TY - JOUR PY - 2023// TI - Still in first gear: exploration of barriers for implementing driving cessation support JO - Australasian journal on ageing A1 - Liddle, Jacki A1 - Gustafsson, Louise A1 - Scott, Theresa A1 - Byrnes, Joshua A1 - Salmon, Amanda A1 - Pachana, Nancy A. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Driving cessation is a major life transition; lack of support in this process may lead to deleterious outcomes in terms of physical, mental and social well-being. Despite approaches to driving cessation being developed, their integration into ongoing geriatric clinical practice has been slow.

METHODS: Health-care providers were surveyed about their impressions of the barriers and facilitators to implementing a driving cessation intervention as part of regular clinical services.

METHODS of funding the intervention were queried. Surveys were sent via professional listserves and a snowballing strategy employed. Twenty-nine completed surveys were analysed by content analysis.

RESULTS: Participants identified that an understanding of driving cessation and optimal driving cessation supports was required. They identified four key approaches to support the implementation of driving cessation support: the need to consider complexity and emotional support needs in clinical contexts; knowing and showing the outcomes by clearly communicating the benefits and values to different stakeholders; managing systemic barriers included workforce issues, funding models and efforts required for initiating and sustaining an intervention; and not doing it alone, but instead developing processes supports to collaboratively provide access to programs.

CONCLUSIONS: The current study reveals a recognition of unmet needs of older persons and families regarding driving cessation as well as signalling service delivery, costing and workforce needs which act as barriers.

Language: en

LA - en SN - 1440-6381 UR - http://dx.doi.org/10.1111/ajag.13218 ID - ref1 ER -