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Driving and Dementia: Workshop Module on Communicating Cessation to Drive
Anna Byszewski1, Barbara Power1, Linda Lee2,3
1Department of Medicine Division of Geriatrics, Faculty of Medicine, The Ottawa Hospital, Ottawa, ON.
Canadian Geriatrics Journal : CGJ
|January 4, 2018
Summary
Health professionals can improve their confidence and comfort in discussing driving cessation with persons with dementia (PWD) using a new multimedia module. This resource offers strategies and support for these challenging conversations.
Area of Science:
- Geriatric Medicine
- Neurology
- Public Health
Background:
- Driving cessation is a critical safety concern for persons with dementia (PWD).
- Physicians face legal and ethical responsibilities to report unfit drivers and disclose this to patients.
- Challenges include patient insight deficits, emotional responses, and maintaining therapeutic relationships.
Purpose of the Study:
- To develop a multimedia educational module for health professionals.
- To provide strategies and support for discussing driving cessation with PWD.
- To improve communication effectiveness in sensitive patient-physician interactions.
Main Methods:
- Conducted literature searches on driving and dementia tools and communication strategies.
- Developed a workshop module including background information, communication techniques, resources, and video demonstrations.
- Utilized Embase and OVID MedLine databases for comprehensive literature review.
Main Results:
- Internal medicine trainees showed a significant increase in confidence (p < .001) after using the module.
- The module improved trainees' comfort and willingness to discuss driving cessation.
- Demonstrated positive impact on health professionals' attitudes towards discussing driving cessation.
Conclusions:
- The multimedia module effectively enhances health professionals' readiness to address driving cessation with PWD.
- Improved communication skills can lead to better patient outcomes and safety.
- This intervention supports physicians in navigating difficult conversations with patients with cognitive impairment.
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