Evidence map›Paper›PMID 33934709›Full record

ArticleInjury epidemiology2021

The Advancing Understanding of Transportation Options (AUTO) study: design and methods of a multi-center study of decision aid for older drivers.

Marian E Betz, Faris Omeragic, Lauren Meador, Carolyn G DiGuiseppi, Nicole R Fowler, S Duke Han, Linda Hill, Rachel L Johnson, Christopher E Knoepke, Daniel D Matlock and 2 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04141891 (Decision Making Among Older Adults), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT04141891 nacompletednot on this map

Decision Making Among Older Adults: the AUTO Study

TypeinterventionalSponsorUniversity of Colorado, DenverRan2019 to 2023Enrolled529ConditionsDiabetic Retinopathy, Macular Degeneration, Glaucoma, Retinitis PigmentosaArmsDriving Decision Aid, Older Drivers Website
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Internal Factors that Influence Coping in Older Drivers' Transition to Non-Driving.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Trial
  2. Trial
  3. Relationship of Decisional Conflict About Driving Habits Between Older Adult Drivers and Their Family Members and Close Friends.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Trial
  4. Trial
  5. Article
  6. Article
  7. Impact of the COVID-19 Pandemic on Older Adult Driving in the United States.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

12 authors.

Marian E BetzDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Marian.Betz@cuanschutz.edu.ORCID http://orcid.org/0000-0003-1643-6565
Faris OmeragicDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Lauren MeadorDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Carolyn G DiGuiseppiDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nicole R FowlerCenter for Aging Research, Indiana University School of Medicine, Regenstrief Institute, Indianapolis, IN, USA.
S Duke HanDepartment of Family Medicine, University of Southern California, Los Angeles, CA, USA.
Linda HillSchool of Public Health, University of California San Diego, San Diego, CA, USA.
Rachel L JohnsonDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Christopher E KnoepkeAdult & Child Consortium for Outcomes Research & Delivery Science, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Daniel D MatlockVA Eastern Colorado Geriatric Research Education and Clinical Center, Aurora, CO, USA.
Ryan MoranSchool of Public Health, University of California San Diego, San Diego, CA, USA.
AUTO Research Team

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Decision Making Among Older Adults: the AUTO studyR01AG059613 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2019 to 2023
$3.7M
Decision Support for Older and Frail Patients Considering Advanced Cardiovascular Therapies: Improving Models of Personal Values ClarificationK23HL153892 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KNOEPKE, CHRISTOPHER · 2020 to 2024
$824k
NCATS NIH HHS UL1 TR002535NHLBI NIH HHS K23 HL153892NIA NIH HHS R01 AG059613
6 · The paper itself

Abstract

backgroundDecision-making about when to stop driving for older adults involves assessment of driving risk, availability of support or resources, and strong emotions about loss of independence. Although the risk of being involved in a fatal crash increases with age, driving cessation can negatively impact an older adult's health and well-being. Decision aids can enhance the decision-making process by increasing knowledge of the risks and benefits of driving cessation and improve decision quality. The impact of decision aids regarding driving cessation for older adults is unknown.

methodsThe Advancing Understanding of Transportation Options (AUTO) study is a multi-site, two-armed randomized controlled trial that will test the impact of a decision aid on older adults' decisions about changes in driving behaviors and cessation. AUTO will enroll 300 drivers age ≥ 70 years with a study partner (identified by each driver); the dyads will be randomized into two groups (n = 150/group). The decision aid group will view the web-based decision aid created by Healthwise at baseline and the control group will review information about driving that does not include evidence-based elements on risks and benefits and values clarification about driving decisions. The AUTO trial will compare the effect of the decision aid, versus control, on a) immediate decision quality (measured by the Decisional Conflict Scale; primary outcome); b) longitudinal psychosocial outcomes at 12 and 24 months (secondary outcomes); and c) longitudinal driving behaviors (including reduction or cessation) at 12 and 24 months (secondary outcomes). Planned stratified analyses will examine the effects in subgroups defined by cognitive function, decisional capacity, and readiness to stop driving. DISCUSSION: The AUTO study is the first large-scale randomized trial of a driving decision aid for older adults. Results from this study will directly inform clinical practice about how best to support older adults in decision-making about driving.

trial registrationClinicalTrials.gov : NCT04141891 . Registered on October 28, 2019. Located at https://clinicaltrials.gov/ct2/show/NCT04141891.

Indexed as

Decision-makingDrivingMotor vehicleOlder driverRandomized trial, Geriatric, Decision aid

Identifiers

PMID33934709
PMCPMC8088834

What OpenQuestion holds

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Registered trials

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.