Workshop Proceedings - AAA Foundation for Traffic Safety

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APPENDIX D RECOMMENDATIONS NOT CONSIDERED HIGH PRIORITY OR GENERALLY LACKING CONSENSUS License Policies Workshop Proceedings-- 32
RECOMMENDATIONS NOT CONSIDERED HIGH PRIORITY OR GENERALLY LACKING CONSENSUS In many cases, at least one group did not even assign a priority rating because the group felt that more research was needed before policy or practice guidelines could be developed. Such recommendations are marked with an asterisk (*). Breakout Session 1: Screening and assessment Policy recommendations � Consider enhanced vision testing and/or extending vision testing requirements to adults in midlife.* Practice guidelines � Require standardized reassessment intervals for drivers with dementia who have been deemed safe to drive.* � Adopt guidelines for feasible screening practices in licensing agencies including use of computer-based measures to promote standardization; automated measures to minimize staff time; careful integration of new measures to promote acceptance. � Develop multi-tier assessment processes for use in licensing agencies. Research needs � Develop national registry of older drivers who have undergone assessment for driving fitness to provide large sample for studying effects of various screening, assessment, and intervention strategies. � Develop a mid-level screening tool (e.g., more complex than self-screening but less so than formal assessment). Breakout Session 2: License Renewal and Physician Reporting Policy recommendations � Foster national dialog on driver license renewal standards. � Require in-person renewal for potentially at-risk drivers (e.g., age based at 80+ or 85+).* � Shorten and standardize renewal period for all drivers (e.g., every 4 years).* � Consider “incentive” approach to license renewal for individuals of all ages, inrenewal resulting in full-term license and other forms of renewal in abbreviated license.* License Policies Workshop Proceedings-- 33
Page 1 and 2: Seniors face serious driving safety
Page 3 and 4: TABLE OF CONTENTS FOREWORD (J. Pete
Page 5 and 6: To ensure that seniors can remain m
Page 7 and 8: The third event was a workshop that
Page 9 and 10: ecommendations, when appropriate, t
Page 11 and 12: something to strive for in conducti
Page 13 and 14: � Along with focusing on whether
Page 15 and 16: to surrender his or her license on
Page 17 and 18: As initiatives are launched to impl
Page 19 and 20: NHTSA Older Driver Safety: Current
Page 21 and 22: Participants with restricted visual
Page 23 and 24: APPENDIX B AUTHOR BIOGRAPHICAL SKET
Page 25 and 26: 2008), she had been researching the
Page 27 and 28: development program. He has an MS i
Page 29 and 30: Transportation and the Alzheimer’
Page 31 and 32: APPENDIX C WORKSHOP AGENDA License
Page 33: December 7, 2007 Time Description P
Page 37 and 38: � Validate screening and assessme
Page 39 and 40: ROLES AND RESPONSIBILITIES OF LICEN
Page 41 and 42: CURRENT KNOWLEDGE ON MEDICAL FITNES
Page 43 and 44: The incidence and prevalence of chr
Page 45 and 46: documenting impaired static visual
Page 47 and 48: Risk factors for OAG are increased
Page 49 and 50: the American Stroke Association not
Page 51 and 52: co-morbidities. Pharmacokinetics, o
Page 53 and 54: have a reduction in their airflow o
Page 55 and 56: Older adults with physical disabili
Page 57 and 58: law that sharing a patient’s pers
Page 59 and 60: compensated for their time to revie
Page 61 and 62: REFERENCES Adams, H.P., Bendixen, B
Page 63 and 64: Physician, 67, 1937-44, 1950. Dobbs
Page 65 and 66: vehicle crashes. American Journal o
Page 67 and 68: Lococo, K. (2003). Summary of Medic
Page 69 and 70: issues, technology, and challenges.
Page 71 and 72: Szlyk, J.P., Taglia. D,P., Paliga,
Page 73 and 74: ALZHEIMER’S DISEASE AND FITNESS T
Page 75 and 76: authorities both in terms of the de
Page 77 and 78: decline in critical driving skills,
Page 79 and 80: Pre-Ignition If they’ve had a lot
Page 81 and 82: the 64 are intentionally omitted he
Page 83 and 84: REFERENCES Adler, G., Rottunda, S.,
Page 85 and 86:
Fox, G. K., Bowden, S. C., Bashford
Page 87 and 88:
Wang, C. C., Kosinski, C. J., Schwa
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INTRODUCTION For individuals, perso
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person suffering from dementia. But
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institutions who devote considerabl
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impairment, not the medical diagnos
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While measures of visual function m
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measure helps gauge the driver’s
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vehicle, run-off-road). These conce
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any in-office screening tool will u
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Lococo, K. & Staplin, L. (2005). St
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LICENSE RENEWAL POLICY & REPORTING
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etc.) necessary for safe operation
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Our example state, Missouri, utiliz
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A preliminary analysis of qualitati
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Figure 4: Components in State Repor
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these “upstream” components. Un
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available evidence (“how much ris
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3) In-person license renewal is a v
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Gallo, J. J., Rebok, G. W., & Lesik
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LICENSING AGENCY OPTIONS FOR INTERV
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An elderly lady was referred to the
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REMEDIATION FROM THE OCCUPATIONAL T
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grade difficulty of the tasks, and
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REMEDIATION FROM THE PHYSICAN’S P
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With this theoretical underpinning,
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the threshold of impairment for par
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• Encourage society-wide dialogue
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McKnight, J., Simone, G., & Weldman
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ABSTRACT This background paper was
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Table 1: Types of FHWA Safety Proje
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Illinois 4 years 2 years (81 to 86)
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(2) Second tier: Non-driving assess
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educational information provided by
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Source: GA0 (2007). in implementing
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Transportation Research Board Commi
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3) More states may want to consider
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REFERENCES CDC (2005). CDC's uninte
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McGwin, G., Sims, R., Pulley, L., &
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‘LICENSING AUTHORITIES’ OPTIONS
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This brief report is restricted to
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OUTCOMES OF THE AAMVA/CCMTA FORUM--
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OUTCOMES OF THE CANADIAN DRIVING AN
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SENSORY (HEARING/VISUAL) Hearing an
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Office of the Superintendent of Mot
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Workshop Proceedings - AAA Foundation for Traffic Safety

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