Evidence map›Paper›PMID 31300582›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study.

Marian E Betz, Leon Villavicencio, Deepika Kandasamy, Tara Kelley-Baker, Woon Kim, Carolyn DiGuiseppi, Thelma J Mielenz, David W Eby, Lisa J Molnar, Linda Hill and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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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

14 authors.

Marian E BetzFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL). marian.betz@ucdenver.edu.
Leon VillavicencioFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Deepika KandasamyFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Tara Kelley-BakerFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Woon KimFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Carolyn DiGuiseppiFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Thelma J MielenzFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
David W EbyFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Lisa J MolnarFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Linda HillFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
David StrogatzFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
David B CarrFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
Guohua LiFrom the Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO (MEB, DK); AAA Foundation for Traffic Safety, Washington, DC (LV, TK-B, WK); Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (CD); Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (TJM, GL); Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, NY (TJM, GL); University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety, Ann Arbor, MI (DWE, LJM); Department of Family Medicine and Public Health, University of California-San Diego, San Diego CA (LH); Bassett Research Institute, Bassett Healthcare Network, Cooperstown, NY (DS); Departments of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO (DBC); Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY (GL).
LongROAD Research Team

Funding

Columbia Injury Control Research CenterR49CE002096 · CE · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LI, GUOHUA · 2012 to 2018
$5.5M
Physician Screening of Older Drivers: Decision Rules for Geriatric Injury PreventK23AG043123 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2013 to 2017
$915k
ACL HHS R49CE002096NCIPC CDC HHS R49 CE002096NIA NIH HHS K23 AG043123
6 · The paper itself

Abstract

backgroundOlder adult drivers may experience decreases in driving safety with age or health status change. Discussing driving safety may help them plan for driving restriction and eventual cessation. Here, we sought to examine conversations between older adults and their family members and physicians.

methodsIn this multi-site cross-sectional analysis of baseline data from the AAA Longitudinal Research on Aging Drivers (LongROAD) cohort study, we measured the prevalence and characteristics of family and physician driving discussions. We examined associations between having driving discussions and participant characteristics using multivariate logistic regression.

resultsOf 2990 current drivers aged 65 to 79 years (53% female, 85.5% White), only 14.2% reported discussing driving safety with family and 5.5% had discussions with physicians. Men (adjusted OR, 1.32; 95% CI, 1.05 to 1.66) and those with Master's degrees or higher (adjusted OR, 1.65; 95% CI, 1.27 to 2.13) more often had family discussions. Those with at least a Master's degree were also more likely to speak with their physician (adjusted OR, 1.77; 95% CI, 1.17 to 2.68).

conclusionFew older adults had driving safety conversations with their family or physicians. Practical and effective interventions are needed to engage family and physicians in assisting older adults with risk assessment and driving cessation planning to maintain mobility and well-being.

Indexed as

Automobile DrivingCommunicationHealth StatusSafetyAgedAgingCross-Sectional StudiesFamilyFemaleHumansLongitudinal StudiesMalePhysician-Patient RelationsAutomobile DrivingCohort StudiesCommunicationCross-Sectional StudiesLogistic ModelsPhysician-Patient RelationsRisk Assessment

Identifiers

PMID31300582
PMCPMC6948152

What OpenQuestion holds

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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.