Back to Search
Start Over
Occupational Therapy Interventions to Improve Driving Performance in Older People With Mild Cognitive Impairment or Early-Stage Dementia: A Systematic Review
- Source :
- The American Journal of Occupational Therapy. 75
- Publication Year :
- 2021
- Publisher :
- AOTA Press, 2021.
-
Abstract
- Importance: For a person with mild cognitive impairment (MCI) or early-stage dementia, driving is important for independence. However, driving presents safety concerns for both the person and family members. It is important to determine whether occupational therapy interventions can prolong safe driving for this population. Objective: To determine the effectiveness of occupational therapy interventions to improve driving performance in older people with MCI or early-stage dementia. Data Sources: We conducted a search of MEDLINE, PsycINFO, CINAHL, and gray literature using Google Scholar. Study Selection and Data Collection: Studies were included if they evaluated interventions that (1) aimed to improve the driving performance of older people (M age ≥60 yr) with MCI or early-stage dementia and (2) could be designed or delivered by an occupational therapy practitioner who specializes in driving. Citations were reviewed independently by two authors, and quality appraisal was conducted using the Cochrane risk-of-bias guidelines. Findings: One Level I randomized controlled trial (RCT) and 4 Level III quasi-experimental studies were included; these studies had 231 participants in total with reported M ages of 65.6–72.5 yr. One study evaluated a compensatory approach, whereas the others evaluated a remedial approach. The studies used different measures to assess outcomes and reported mixed effects. Conclusions and Relevance: Low strength of evidence suggests that occupational therapy interventions may improve the driving performance of older people with MCI or early-stage dementia. More RCTs are needed that include long-term follow-up measures and address clinically important outcomes. What This Article Adds: In the absence of conclusive evidence from research studies and best practice guidelines, occupational therapy practitioners must rely on their clinical experience and their clients’ abilities. Development of evidence and guidelines in this area is critical. It is also important for practitioners to work closely with clients, families, and interdisciplinary team members to carefully monitor fitness to drive.
- Subjects :
- Gerontology
Occupational therapy
medicine.medical_specialty
Population
systematic reviews
Psychological intervention
PsycINFO
CINAHL
law.invention
older adult
Occupational Therapy
Randomized controlled trial
law
medicine
Humans
Dementia
driving simulators
Cognitive Dysfunction
education
Aged
education.field_of_study
business.industry
medicine.disease
Systematic review
minimal cognitive impairment
business
dementia
Subjects
Details
- ISSN :
- 19437676 and 02729490
- Volume :
- 75
- Database :
- OpenAIRE
- Journal :
- The American Journal of Occupational Therapy
- Accession number :
- edsair.doi.dedup.....e6ecd9e426f313dcdce32c9cd34a542c