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DriveSafe DriveAware: A systematic review
Erin Vito1, Anna Barkla1, Linda Coventry2,3,4
1Sir Charles Gairdner Osborne Park Health Care Group, Osborne Park Hospital, Stirling, Western Australia, Australia.
Australasian Journal on Ageing
|January 5, 2023
Summary
DriveSafe DriveAware (DSDA) shows promise for assessing driving safety in subacute settings, demonstrating high diagnostic accuracy and reliability. However, more research is needed to confirm its effectiveness as a standalone tool for driving decisions.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Occupational Therapy
Background:
- Driving cessation negatively impacts independence, health, and quality of life.
- Standardized off-road tools for driving safety assessment lack consensus.
- DriveSafe DriveAware (DSDA) is a potential tool for evaluating driving safety.
Approach:
- Systematic review adhering to PRISMA guidelines.
- Searched English language articles published before December 2021.
- Narrative synthesis of methodological quality and results.
Key Points:
- Six studies (1332 participants) evaluated DSDA's diagnostic accuracy, reliability, and clinical utility.
- High diagnostic accuracy (sensitivity/specificity >90%) for safe/unsafe drivers.
- Substantial inter-rater reliability and demonstrated test-retest reliability across age groups.
- High clinical utility as a standalone tool based on time, cost, and equipment.
Conclusions:
- DSDA shows potential as an ideal tool in subacute settings.
- Insufficient evidence currently supports DSDA as a standalone tool for driving decisions.
- Further research is necessary to validate DSDA's role in directing driving decisions.
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