Kellogg researcher helping eye care providers better assess driving in older adults

August 22, 2011, University of Michigan Health System

Drivers over age 65 are the fastest-growing segment of the driving population, and their eye care providers—ophthalmologists and optometrists—are playing an increasingly important role in assessing their ability to drive safely.

Kellogg researcher David C. Musch, Ph.D., M.P.H., recently led a multidisciplinary University of Michigan (U-M) study team, which was supported by a grant from M-CASTL, a unit of the U-M Transportation Research Institute, who surveyed how 500 vision care providers in Michigan assess the driving capabilities of their senior .

Dr. Musch and his team found that the majority of eye care providers feel it's their responsibility to ask senior patients about driving, and most do it routinely. They test visual acuity and peripheral vision but often fail to ask about other factors—such as medical conditions or medications—that might affect the ability to drive. Inquiries about glare, driving at night and reading signs were very common (87 percent) but questions about challenging driving situations—merging or backing up—or the patient's driving record were very infrequent (8 percent).

Many eye care providers (81 percent) stress that certain resources—driving assessment guidelines, clinical screening instruments and a patient self-evaluation tool—would help them in assessing the driving capabilities of their senior patients, and help to address higher accident rates for older drivers.

"We've identified a need and a desire on the part of vision care professionals to help," says Dr. Musch, who cites research indicating that when seniors lose the ability to drive, there are consequences. These individuals have higher rates of depression and social isolation, more limited access to health care services, and are more likely to need long-term care. "Our goal is to intervene and work with our patients in modifying their driving habits. This will allow them to drive appropriately and maintain their independence," he says.

While most eye care providers feel confident in their ability to determine whether vision is adequate for safe driving, few consider themselves the most-qualified professional to identify unsafe drivers. Only a small number of eye care providers (8 percent) communicate driving concerns with the patient's primary care physician or refer patients to driving rehabilitation specialists or school. And, when asked about reporting unsafe drivers, some common concerns were negative impact on the doctor-patient relationship, liability issues, doctor-patient confidentiality and patient's quality of life

Still, eye care providers are among the most important professionals in seniors' health care, and they need to be on the lookout for seniors who may need special attention, says Dr. Musch. Identifying and providing effective resources to providers to aid them in evaluating and assisting patients is the next step in the process, he adds.

Related Stories

Recommended for you

Women run faster after taking newly developed supplement, study finds

January 19, 2018
A new study found that women who took a specially prepared blend of minerals and nutrients for a month saw their 3-mile run times drop by almost a minute.

Americans are getting more sleep

January 19, 2018
Although more than one in three Americans still don't get enough sleep, a new analysis shows first signs of success in the fight for more shut eye. According to data from 181,335 respondents aged 15 and older who participated ...

Wine is good for you—to a point

January 18, 2018
The Mediterranean diet has become synonymous with healthy eating, but there's one thing in it that stands out: It's cool to drink wine.

Sleep better, lose weight?

January 17, 2018
(HealthDay)—Sleeplessness could cost you when it's time to stand on your bathroom scale, a new British study suggests.

Who uses phone apps to track sleep habits? Mostly the healthy and wealthy in US

January 16, 2018
The profile of most Americans who use popular mobile phone apps that track sleep habits is that they are relatively affluent, claim to eat well, and say they are in good health, even if some of them tend to smoke.

Improvements in mortality rates are slowed by rise in obesity in the United States

January 15, 2018
With countless medical advances and efforts to curb smoking, one might expect that life expectancy in the United States would improve. Yet according to recent studies, there's been a reduction in the rate of improvement in ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.