Decision Making Among Older Adults: the AUTO Study
Sponsor:
Brief Summary:
feasibility, and effects of a driving decision aid use among geriatric patients and
providers. This multi-site trial will (1) test the driving decision aid (DDA) in improving
decision making and quality (knowledge, decision conflict, values concordance and behavior
intent); and (2) determine its effects on specific subpopulations of older drivers
(stratified for cognitive function, decisional capacity, and attitudinally readiness for a
mobility transition). The overarching hypotheses are that the DDA will help older adults make
high-quality decisions, which will mitigate the negative psychosocial impacts of driving
reduction, and that optimal DDA use will target certain populations and settings.
Criteria
– 70 years or older
– Fluent in English
– At least one medical condition linked in driving cessation
– Drive at least one time per week
– Have a study partner* (*drivers interested in participating in the study without a
study partner will be placed on a wait list; they may be contacted as a later date for
enrollment once 200 driver-study partner dyads have been enrolled across all sites)
– 5-minute MoCA score greater or equal to 21
Exclusion Criteria for drivers:
– In legal custody or institutionalized
– Significant cognitive impairment as measured by 5-minute Montreal Cognitive Assessment
(MoCA)
– Since the last time they had their license renewed, has had at least one major change
to health, vision, or hearing that has seriously impaired driving (based on potential
participant self-report)
– Feels the Department of Motor Vehicles would have serious concerns about their driving
(based on potential participant self-report)
Inclusion Criteria for study partners:
– 18 years or older
– Fluent in English
– Identified by Driver participant to contact for potential participation, i.e., part of
a driver-study partner dyad
– 5-minute MoCA score greater or equal to 21
Exclusion Criteria for study partners:
– In legal custody or institutionalized
– Significant cognitive impairment as measured by 5-minute Montreal Cognitive Assessment
(MoCA)
Locations
- University of California, San Diego, La Jolla, California, United States, 92037