Role of carers in managing driving transition for individuals with cognitive decline

Review of the role of carers in managing driving transition for individuals with cognitive decline. Tricia Williams, VicRoads Drivers with dementia are a high-risk group. Evidence indicates that many people with cognitive decline do not adhere to the advice to stop driving, and continue to drive even after their driving licences have been cancelled. Family members and carers may have difficulty preventing them from driving. The role of carers in managing the transition from driving to non-driving for individuals with cognitive decline has received little focused attention in the literature. The importance of, and need to engage with, carers of people with cognitive decline has been recognised. The collated evidence for how best to support carers, and which resources and strategies are the most useful, is currently lacking. This detailed literature review aimed to provide a synthesis and judgement of best available research evidence on the role of, and support provided to, carers in managing driving transition for individuals with cognitive decline. The review also identified current gaps in the research literature. A body of evidence was identified which verifies the important role of carers in facilitating driving cessation for individuals with cognitive decline. The researchers propose a carer-centric framework comprising four constructs: the decision making process; strategies for driving transition; barriers; and innovative solutions. Implications and recommendations for licensing authorities and health organisations will be highlighted.