TY - JOUR
T1 - The effect of a low and high resource intervention on older drivers' knowledge, behaviors and risky driving
AU - Jones, V.
AU - Gielen, A.
AU - Bailey, M.
AU - Rebok, G.
AU - Agness, C.
AU - Soderstrom, C.
AU - Abendschoen-Milani, J.
AU - Liebno, A.
AU - Gaines, J.
AU - Parrish, J.
N1 - Funding Information:
Funding for the evaluation was provided by the Erickson Living Foundation , the Maryland Department of Transportation, State Highway Administration, Highway Safety Office , and the Johns Hopkins Center for Injury Research and Policy (JHCIRP) . We are grateful to these individuals for sharing their time and expertise: Richard Anderson, Ernest Lehr, Michelle Atwell, Tracy Whitman, Myra Wieman, Claire Myer and Peter Moe. For their commitment of time and energy we would like to thank to Katherine A. Marx and Kasey L. Burke. We owe a special thanks for the resources and expertise provided by the following organizations: Baltimore County Community Traffic Safety Program, Baltimore County Police Department, Catonsville Senior Center, Erickson Foundation, Erickson Living's Charlestown Retirement Community, Mid-Atlantic Foundation for Safety & Education, a non-profit affiliate of AAA Mid-Atlantic, Maryland Kids in Safety Seats (KISS), Maryland Motor Vehicle Administration and the University of Maryland School of Pharmacy, Peter Lamy Center.
PY - 2012/11
Y1 - 2012/11
N2 - This study aimed to compare an in-class Seniors on the MOVE (Mature Operators Vehicular Education) interactive multi-session driving curriculum with a self-guided MOVE curriculum for older adults. Using a two group randomized design, we sought to determine if there are between-group differences in older drivers' knowledge and safety behaviors among participants. Forty-four participants with an average age of 79 years (SD = 7.1) were randomly assigned to the original MOVE program (SOM-A) or a lower resource (SOM-B) self-guided intervention. SOM-A is a four session program designed to improve older drivers safety knowledge and better understand skills for safer driving. SOM-B is a self-guided program with one required in-class session and one optional session. Subsequent to completion of both curricula, participants were offered CarFit, a comprehensive check of how well a senior driver and their vehicle work together. Baseline, post-intervention and 6-month follow up questionnaires were completed by participants. We found significant differences (p =.01) in the mean driving safety knowledge scores when comparing participants in SOM-A (3.7, SD 2.0) to those in SOM-B (0.87, SD 2.6). With regard to behavioral outcomes, we focused on always wearing a seatbelt, talking with a health care provider about driving ability, and sitting 10-12 inches from the steering wheel. The vast majority of participants reported always wearing their seat belts (SOM-A 100%, SOM-B 92%, p = 1.0), and very few reported talking with their doctors (SOM-A Baseline - 0%, Follow up 1 - 0%, p = n/a). Mean behavior change scores for participants sitting 10-12 inches from the steering wheel were significantly more likely among SOM-A (mean =.65, SD =.5) participants than those in SOM-B (mean =.29, SD =.5, p =.01) at first follow-up. Taken together, these findings suggest that the more intensive program is more effective and that driving safety programs focused on behaviors to self evaluate driving abilities continue to be needed to help older drivers remain safer on the road as they age. The involvement of health care providers in such efforts may be an untapped potential.
AB - This study aimed to compare an in-class Seniors on the MOVE (Mature Operators Vehicular Education) interactive multi-session driving curriculum with a self-guided MOVE curriculum for older adults. Using a two group randomized design, we sought to determine if there are between-group differences in older drivers' knowledge and safety behaviors among participants. Forty-four participants with an average age of 79 years (SD = 7.1) were randomly assigned to the original MOVE program (SOM-A) or a lower resource (SOM-B) self-guided intervention. SOM-A is a four session program designed to improve older drivers safety knowledge and better understand skills for safer driving. SOM-B is a self-guided program with one required in-class session and one optional session. Subsequent to completion of both curricula, participants were offered CarFit, a comprehensive check of how well a senior driver and their vehicle work together. Baseline, post-intervention and 6-month follow up questionnaires were completed by participants. We found significant differences (p =.01) in the mean driving safety knowledge scores when comparing participants in SOM-A (3.7, SD 2.0) to those in SOM-B (0.87, SD 2.6). With regard to behavioral outcomes, we focused on always wearing a seatbelt, talking with a health care provider about driving ability, and sitting 10-12 inches from the steering wheel. The vast majority of participants reported always wearing their seat belts (SOM-A 100%, SOM-B 92%, p = 1.0), and very few reported talking with their doctors (SOM-A Baseline - 0%, Follow up 1 - 0%, p = n/a). Mean behavior change scores for participants sitting 10-12 inches from the steering wheel were significantly more likely among SOM-A (mean =.65, SD =.5) participants than those in SOM-B (mean =.29, SD =.5, p =.01) at first follow-up. Taken together, these findings suggest that the more intensive program is more effective and that driving safety programs focused on behaviors to self evaluate driving abilities continue to be needed to help older drivers remain safer on the road as they age. The involvement of health care providers in such efforts may be an untapped potential.
KW - Driver
KW - Elderly
KW - Injury prevention
KW - Interventions
KW - Motor vehicle
KW - Old Driver
KW - Safety
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UR - http://www.scopus.com/inward/citedby.url?scp=84867084470&partnerID=8YFLogxK
U2 - 10.1016/j.aap.2012.03.021
DO - 10.1016/j.aap.2012.03.021
M3 - Article
C2 - 22633251
AN - SCOPUS:84867084470
VL - 49
SP - 486
EP - 492
JO - Accident Analysis and Prevention
JF - Accident Analysis and Prevention
SN - 0001-4575
ER -