Evidence map›Paper›PMID 38860882›Full record

ArticleTraffic injury prevention2024

"You just have to be careful how you do it": A qualitative study of the Healthwise decision aid for older drivers.

Marian E Betz, Nicole R Fowler, Kayla Meza, Alex Bletz, Faris Omeragic, Daniel D Matlock

Abstract read
In one paragraph

Article in Traffic injury prevention, 2024. 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. Review
  2. 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

6 authors.

Marian E BetzDepartment of Emergency Medicine, University of Colorado, School of Medicine, Aurora, Colorado.
Nicole R FowlerDepartment of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Kayla MezaDepartment of Emergency Medicine, University of Colorado, School of Medicine, Aurora, Colorado.
Alex BletzDepartment of Emergency Medicine, University of Colorado, School of Medicine, Aurora, Colorado.
Faris OmeragicDepartment of Emergency Medicine, University of Colorado, School of Medicine, Aurora, Colorado.
Daniel D MatlockEastern Colorado Geriatric Research Education and Clinical Center, Rocky Mountain Regional VA Medical Center, Aurora, Colorado.

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
NCATS NIH HHS UL1 TR002535NIA NIH HHS R01 AG059613
6 · The paper itself

Abstract

objectiveDecisions about driving retirement are difficult for older adults, their families, and health care providers. A large randomized trial found that an existing online Healthwise decision aid decreased decision conflict and increased knowledge about driving decisions. This study sought to discover how, when, and where the tool might be most effective for older drivers, their family members, and their health care providers.

methodsWe used one-on-one, semistructured interviews (June-December 2023) to explore perspectives on the content of the Healthwise online driving decision aid and its potential use. Participants were health care providers or subject matter experts in older driver research or policy. Transcribed interviews were coded and analyzed with a team-based approach to identify emerging themes.

resultsAcross interviews (16 health care providers; 15 experts), emerging themes related to considerations (barriers, benefits, and settings for use) that were (1) individual or interpersonal or (2) institutional or cultural, as well as feedback on (3) decision aid content and structure. Findings included concerns over agism and damaging provider-patient relationships, along with identified benefits of integrating tools into electronic health records and a need for consolidated, easy-to-access resources for both providers and patients.

conclusionAttention to individual, interpersonal, institutional, and cultural factors may enhance the use and dissemination of an online decision aid about driving, as well as its effectiveness in decision making. Future work should include views of additional stakeholders and studies on implementation of decision aids into real-world settings.

Indexed as

Automobile DrivingDecision Support TechniquesQualitative ResearchAgedDecision MakingFamilyFemaleHealth PersonnelHumansInterviews as TopicMaleMiddle AgedAgingautomobile drivingdecision support techniquesqualitative research

Identifiers

PMID38860882
PMCPMC11226350

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Registered trials

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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.