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Adherence to driving cessation advice given to patients with cognitive impairment and consequences for mobility

BMC Geriatrics Sep 21, 2018

Piersma D, et al. - Researchers assessed the adherence to driving cessation advice among 172 patients with cognitive impairment after a fitness-to-drive assessment, including an on-road driving assessment. They also determined the consequences with regard to mobility. Patients were advised to either continue driving, to follow driving lessons, or to cease driving. After approximately 7 months, patients were then asked in a follow-up interview about their adherence to driving recommendations. Researchers found that adherence to the recommendations given following the fitness-to-drive assessment was high, and driving cessation was more frequently observed among female patients. Because a small minority of patients did not adhere to driving cessation advice, the investigators recommended informing these drivers with dementia regarding the progression of their cognitive and general health decline to facilitate driving cessation. They also advised physicians to discuss alternative transportation options in order to promote the sustained safe mobility of these patients.

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