Consensus statements on the assessment of older drivers

Area of Science:

• Gerontology
• Transportation Safety
• Public Health Policy

Background:

• The growing population of older drivers presents challenges in identifying high-risk individuals while avoiding discrimination.
• Current methods for assessing older drivers require refinement to balance safety and mobility.

Purpose of the Study:

• To develop consensus statements on the assessment of older drivers using a modified Delphi process.
• To establish principles for a fair and effective system for evaluating the driving capabilities of older adults.

Main Methods:

• A modified Delphi process involving two rounds of surveys administered to symposium attendees.
• Participants indicated agreement on a five-point Likert scale regarding statements on older driver assessment.
• Consensus was defined as 80% or more agreement or disagreement with a statement.

Main Results:

• Consensus was reached on the need for a modifiable, fair, rational, and accessible multi-step assessment approach for older drivers.
• Physician and healthcare practitioner engagement is vital for identifying medically at-risk drivers of all ages.
• Development of societal alternatives to personal motor vehicle driving is recommended.

Conclusions:

• Ongoing dialogue and evidence-based decision-making are essential for addressing the complexities of older driver assessment.
• Explicitly stated principles should guide decisions regarding older drivers' fitness to drive.