Driving cessation following dementia diagnosis: reframing loss through an innovative person-centred lifestyle support intervention ‘CarFreeMe-Dementia'
Tracks
Ballroom 3
Community
Dementia
Non-pharmacological interventions
Wellness / Well Being
Wednesday, November 13, 2024 |
11:45 AM - 12:00 PM |
Speaker
Dr Theresa Scott
Senior Lecturer In Clinical Geropsychology
The University Of Queensland
Driving cessation following dementia diagnosis: reframing loss through an innovative person-centred lifestyle support intervention ‘CarFreeMe-Dementia'
Abstract
Driving cessation is a major life transition for people with dementia, who are at increased risk for depression, anxiety, grief, social isolation, unsafe and unlicensed driving, and injury. We developed the CarFreeMe (CFM) driving cessation program, an innovative intervention targeted at supporting people with dementia to transition to alternative modes of transportation, maintain their independence and social participation, and enhance well-being. The intervention provides person-centered, flexible, and individually tailored education and social support, delivered by a trained health professional.
The 7-8 module CFM-Dementia intervention was delivered via telehealth to people with dementia who had stopped or were needing to stop driving. The impact of the intervention on participants’ emotional and practical adjustment was evaluated pre- to post via surveys and semi-structured interviews.
The results represent a total of 74 people with dementia (60% male), aged 54 to 102 years (M=77.74), with varied forms of dementia (38% Alzheimer’s type), 43% still driving at baseline. Participants reported increased uptake of alternative forms of transport, improvements in preparedness to transition, enhanced personal well-being, and lower levels of depression (p<.05, paired samples t-test) and anxiety (p=.065) after participation in CFM. Additionally, qualitative data showed participants felt supported in their adjustment.
There are currently no empirically tested service provider-delivered interventions to facilitate driving retirement for people with dementia available in routine clinical practice. The results suggest that the CFM-Dementia program could serve as a valuable resource for addressing both the practical challenges and emotional needs associated with dementia-related driving cessation in clinical or community settings.
The 7-8 module CFM-Dementia intervention was delivered via telehealth to people with dementia who had stopped or were needing to stop driving. The impact of the intervention on participants’ emotional and practical adjustment was evaluated pre- to post via surveys and semi-structured interviews.
The results represent a total of 74 people with dementia (60% male), aged 54 to 102 years (M=77.74), with varied forms of dementia (38% Alzheimer’s type), 43% still driving at baseline. Participants reported increased uptake of alternative forms of transport, improvements in preparedness to transition, enhanced personal well-being, and lower levels of depression (p<.05, paired samples t-test) and anxiety (p=.065) after participation in CFM. Additionally, qualitative data showed participants felt supported in their adjustment.
There are currently no empirically tested service provider-delivered interventions to facilitate driving retirement for people with dementia available in routine clinical practice. The results suggest that the CFM-Dementia program could serve as a valuable resource for addressing both the practical challenges and emotional needs associated with dementia-related driving cessation in clinical or community settings.
Biography
Dr Theresa Scott is Senior Lecturer in Clinical Geropsychology at The University of Queensland, former NHMRC Dementia Research Fellow, Scientific Panel Member of Dementia Australia’s Research Foundation, and Queensland Co-Chair of the Australian Association of Gerontology. Her research focuses on functional outcomes for older people and older people with cognitive decline.
Theresa’s NHMRC Dementia Research Fellowship examined the complex issues surrounding dementia and driving and translated a comprehensive support- and education-based driving cessation intervention for individuals with young- and late-onset dementia (‘CarFreeMe’).
Theresa led the team of researchers, health professionals, and lived experts in a NHMRC-funded project (2017-2023) that employed a cluster randomised controlled trial (cRCT) design, with embedded mixed methods, to evaluate a telehealth approach to delivery of a driving cessation intervention for persons living with dementia, Australia-wide. Her recent research fills a critical gap in primary care management of driving and dementia. Her team will co-develop and deliver critical resources, including an online video-based driver safety assessment, to benefit primary care practitioners, their patients with dementia and family members.
Session Chair
Claire O'Connor
Senior Research Fellow
University of New South Wales