Effect of a group intervention to promote older adults’ adjustment to driving cessation on community mobility: a randomized controlled trial

Liddle, Jacki, Haynes, Michele, Pachana, Nancy A., Mitchell, Geoffrey, McKenna, Kryss and Gustafsson, Louise (2014) Effect of a group intervention to promote older adults’ adjustment to driving cessation on community mobility: a randomized controlled trial. Gerontologist, 54 3: 409-422. doi:10.1093/geront/gnt019


Author Liddle, Jacki
Haynes, Michele
Pachana, Nancy A.
Mitchell, Geoffrey
McKenna, Kryss
Gustafsson, Louise
Title Effect of a group intervention to promote older adults’ adjustment to driving cessation on community mobility: a randomized controlled trial
Journal name Gerontologist   Check publisher's open access policy
ISSN 0016-9013
1758-5341
Publication date 2014-06
Year available 2013
Sub-type Article (original research)
DOI 10.1093/geront/gnt019
Open Access Status
Volume 54
Issue 3
Start page 409
End page 422
Total pages 14
Place of publication Cary, NC, United States
Publisher Oxford University Press
Collection year 2014
Language eng
Formatted abstract
Objectives: The UQDRIVE program, a group education and support program, was developed to meet the  needs associated with driving cessation for older adults.  The current study investigated the effect of the program  on community mobility.

Design and Methods: A  prospective, parallel, stratified randomized controlled  trial was undertaken with a waitlist control group  receiving current clinical practice (no intervention).  Data were collected pre, post, and 3 months following the intervention. Participants were adults aged  60 years or older who had ceased driving or planned  to cease driving within 12  months.

Results: A  total of 131 participants were included in analyses (67 intervention, 64 control). Participating in the intervention was significantly associated with a higher  number of episodes away from home per week at  immediately postintervention (z = 2.56, p = .01). This  was not significantly maintained at 3-month follow-up.  Participation in the intervention also significantly predicted higher use of public transport at immediately  postintervention (z = 2.12, p = .034), higher use of  walking at immediately postintervention (z  =  2.69,  p = .007), increased aspects of community mobility  self-efficacy (z = 3.81, p = .0001), and higher satisfaction with transport at 3-month follow-up (z = 2.07,  p = .038).

Implications: The program increased  community mobility immediately postintervention and  transport satisfaction at 3 months postintervention. Due  to a high attrition rate, further research is req
Keyword Older driver
Group intervention
Community mobility
Transportation
Out-of-home activities
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 19 March 2013.

 
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Created: Thu, 04 Apr 2013, 12:30:01 EST by Dr Jacki Liddle on behalf of UQ Centre for Clinical Research