Evidence map›Paper›PMID 33657346›Full record

ArticleThe American journal of occupational therapy : official publication of the American Occupational Therapy Association

Driver Rehabilitation Utilization and Need Among Community-Dwelling Older Adults.

Elizabeth Marfeo, Meredith Grinnell, Amelia Coffey, Nathan Ward

Abstract read
In one paragraph

Article in The American journal of occupational therapy : official publication of the American Occupational Therapy Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Examining Patterns of Driving Avoidance Behaviors Among Older People Using Latent Class Analysis.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    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

4 authors.

Elizabeth MarfeoElizabeth Marfeo, PhD, MPH, OT, is Assistant Professor, Department of Occupational Therapy, School of Arts and Sciences, Tufts University, Medford, MA; elizabeth.marfeo@tufts.edu.
Meredith GrinnellMeredith Grinnell, OTD, CBIS, is Lecturer and Level I Fieldwork Coordinator, Department of Occupational Therapy, School of Arts and Sciences, Tufts University, Medford, MA.
Amelia CoffeyAmelia Coffey, is Student, Department of Mechanical Engineering, Tufts University, Medford, MA.
Nathan WardAmelia Coffey, is Student, Department of Mechanical Engineering, Tufts University, Medford, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceDriving is one of the most important instrumental activities of daily living. As adults age, many face challenges with maintaining independent driving, leading to risk for decreased occupational engagement and quality of life. The extent to which occupational therapy services meet the driver rehabilitation needs of older adults is unknown.

objectiveTo characterize driver rehabilitation service utilization among a nationally representative sample of community-dwelling older adults.

designExploratory, descriptive cross-sectional study using the National Health and Aging Trends Study 2016 wave.

participantsCommunity-dwelling adults age 65 and older who received rehabilitation services in the past year (N = 1,173). OUTCOMES AND MEASURES: Sociodemographic information, comorbidities, rehabilitation use, community mobility, and participation restrictions were collected using self-report and performance-based measures.

resultsOf this sample of older adults, 63.0% reported driving as their primary mode of transportation, 25.8% reported limitations in community participation related to transportation, and 9.2% reported having received rehabilitation focused on driving or other transportation goals in the past year. Findings from this study suggest a discrepancy between utilization of driver rehabilitation and self-reported need. CONCLUSIONS AND RELEVANCE: Many older adults reported limitations in community participation for transportation-related reasons, yet driver rehabilitation represented only a small proportion of services used. As experts in driver rehabilitation, occupational therapy practitioners should lead the way in advocating for increased utilization of driver rehabilitation and development of innovative, accessible transportation options to promote community mobility and participation among older adults. WHAT THIS ARTICLE ADDS: The results of this study illustrate an important discrepancy between self-reported need for and utilization of driver rehabilitation services. Occupational therapy practitioners can play an important role in meeting older adults' driving and transportation needs to enable them to fully participate in their community and daily routines.

Indexed as

Automobile DrivingIndependent LivingActivities of Daily LivingAgedCross-Sectional StudiesHumansQuality of Life

Identifiers

PMID33657346
PMCPMC7929603

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.