Still in first gear: Exploration of barriers for implementing driving cessation support

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Liddle, Jacki
Gustafsson, Louise
Scott, Theresa
Byrnes, Joshua
Salmon, Amanda
Pachana, Nancy A
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2023
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Abstract

Objective: Driving cessation is a major life transition; lack of support in this process may lead to deleterious outcomes in terms of physical, mental and social well-being. Despite approaches to driving cessation being developed, their integration into ongoing geriatric clinical practice has been slow. Methods: Health-care providers were surveyed about their impressions of the barriers and facilitators to implementing a driving cessation intervention as part of regular clinical services. Methods of funding the intervention were queried. Surveys were sent via professional listserves and a snowballing strategy employed. Twenty-nine completed surveys were analysed by content analysis. Results: Participants identified that an understanding of driving cessation and optimal driving cessation supports was required. They identified four key approaches to support the implementation of driving cessation support: the need to consider complexity and emotional support needs in clinical contexts; knowing and showing the outcomes by clearly communicating the benefits and values to different stakeholders; managing systemic barriers included workforce issues, funding models and efforts required for initiating and sustaining an intervention; and not doing it alone, but instead developing processes supports to collaboratively provide access to programs. Conclusions: The current study reveals a recognition of unmet needs of older persons and families regarding driving cessation as well as signalling service delivery, costing and workforce needs which act as barriers.

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Australasian Journal on Ageing

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© 2023 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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This publication has been entered in Griffith Research Online as an advanced online version.

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Clinical sciences

Health services and systems

Nursing

Science & Technology

Life Sciences & Biomedicine

Geriatrics & Gerontology

Gerontology

ageing

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Liddle, J; Gustafsson, L; Scott, T; Byrnes, J; Salmon, A; Pachana, NA, Still in first gear: Exploration of barriers for implementing driving cessation support, Australasian Journal on Ageing, 2023

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