Toward a client-centred approach to fitness-to-drive assessment of elderly drivers

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Fältnamn	Indikatorer	Metadata
000		02737naa a2200325 4500
001		oai:DiVA.org:liu-23894
003		SwePub
008		091007s2004 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-238942 URI
024	7	a https://doi.org/10.1080/110381204100205392 DOI
040		a (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Sommer, S.M4 aut
245	1 0	a Toward a client-centred approach to fitness-to-drive assessment of elderly drivers
264		c 2009-07-12
264	1	b Informa UK Limited,c 2004
338		a print2 rdacarrier
520		a Demographic changes increase the need for fair and valid fitness-to-drive assessment in older drivers. In a self-report survey, 473 older drivers stratified by age (55-64, 65-74, > 74 years) were asked about their driving habits, crash history, compensatory driver behaviour, and attitude towards age-based reassessment. The results showed an increase in the proportions of subjects reporting crash involvement and the subjects reporting full legal responsibility for the latest crash in older age groups. The reported use of different compensatory strategies and adaptation techniques was also higher in the older age groups. Medical fitness-to-drive screenings are not able to deal with the complexity of this paradoxical finding, because medical diagnoses do not take into account adaptation and compensation in older drivers. Age-based reassessments limited to medical screenings therefore carry an increased likelihood of false positive classifications that would unnecessarily reduce the quality of life of sufficiently safe older drivers. This risk could, however, be reduced by a client-centred approach focused on practical fitness-to-drive, providing older drivers with the opportunity to show whether they are able to cope with functional deficits in more realistic driving settings. Such an approach is in line with theoretical occupational therapy foundations.
653		a MEDICINE
653		a MEDICIN
700	1	a Falkmer, Torbjörn,d 1958-u Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Rehabiliteringsmedicin,Habiliteringen: Barn- och ungdomshabiliteringen, LSS Råd och stöd4 aut0 (Swepub:liu)Torfa41
700	1	a Bekiaris, E4 aut
700	1	a Panou, M4 aut
710	2	a Linköpings universitetb Hälsouniversitetet4 org
773	0	t Scandinavian Journal of Occupational Therapyd : Informa UK Limitedg 11:2, s. 62-69q 11:2<62-69x 1103-8128x 1651-2014
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-23894
856	4 8	u https://doi.org/10.1080/11038120410020539

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Scandinavian Journal of Occupational Therapy (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Sommer, S.M; Falkmer, Torbjör ...; Bekiaris, E; Panou, M

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Av lärosätet: Linköpings universitet

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