Effect of a Group Intervention to Promote Older Adults’ Adjustment to Driving Cessation on Community Mobility: A Randomized Controlled Trial
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 randomiz...
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| Veröffentlicht in: | The Gerontologist 2014-06, Vol.54 (3), p.409-422 |
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| container_title | The Gerontologist |
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| creator | Liddle, Jacki Haynes, Michele Pachana, Nancy A. Mitchell, Geoffrey McKenna, Kryss Gustafsson, Louise |
| description | 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 required to clarify the long-term impact of the intervention. |
| doi_str_mv | 10.1093/geront/gnt019 |
| format | Article |
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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 required to clarify the long-term impact of the intervention.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/gnt019</identifier><identifier>PMID: 23512770</identifier><identifier>CODEN: GRNTA3</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adaptation, Psychological ; Adjustment ; Automobile Driving ; Automobiles ; Educational Programs ; Elderly ; Empowerment ; Gerontology ; Humans ; Intervention ; Medical Research ; Middle Aged ; Mobility ; Older people ; Participation ; Prospective Studies ; Satisfaction ; Self-Help Groups ; Walking</subject><ispartof>The Gerontologist, 2014-06, Vol.54 (3), p.409-422</ispartof><rights>The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2013</rights><rights>Copyright Oxford University Press, UK Jun 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-3e950f9422fd1982bc46574a71d09f45eed60c9d7aed055da507913f151d68903</citedby><cites>FETCH-LOGICAL-c525t-3e950f9422fd1982bc46574a71d09f45eed60c9d7aed055da507913f151d68903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1579,27905,27906,33755,33756</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23512770$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liddle, Jacki</creatorcontrib><creatorcontrib>Haynes, Michele</creatorcontrib><creatorcontrib>Pachana, Nancy A.</creatorcontrib><creatorcontrib>Mitchell, Geoffrey</creatorcontrib><creatorcontrib>McKenna, Kryss</creatorcontrib><creatorcontrib>Gustafsson, Louise</creatorcontrib><title>Effect of a Group Intervention to Promote Older Adults’ Adjustment to Driving Cessation on Community Mobility: A Randomized Controlled Trial</title><title>The Gerontologist</title><addtitle>GERONT</addtitle><addtitle>Gerontologist</addtitle><description>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 required to clarify the long-term impact of the intervention.</description><subject>Adaptation, Psychological</subject><subject>Adjustment</subject><subject>Automobile Driving</subject><subject>Automobiles</subject><subject>Educational Programs</subject><subject>Elderly</subject><subject>Empowerment</subject><subject>Gerontology</subject><subject>Humans</subject><subject>Intervention</subject><subject>Medical Research</subject><subject>Middle Aged</subject><subject>Mobility</subject><subject>Older people</subject><subject>Participation</subject><subject>Prospective Studies</subject><subject>Satisfaction</subject><subject>Self-Help Groups</subject><subject>Walking</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkUFrFDEYhoModrt69CoBL17GfkkmmYm3ZVtroVKReh6yk2SZJZOsSaZQT_4C7_69_hIzblXwYuGDvIHne3k_XoReEHhDQLKTrYnB55Otz0DkI7QgDW8rzmryGC0AiKgkEHaEjlPaQflT2jxFR5RxQpsGFuj7mbWmzzhYrPB5DNMeX_hs4o3xeQge54A_xjCGbPCV0ybilZ5cTnfffhS1m1IeCzhTp3G4GfwWr01K6tdqmXUYx8kP-RZ_CJvBFfEWr_An5XUYh69GF8DnGJwr8joOyj1DT6xyyTy_f5fo87uz6_X76vLq_GK9uqx6TnmumJEcrKwptZrIlm76WvCmVg3RIG3NjdECeqkbZTRwrhWHRhJmCSdatBLYEr0--O5j-DKZlLtxSL1xTnkTptQRziVAS4A_EGVCiAeglNUg5ihL9OofdBem6MvNMyVoSzmfY1YHqo8hpWhst4_DqOJtR6Cb6-8O9XeH-gv_8t512oxG_6F_9_03YSn6P14_AYbOu44</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Liddle, Jacki</creator><creator>Haynes, Michele</creator><creator>Pachana, Nancy A.</creator><creator>Mitchell, Geoffrey</creator><creator>McKenna, Kryss</creator><creator>Gustafsson, Louise</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>Effect of a Group Intervention to Promote Older Adults’ Adjustment to Driving Cessation on Community Mobility: A Randomized Controlled Trial</title><author>Liddle, Jacki ; Haynes, Michele ; Pachana, Nancy A. ; Mitchell, Geoffrey ; McKenna, Kryss ; Gustafsson, Louise</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-3e950f9422fd1982bc46574a71d09f45eed60c9d7aed055da507913f151d68903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adaptation, Psychological</topic><topic>Adjustment</topic><topic>Automobile Driving</topic><topic>Automobiles</topic><topic>Educational Programs</topic><topic>Elderly</topic><topic>Empowerment</topic><topic>Gerontology</topic><topic>Humans</topic><topic>Intervention</topic><topic>Medical Research</topic><topic>Middle Aged</topic><topic>Mobility</topic><topic>Older people</topic><topic>Participation</topic><topic>Prospective Studies</topic><topic>Satisfaction</topic><topic>Self-Help Groups</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liddle, Jacki</creatorcontrib><creatorcontrib>Haynes, Michele</creatorcontrib><creatorcontrib>Pachana, Nancy A.</creatorcontrib><creatorcontrib>Mitchell, Geoffrey</creatorcontrib><creatorcontrib>McKenna, Kryss</creatorcontrib><creatorcontrib>Gustafsson, Louise</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liddle, Jacki</au><au>Haynes, Michele</au><au>Pachana, Nancy A.</au><au>Mitchell, Geoffrey</au><au>McKenna, Kryss</au><au>Gustafsson, Louise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of a Group Intervention to Promote Older Adults’ Adjustment to Driving Cessation on Community Mobility: A Randomized Controlled Trial</atitle><jtitle>The Gerontologist</jtitle><stitle>GERONT</stitle><addtitle>Gerontologist</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>54</volume><issue>3</issue><spage>409</spage><epage>422</epage><pages>409-422</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><coden>GRNTA3</coden><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 required to clarify the long-term impact of the intervention.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>23512770</pmid><doi>10.1093/geront/gnt019</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Gerontologist, 2014-06, Vol.54 (3), p.409-422 |
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| source | MEDLINE; Sociological Abstracts; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adaptation, Psychological Adjustment Automobile Driving Automobiles Educational Programs Elderly Empowerment Gerontology Humans Intervention Medical Research Middle Aged Mobility Older people Participation Prospective Studies Satisfaction Self-Help Groups Walking |
| title | Effect of a Group Intervention to Promote Older Adults’ Adjustment to Driving Cessation on Community Mobility: A Randomized Controlled Trial |
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