BMC Med Inform Decis Mak - Development and pilot testing of a decision aid for drivers with dementia.

Tópicos

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Resumo

CKGROUND: An increasing number of older adults drive automobiles. Given that the prevalence of dementia is rising, it is necessary to address the issue of driving retirement. The purpose of this study is to evaluate how a self-administered decision aid contributed to decision making about driving retirement by individuals living with dementia. The primary outcome measure in this study was decisional conflict. Knowledge, decision, satisfaction with decision, booklet use and booklet acceptability were the secondary outcome measures.METHODS: A mixed methods approach was adopted. Drivers with dementia were recruited from an Aged Care clinic and a Primary Care center in NSW, Australia. Telephone surveys were conducted before and after participants read the decision aid.RESULTS: Twelve participants were recruited (mean age 75, SD 6.7). The primary outcome measure, decisional conflict, improved following use of the decision aid. Most participants felt that the decision aid: (i) was balanced; (ii) presented information well; and (iii) helped them decide about driving. In addition, mean knowledge scores improved after booklet use.CONCLUSIONS: This decision aid shows promise as an acceptable, useful and low-cost tool for drivers with dementia. A self-administered decision aid can be used to assist individuals with dementia decide about driving retirement. A randomized controlled trial is underway to evaluate the effectiveness of the tool.

Resumo Limpo

ckground increas number older adult drive automobil given preval dementia rise necessari address issu drive retir purpos studi evalu selfadminist decis aid contribut decis make drive retir individu live dementia primari outcom measur studi decision conflict knowledg decis satisfact decis booklet use booklet accept secondari outcom measuresmethod mix method approach adopt driver dementia recruit age care clinic primari care center nsw australia telephon survey conduct particip read decis aidresult twelv particip recruit mean age sd primari outcom measur decision conflict improv follow use decis aid particip felt decis aid balanc ii present inform well iii help decid drive addit mean knowledg score improv booklet useconclus decis aid show promis accept use lowcost tool driver dementia selfadminist decis aid can use assist individu dementia decid drive retir random control trial underway evalu effect tool

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