The Advancing Understanding of Transportation Options (AUTO) study: design and methods of a multi-center study of decision aid for older drivers.
The Advancing Understanding of Transportation Options (AUTO) study: design and methods of a multi-center study of decision aid for older drivers.
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DOI：
10.1186/s40621-021-00310-4
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发表时间：
2021-05-03
影响因子：
2.2
通讯作者：
AUTO Research Team
中科院分区：
文献类型：
--
作者：
Betz ME;Omeragic F;Meador L;DiGuiseppi CG;Fowler NR;Han SD;Hill L;Johnson RL;Knoepke CE;Matlock DD;Moran R;AUTO Research Team
老年人何时停止驾驶的决策涉及对驾驶风险的评估，支持或资源的可用性，以及对失去独立性的强烈情绪。虽然参与致命车祸的风险随着年龄的增长而增加，但停止驾驶会对老年人的健康和福祉产生负面影响。决策辅助工具可以通过增加对停止驾驶的风险和益处的了解来加强决策过程，并提高决策质量。决策辅助工具对老年人停止驾驶的影响尚不清楚。推进对交通选择的理解（Advancing Understanding of Transportation Options，简称ESTA）研究是一项多中心、双臂随机对照试验，将测试决策辅助工具对老年人关于驾驶行为变化和戒烟决策的影响。研究中心将招募300名年龄≥ 70岁的驾驶员和一名研究伙伴（由每位驾驶员确定）;将二人组随机分为两组（n = 150/组）。决策辅助组将在基线时查看Healecom创建的基于网络的决策辅助，对照组将审查不包括有关风险和受益的循证要素的驾驶信息，并对驾驶决策进行价值澄清。该试验将比较决策辅助与对照在以下方面的效果：a）即时决策质量（通过决策冲突量表测量;主要结局）; B）12个月和24个月时的纵向心理社会结局（次要结局）;以及c）12个月和24个月时的纵向驾驶行为（包括减少或停止）（次要结局）。计划的分层分析将检查由认知功能、决策能力和停止驾驶的准备程度定义的亚组中的效应。AUTO研究是第一项针对老年人驾驶决策辅助的大规模随机试验。这项研究的结果将直接告知临床实践如何最好地支持老年人在驾驶决策。ClinicalTrials.gov：NCT 04141891。于2019年10月28日注册。位于https://clinicaltrials.gov/ct2/show/NCT04141891在线版本包含补充材料，可在10.1186/s40621-021-00310-4。
Decision-making about when to stop driving for older adults involves assessment of driving risk, availability of support or resources, and strong emotions about loss of independence. Although the risk of being involved in a fatal crash increases with age, driving cessation can negatively impact an older adult’s health and well-being. Decision aids can enhance the decision-making process by increasing knowledge of the risks and benefits of driving cessation and improve decision quality. The impact of decision aids regarding driving cessation for older adults is unknown. The Advancing Understanding of Transportation Options (AUTO) study is a multi-site, two-armed randomized controlled trial that will test the impact of a decision aid on older adults’ decisions about changes in driving behaviors and cessation. AUTO will enroll 300 drivers age ≥ 70 years with a study partner (identified by each driver); the dyads will be randomized into two groups (n = 150/group). The decision aid group will view the web-based decision aid created by Healthwise at baseline and the control group will review information about driving that does not include evidence-based elements on risks and benefits and values clarification about driving decisions. The AUTO trial will compare the effect of the decision aid, versus control, on a) immediate decision quality (measured by the Decisional Conflict Scale; primary outcome); b) longitudinal psychosocial outcomes at 12 and 24 months (secondary outcomes); and c) longitudinal driving behaviors (including reduction or cessation) at 12 and 24 months (secondary outcomes). Planned stratified analyses will examine the effects in subgroups defined by cognitive function, decisional capacity, and readiness to stop driving. The AUTO study is the first large-scale randomized trial of a driving decision aid for older adults. Results from this study will directly inform clinical practice about how best to support older adults in decision-making about driving. ClinicalTrials.gov: NCT04141891. Registered on October 28, 2019. Located at https://clinicaltrials.gov/ct2/show/NCT04141891 The online version contains supplementary material available at 10.1186/s40621-021-00310-4.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
14
作者：
通讯作者：
--
影响因子：
5.7
作者：
Fuller, Heather R.;Huseth-Zosel, Andrea
通讯作者：
Huseth-Zosel, Andrea
DOI：
10.1093/geronb/gbs035
发表时间：
2012-05-01
影响因子：
6.2
作者：
Choi, Moon;Adams, Kathryn Betts;Kahana, Eva
通讯作者：
Kahana, Eva
影响因子：
3.7
作者：
Betz, Marian E.;Jones, Jacqueline;Carr, David B.
通讯作者：
Carr, David B.