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Best Practices Catalogue

Areas of Injury Prevention > Motor Vehicle and Other Road Vehicle Related Injuries
Targeted Age > Older Adults

DriveABLE Assessment Centres

 Florida’s Elder Roadway User Program worked in conjunction with the DriveAble Assessment Centres to distinguish the safe from the unsafe driver 

Background

  

  

Program Goals:

To assess the driving fitness of an individual whose competence to drive is questionable due to the onset or progression of a medical condition

  

Intent:

Unintentional injuries

  

Risk Factors Addressed:

Driving competence of those who suffer from one or more medical conditions

  

Place of occurrence:

Community

  

Age/Age Range:

Adult drivers, specifically seniors 65+

  

Other Population Characteristics:

Slower response time; less agility; deteriorating vision and hearing

Resources

  

  

Year Developed:

1991

  

Collaborative Organization(s):

Neurocognitive Research Unit at Northern Alberta Geriatric Program; Edmonton General Hospital; Glenrose Rehabilitation Hospital; Alberta Government; Alberta Motor Association (CAA Alberta)

  

Funding Resource(s):

Initial support for the research phase:
Alberta Mental Health Research Fund - $80,000
Alberta Health Services Research Innovation Fund - $302,397
Alberta Heritage Foundation for Medical Research - $40,000
Alzheimer Society of Canada - $99,905
Canadian Aging Research Network - $246,165
National Research Council IRAP grant - $23,800
In-kind support from Department of Psychology at University of Alberta; Edmonton General Hospital; Glenrose Rehabilitation Hospital; and Alberta Motor Association
 Support for post-research phase:
Alberta Heritage Foundation for Medical Research Technology commercialization Phase II - $150,000 and Phase III - $500,000 

Implementation

  

  

Context/Setting:

Community

  

Strategies Used:

Education; Engineering; Economic

  

Activities Used:

Referrals for assessment come from physicians, licensing authorities, insurance agencies and family/friends. Computer-based cognitive assessment; road evaluation. Individuals administer the assessment are trained and certified; Design of the road course is standardized based on specified elements - calibration of fail criterion to match the difficulty of the road course; screen assessment is standardized

  

Program Evaluation:

High level of standardization and ongoing monitoring and evaluation
Regular meetings with physicians and reviewing officers with licensing authorities
Surveys of drivers and caregivers who have completed the driving assessment process
Project is currently updating software to provide more automated quality assurance procedures

  

Source of Best Practice:

Road-related Neurotrauma and Road Safety: Opportunities and Challenges for Prevention Science.
Richard Volpe, John Lewko, & the LSAP Research Group, 2006

  

Original Source:

  

Peden, M., Scurfield, R., Sleet, D., Mohan, D., Hyder, A., Jarawan, E., Mathers, C. (2004). World Report on road traffic injury prevention. Retrieved June 5, 2004 from http://www.who.int/world-healthday/2004/infomaterials/world_report/en/ 

  

Supplementary Material:

http://www.driveable.com/

  

Local Example(s):

Partnership with the Ontario Safety League, locations in Toronto, London, Ottawa/Kingston, Windsor, Guelph, Milton. Centres also in British Columbia, Alberta, Quebec & Nova Scotia

  

Contact Information: 

Allen R. Dobbs, PhD
Founder, President and Chairman of the Board
DriveABLE  Assessment Centres, Inc.
Suite 202, 100500 - 112 St
Edmonton, Alberta T5K 2J1
Tel: 780-433-1494

Outcomes

  

  

Long-term outcomes/Effectiveness:

Research projects in Canada and elsewhere have adopted the assessment process as their driving competence criterion in studies including  stroke, rehabilitation using simulators, and Alzheimer’s Disease. DriveABLE is also likely the only evaluation process which meets the criteria of the Supreme Court of Canada in relation to discrimination and driving evaluations for disabled individuals.

  

Short-term outcomes:

Drivers who have an unsafe level of errors from the evaluation and assessment have been asked to stop driving; less risk of injury for driver, other road users, and community

Other

  

  

Date of Review:

2005

  

Classification:

Best Practice

References

Braver, E. R., Trempel, R. E. (2004).  Are older drivers actually at higher risk of involvement in collisions resulting in deaths or non-fatal injuries among their passengers and other road users? Injury Prevention, 10, 27-32.

Keall, M. D., Frith, W. J. (2004).  Association between older driver characteristics, on-road driving test performance and crash liability.  Traffic Injury Prevention, 8, 112-116.

The Road Information Program, (2003) Designing roadways to accommodate the increasingly mobile older driver:  A plan to allow older Americans to maintain their independence, Washington, D.C.

This best practice has been taken from the compendium volumes of best practices in neurotrauma prevention, identified and reviewed by Ontario researchers, with funding from the Ontario Neurotrauma Foundation (ONF). OIPRC has partnered with the ONF to abstract and web-enable this practice. Please direct inquiries about this best practice to richard.volpe@utoronto.ca.