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Not If, But when: A Communication-Based Intervention for Driving Cessation

Paige Moorhouse and Laura Hamilton

Background: Within 5 years of diagnosis, approximately 50% of those with dementia will be involved in a motor vehicle collision (MVC). Caregivers play a major role in the driving cessation process however, there is often a delay between the recognition of driving deficits and the initiation of the driving cessation process. Methods: Quantitative before and after study of a knowledge translation strategy that included a public service announcement (PSA) and website. Results: Approximately half of follow-up respondents viewed the PSA and 32% were aware of the www. notifbutwhen.ca website. Caregiver self-report of taking steps to promote driving cessation did not change between baseline and follow-up, however, at follow-up there was a trend towards rural caregivers being more likely to have concerns about driving (x2=3.2, P=0.08) and to have spoken with a doctor about their concerns (x2=2.8, P=0.09). Conclusion: There is a persistent knowledge need on the part of caregivers for more information and dialogue with health care providers regarding the dangers of driving and dementia.