Evidence map›Paper›PMID 24793645›Full record

ArticleThe Gerontologist2016

Perspectives on Tiered Older Driver Assessment in Primary Care Settings.

Marian E Betz, Jacqueline Jones, Emma Genco, David B Carr, Carolyn DiGuiseppi, Jason S Haukoos, Steven R Lowenstein, Robert Schwartz

Abstract read
In one paragraph

Article in The Gerontologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Discussions About Driving Between Older Adults and Primary Care Providers.Journal of the American Geriatrics Society · 2016
    Observational
  9. Article
  10. System facilitators and barriers to discussing older driver safety in primary care settings.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2015
    Article
  11. Article
  12. Older adult drivers living in residential care facilities.The annals of long-term care : the official journal of the American Medical Directors Association · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marian E BetzDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora. Department of Epidemiology, Colorado School of Public Health, Aurora. marian.betz@ucdenver.edu.
Jacqueline JonesCollege of Nursing, University of Colorado, Anschutz Medical Campus, Aurora.
Emma GencoVISN 19 Mental Illness Research, Education and Clinical Care Center, Veterans Affairs Eastern Colorado Healthcare System, Denver.
David B CarrDivision of Geriatrics and Nutritional Science, Department of Medicine and Neurology , Washington University School of Medicine, St Louis, Missouri.
Carolyn DiGuiseppiDepartment of Epidemiology, Colorado School of Public Health, Aurora.
Jason S HaukoosDenver Health Medical Center, Denver.
Steven R LowensteinDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora.
Robert SchwartzDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora.

Funding

Physician Screening of Older Drivers: Decision Rules for Geriatric Injury PreventK23AG043123 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2013 to 2017
$915k
NIA NIH HHS K23 AG043123NIA NIH HHS K23AG043123
6 · The paper itself

Abstract

purpose of the studyWidespread screening of older drivers, with in-depth evaluation only of those who screen positive ("tiered assessment"), might efficiently balance driver safety and mobility. To inform program development, we sought to examine the perspectives of older drivers and clinicians on the concept of tiered assessment in primary care settings. DESIGN AND

methodsIterative focus groups and interviews with 33 community-dwelling current drivers aged ≥65 years and 8 primary care providers. We used inductive and deductive theme analysis to explore driver and clinician perspectives and to identify barriers and facilitators to establishing a tiered older driver assessment program in primary care settings.

resultsFour dominant themes emerged. Two themes addressed the overall concept: (a) support for the concept of tiered older driver assessment and (b) concerns about the consequences of older driver assessment and how these could affect program viability. Two themes addressed screening: (c) tension inherent in using a generalized approach to the highly individualized issue of driving and (d) logistical considerations for screening in primary care settings. IMPLICATIONS: Standardized older driver screening and referral might improve clinician-driver communication, but screening should occur in a context that includes personalized mobility counseling.

Indexed as

CommunicationAccidents, TrafficAgedAutomobile DrivingFocus GroupsHumansPhysician-Patient RelationsPhysician's RolePrimary Health CareQualitative ResearchClinical practiceDrivingPhysician-patient communication/relationshipsPreventive medicine/care/servicesQualitative research methods

Identifiers

PMID24793645
PMCPMC5994886

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.