor–patient who was unfit to drive. Interviewees, unaware that the study was about driving, were asked how they would advise the patient. Focus groups were held with a range of health professionals to discuss facilitators and barriers to giving driving advice. Results Eighty-two questionnaires were completed. Occupational therapists were most aware of driving guidelines and most likely to advise patients to stop driving (p < 0.01). A total of 98% of occupational therapists believed they should discuss driving compared with 68% of other therapists and psychologists (p < 0.01). Therapists were more likely than psychologists to spontaneously raise the issue of driving after viewing the video-consultation. Conclusion Occupational therapists are well placed to expand their role in advising patients about fitness to drive. For this they require additional training and clarification of their role and legal responsibilities. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36564

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The road to recovery: Experiences of driving with bipolar disorder / Carole McNamara in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.356-363 Titre : The road to recovery: Experiences of driving with bipolar disorder Type de document : texte imprimé Auteurs : Carole McNamara, Auteur ; Sherrie E. Buckley, Auteur Année de publication : 2015 Article en page(s) : p.356-363 Langues : Anglais (eng) Mots-clés : Community mobility  Meaningful occupation  Driving  Occupational participation Résumé : Introduction: It has been suggested that bipolar disorder impairs cognitive, psychomotor and emotional regulation abilities which could impact an individual’s driving behaviour. This research aimed to investigate experiences of driving with a diagnosis of a bipolar disorder, as a study on this subject has not been located in the literature. Method: Two focus groups were conducted during a bipolar day programme in an independent psychiatric hospital in the Republic of Ireland (n = 18). Data was analysed using thematic analysis. Results: Themes emerging from the data include: the meaning of driving, the impact of bipolar disorder on driving behaviour and the management of driving behaviour when unwell. An unexpected theme was the perceived discriminatory nature of the Irish Road Safety Authority’s fitness to drive guidelines. Conclusion: Driving is a meaningful activity, enabling engagement in areas of occupation. Participants’ desire to implement their own compensatory strategies when unwell can be viewed as a process of taking control in their recovery and minimising the effects of occupational disruption. Their view that fitness to drive guidelines are inequitable could be related to perceptions that mental illness has a lasting influence on their life narratives. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36565 [article] The road to recovery: Experiences of driving with bipolar disorder [texte imprimé] / Carole McNamara, Auteur ; Sherrie E. Buckley, Auteur . - 2015 . - p.356-363. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.356-363 Mots-clés : Community mobility  Meaningful occupation  Driving  Occupational participation Résumé : Introduction: It has been suggested that bipolar disorder impairs cognitive, psychomotor and emotional regulation abilities which could impact an individual’s driving behaviour. This research aimed to investigate experiences of driving with a diagnosis of a bipolar disorder, as a study on this subject has not been located in the literature. Method: Two focus groups were conducted during a bipolar day programme in an independent psychiatric hospital in the Republic of Ireland (n = 18). Data was analysed using thematic analysis. Results: Themes emerging from the data include: the meaning of driving, the impact of bipolar disorder on driving behaviour and the management of driving behaviour when unwell. An unexpected theme was the perceived discriminatory nature of the Irish Road Safety Authority’s fitness to drive guidelines. Conclusion: Driving is a meaningful activity, enabling engagement in areas of occupation. Participants’ desire to implement their own compensatory strategies when unwell can be viewed as a process of taking control in their recovery and minimising the effects of occupational disruption. Their view that fitness to drive guidelines are inequitable could be related to perceptions that mental illness has a lasting influence on their life narratives. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36565

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‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving / Carolyn Dun in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.364-368 Titre : ‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving Type de document : texte imprimé Auteurs : Carolyn Dun, Auteur ; Kristan Baker, Auteur ; Jodie Swan, Auteur Année de publication : 2015 Article en page(s) : p.364-368 Langues : Anglais (eng) Mots-clés : Driving  Mental illness  Service improvement Résumé : Statement of context: Driving can be important for enabling community participation. Mental illness and its treatment may disrupt fitness to drive, or people’s opportunities for learning to drive. This paper reflects on practice improvements in an Australian mental health organization. Critical reflection on practice: Occupational therapists identified gaps in knowledge among the multi-disciplinary workforce about service users’ driver status, how to identify and manage driving issues, and how to support their beginning or resuming driving during recovery. Implications for practice: The key initiatives: policy and practice guidelines, workforce training, driver assessment and consultation services, and service user information resources — have become embedded supports within the organization for promoting safe driving. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36566 [article] ‘Drive Safe’ initiatives: An analysis of improvements in mental health practices (2005–2013) to support safe driving [texte imprimé] / Carolyn Dun, Auteur ; Kristan Baker, Auteur ; Jodie Swan, Auteur . - 2015 . - p.364-368. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.364-368 Mots-clés : Driving  Mental illness  Service improvement Résumé : Statement of context: Driving can be important for enabling community participation. Mental illness and its treatment may disrupt fitness to drive, or people’s opportunities for learning to drive. This paper reflects on practice improvements in an Australian mental health organization. Critical reflection on practice: Occupational therapists identified gaps in knowledge among the multi-disciplinary workforce about service users’ driver status, how to identify and manage driving issues, and how to support their beginning or resuming driving during recovery. Implications for practice: The key initiatives: policy and practice guidelines, workforce training, driver assessment and consultation services, and service user information resources — have become embedded supports within the organization for promoting safe driving. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36566

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A randomized clinical trial to determine effectiveness of driving simulator retraining on the driving performance of clients with neurological impairment / Barbara Mazer in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) Titre : A randomized clinical trial to determine effectiveness of driving simulator retraining on the driving performance of clients with neurological impairment Type de document : texte imprimé Auteurs : Barbara Mazer, Auteur ; Isabelle Gélinas, Auteur ; Josee Duquette, Auteur Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Driving  Simulator  Neurological impairment Résumé : Introduction: Following a neurological event, returning to driving is an important activity contributing to improved participation within the community. The purpose of this study was to examine the effectiveness of driving simulator retraining on driving in clients with neurological impairment and to examine factors associated with treatment effectiveness. Method: Individuals with non-degenerative brain injury were randomized to either a simulator training or control group. The simulator group received individualized training (16 sessions) using a driving simulator. The control group did not receive intervention. A blind evaluator assessed participants on the DriveAble On-Road Driving Evaluation. Results: There was no significant difference between groups in the proportion of individuals who passed the driving evaluation (Chi2 = 0.65; p = 0.42; CI = −0.41 to +0.17). However, participants with moderate impairment who received simulator training were more likely to pass the driving test compared with those in the control group (86% versus 17%; Chi2 = 6.2; p = 0.03; CI = −1.00 to −0.30). There were no differences in pass rate according to diagnosis, gender, or for those with severe impairments. Conclusion: Results provide clinicians with preliminary information on the potential clinical usefulness of driving simulator training. While the findings do not support simulator retraining for the group as a whole, they suggest that clients with moderate impairment have the potential to benefit. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36567 [article] A randomized clinical trial to determine effectiveness of driving simulator retraining on the driving performance of clients with neurological impairment [texte imprimé] / Barbara Mazer, Auteur ; Isabelle Gélinas, Auteur ; Josee Duquette, Auteur . - 2015. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) Mots-clés : Driving  Simulator  Neurological impairment Résumé : Introduction: Following a neurological event, returning to driving is an important activity contributing to improved participation within the community. The purpose of this study was to examine the effectiveness of driving simulator retraining on driving in clients with neurological impairment and to examine factors associated with treatment effectiveness. Method: Individuals with non-degenerative brain injury were randomized to either a simulator training or control group. The simulator group received individualized training (16 sessions) using a driving simulator. The control group did not receive intervention. A blind evaluator assessed participants on the DriveAble On-Road Driving Evaluation. Results: There was no significant difference between groups in the proportion of individuals who passed the driving evaluation (Chi2 = 0.65; p = 0.42; CI = −0.41 to +0.17). However, participants with moderate impairment who received simulator training were more likely to pass the driving test compared with those in the control group (86% versus 17%; Chi2 = 6.2; p = 0.03; CI = −1.00 to −0.30). There were no differences in pass rate according to diagnosis, gender, or for those with severe impairments. Conclusion: Results provide clinicians with preliminary information on the potential clinical usefulness of driving simulator training. While the findings do not support simulator retraining for the group as a whole, they suggest that clients with moderate impairment have the potential to benefit. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36567

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Using a driving simulator during vehicle adaptation / Yuval Naveh in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.377-382 Titre : Using a driving simulator during vehicle adaptation Type de document : texte imprimé Auteurs : Yuval Naveh, Auteur ; Alexander Shapira, Auteur ; Navah Z. Ratzon, Auteur Année de publication : 2015 Article en page(s) : p.377-382 Langues : Anglais (eng) Mots-clés : Post-polio  Fitness to drive  Assistive technology  Static assessment rig  Virtual driving scenario Résumé : A major drawback with current vehicle modifications is the inability to provide a practice session before driving on the road. Quantitative measurements obtained using a static assembly rig and a virtual driving scenario enabled appropriate adaptive adjustments for a client with post-polio syndrome who complained of difficulties turning the steering wheel. This study describes the assessment process, emphasizing the potential of the system, discussing the limitations of the evaluation and aims to offer occupational therapists an empirical perspective regarding vehicle adaptations for individuals with a physical disability. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36568 [article] Using a driving simulator during vehicle adaptation [texte imprimé] / Yuval Naveh, Auteur ; Alexander Shapira, Auteur ; Navah Z. Ratzon, Auteur . - 2015 . - p.377-382. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.377-382 Mots-clés : Post-polio  Fitness to drive  Assistive technology  Static assessment rig  Virtual driving scenario Résumé : A major drawback with current vehicle modifications is the inability to provide a practice session before driving on the road. Quantitative measurements obtained using a static assembly rig and a virtual driving scenario enabled appropriate adaptive adjustments for a client with post-polio syndrome who complained of difficulties turning the steering wheel. This study describes the assessment process, emphasizing the potential of the system, discussing the limitations of the evaluation and aims to offer occupational therapists an empirical perspective regarding vehicle adaptations for individuals with a physical disability. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36568

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The experiences of peer leaders in a driving cessation programme / Jacki Liddle in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.383-390 Titre : The experiences of peer leaders in a driving cessation programme Type de document : texte imprimé Auteurs : Jacki Liddle, Auteur ; Xinyu Liu, Auteur ; Tammy Aplin, Auteur Année de publication : 2015 Article en page(s) : p.383-390 Langues : Anglais (eng) Mots-clés : Qualitative  Driving cessation  Lay-led  Older people  Roles Résumé : Introduction: Peer leaders are increasingly involved in health-related programmes due to the perceived benefits that they bring to the group process. This exploratory study examined the experiences of peer leaders in the University of Queensland Driver Retirement Initiative, an educational support group for older people undergoing driving cessation. Method: Semi-structured interviews were conducted with five peer leaders (two men, three women, age range: 67–81 years) regarding their role and involvement as a peer leader in the University of Queensland Driver Retirement Initiative programme as well as their positive and negative experiences. Results: Inductive thematic analysis revealed three themes: diversity of peer leaders, drawing on personal strengths and experiences, and taking the middle ground. Conclusion: This study revealed that peer leaders drew from their diverse range of personal resources and experiences to perform the role of peer leader, using varying approaches to perform the role successfully. The provision of broad guidelines in training allowed individual approaches to be developed and this contributed to a positive experience for peer leaders in the University of Queensland Driver Retirement Initiative. These findings have implications for the development of future peer-led driving cessation programmes and the selection of their peer leaders. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36569 [article] The experiences of peer leaders in a driving cessation programme [texte imprimé] / Jacki Liddle, Auteur ; Xinyu Liu, Auteur ; Tammy Aplin, Auteur . - 2015 . - p.383-390. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.383-390 Mots-clés : Qualitative  Driving cessation  Lay-led  Older people  Roles Résumé : Introduction: Peer leaders are increasingly involved in health-related programmes due to the perceived benefits that they bring to the group process. This exploratory study examined the experiences of peer leaders in the University of Queensland Driver Retirement Initiative, an educational support group for older people undergoing driving cessation. Method: Semi-structured interviews were conducted with five peer leaders (two men, three women, age range: 67–81 years) regarding their role and involvement as a peer leader in the University of Queensland Driver Retirement Initiative programme as well as their positive and negative experiences. Results: Inductive thematic analysis revealed three themes: diversity of peer leaders, drawing on personal strengths and experiences, and taking the middle ground. Conclusion: This study revealed that peer leaders drew from their diverse range of personal resources and experiences to perform the role of peer leader, using varying approaches to perform the role successfully. The provision of broad guidelines in training allowed individual approaches to be developed and this contributed to a positive experience for peer leaders in the University of Queensland Driver Retirement Initiative. These findings have implications for the development of future peer-led driving cessation programmes and the selection of their peer leaders. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36569

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An intervention to support professional driver retirement transition: Results of a pilot study for older taxi drivers in Singapore / Mei Leng Chan in The British Journal of Occupational Therapy, Volume 78 numéro 6 (Juin 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.391-400 Titre : An intervention to support professional driver retirement transition: Results of a pilot study for older taxi drivers in Singapore Type de document : texte imprimé Auteurs : Mei Leng Chan, Auteur ; Louise Gustafsson, Auteur ; Jacki Liddle, Auteur Année de publication : 2015 Article en page(s) : p.391-400 Langues : Anglais (eng) Mots-clés : Retirement  Intervention  Taxi driver Résumé : Introduction: Older taxi drivers in Singapore face mandatory retirement at 73 years of age, often marked by the simultaneous loss of the worker and driver roles. The Driver Retirement Program was developed as an intervention to support this transition. Method: A pre- and post-experimental design was conducted with retired 73-year-old, male taxi drivers (n = 15) to investigate the hypotheses: (i) the Driver Retirement Program would increase activity participation (e.g. time use) and wellbeing (e.g. mood) outcomes at immediate post-intervention and (ii) maintain these changes at 3 months’ follow-up. Non-parametric tests were used to compare changes between (i) pre- and post-intervention and (ii) 3 months follow-up to post-intervention. Participants’ feedback on the Driver Retirement Program was obtained using a semi-structured questionnaire. Results: The Driver Retirement Program significantly improved mood, self-efficacy and satisfaction with individualised goals at post-intervention and maintained these changes at 3 months’ follow-up. A significant decrease in time spent alone was found at follow-up compared with post-intervention. Participants rated high satisfaction with the Driver Retirement Program but also recommended a shorter programme without compulsory group sessions. Conclusion: The Driver Retirement Program was useful to support some aspects of work and driver retirement transition. Further work to enhance sensitivity to cultural and gender issues is indicated. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36570 [article] An intervention to support professional driver retirement transition: Results of a pilot study for older taxi drivers in Singapore [texte imprimé] / Mei Leng Chan, Auteur ; Louise Gustafsson, Auteur ; Jacki Liddle, Auteur . - 2015 . - p.391-400. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 6 (Juin 2015) . - p.391-400 Mots-clés : Retirement  Intervention  Taxi driver Résumé : Introduction: Older taxi drivers in Singapore face mandatory retirement at 73 years of age, often marked by the simultaneous loss of the worker and driver roles. The Driver Retirement Program was developed as an intervention to support this transition. Method: A pre- and post-experimental design was conducted with retired 73-year-old, male taxi drivers (n = 15) to investigate the hypotheses: (i) the Driver Retirement Program would increase activity participation (e.g. time use) and wellbeing (e.g. mood) outcomes at immediate post-intervention and (ii) maintain these changes at 3 months’ follow-up. Non-parametric tests were used to compare changes between (i) pre- and post-intervention and (ii) 3 months follow-up to post-intervention. Participants’ feedback on the Driver Retirement Program was obtained using a semi-structured questionnaire. Results: The Driver Retirement Program significantly improved mood, self-efficacy and satisfaction with individualised goals at post-intervention and maintained these changes at 3 months’ follow-up. A significant decrease in time spent alone was found at follow-up compared with post-intervention. Participants rated high satisfaction with the Driver Retirement Program but also recommended a shorter programme without compulsory group sessions. Conclusion: The Driver Retirement Program was useful to support some aspects of work and driver retirement transition. Further work to enhance sensitivity to cultural and gender issues is indicated. En ligne : http://bjo.sagepub.com/content/78/6.toc Permalink : ./index.php?lvl=notice_display&id=36570

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