Evidence-based and occupational perspective of effective interventions for older clients that remediate or support improved driving performance

Am J Occup Ther. Mar-Apr 2008;62(2):136-48. doi: 10.5014/ajot.62.2.136.


To assess the effectiveness of person-related interventions on driving ability in older adults, this literature review was completed as a part of the Evidence-Based Literature Review Project of the American Occupational Therapy Association. Nineteen articles were incorporated into the systematic review and include interventions in the following areas: visual, cognitive, and motor; educational; passengers; and medical. The results provide inconclusive evidence for the use of interventions such as the Useful Field of View training, home exercise programs, and passenger interactions. Conclusive evidence shows that older adults respond positively to programs stressing self-awareness of driving skills and that some medical interventions affect the ability to drive. Despite limitations, the studies reviewed provide useful information that deserves further exploration. Reading the literature provides therapists with knowledge that might improve client care. Learning about cutting-edge interventions and educating peers and students about evidence-based interventions may lead to safer community mobility for older adults.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review
  • Systematic Review

MeSH terms

  • Activities of Daily Living
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Automobile Driving*
  • Automobiles*
  • Cognition
  • Evidence-Based Medicine*
  • Female
  • Geriatrics
  • Humans
  • Male
  • Occupational Therapy*
  • Personal Autonomy
  • Social Support*