Aging and Health and Impact on Driving Clinical Trial
— CANDRIVEOfficial title:
The CIHR Team in Driving in Older Persons (Candrive II) Research Program
| Verified date | April 2017 |
| Source | Ottawa Hospital Research Institute |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Observational |
The following study is designed in order to effectively collaborate and coordinate
information amongst colleagues to advance knowledge on information related to older drivers.
Candrive is dedicated to improving the safety and quality of life of older drivers. The
major objective is to develop a valid, easy to use in office screening tool that will help
clinicians identify older drivers who need further assessment of their driving. Over the
course of the study, the goal will be to provide enough data to establish findings relating
to knowledge generation, translation of research into action, training and sustainability.
It is our hope that the research process will translate to help increase the knowledge of
public policy makers, clinicians and the general public. A 5 year study will create an
opportunity to document the natural course of an older adult's driving patterns up until
driving cessation. This will not only provide data for road safety but also help understand
the psychosocial factors leading to driving cessation. The data relating to psychosocial
factors may also lead the way in establishing ways of extending the safe driving period for
older adults.
The investigators hypothesize that the knowledge derived from this interdisciplinary
research will be used by transportation policy makers, clinicians, and general public to
improve safety and quality of life for older drivers.
| Status | Enrolling by invitation |
| Enrollment | 932 |
| Est. completion date | December 2017 |
| Est. primary completion date | December 2017 |
| Accepts healthy volunteers | Accepts Healthy Volunteers |
| Gender | All |
| Age group | 70 Years and older |
| Eligibility |
Inclusion Criteria: 1. have a general class driver's license and actively driving for at least 1 year 2. have vehicle access 3. drive at least 4 times a week (4 round trips) 4. reside in the local regions of one of the study cities (Victoria, Winnipeg, Thunder Bay, Ottawa, Toronto, Hamilton or Montreal) 5. consent to release driving information from the provincial Ministry of Transportation 6. agree to undergo annual physical and cognitive assessment and be contacted at least quarterly for data pick up and interview 7. be under the care of a family physician 8. have a primary vehicle for driving that is model year 1996 or newer 9. be age 70 or greater 10. have a life expectancy of at least 5 years 11. be fluent in either French or English 12. drive one vehicle 70% of the time or greater 13. reside in the province at least 10 months of the year. Exclusion Criteria: 1. moved out of the province 2. contradiction to driving, within the last 6 months, according to the Canadian Medical Association Guidelines (7th edition), such as heart attack or low blood sugar 3. diagnosis of a progressive condition, such as dementia, Alzheimer's disease, and/or macular degeneration. |
| Country | Name | City | State |
|---|---|---|---|
| Canada | McMaster University | Hamilton | Ontario |
| Canada | School of Physical and Occupational Therapy McGill University | Montreal | Quebec |
| Canada | The Ottawa Hospital Research Institute | Ottawa | Ontario |
| Canada | Lakehead University | Thunder Bay | Ontario |
| Canada | Toronto Rehabilitation Institue | Toronto | Ontario |
| Canada | University of Victoria | Victoria | British Columbia |
| Canada | University of Manitoba | Winnipeg | Manitoba |
| Lead Sponsor | Collaborator |
|---|---|
| Ottawa Hospital Research Institute | Lakehead University, McGill University, McMaster University, University of British Columbia, University of Manitoba, University of Ottawa, University of Toronto, University of Victoria, University of Waterloo, University of Western Ontario, Canada |
Canada,
Caragata, G.E., Tuokko, H., & Damini, A. (2009). Fit to Drive: A Pilot Study to Improve the Physical Fitness of Older Drivers. Activities, Adaptation & Aging, 33(4), 240-255.
Dickerson AE, Molnar LJ, Eby DW, Adler G, Bédard M, Berg-Weger M, Classen S, Foley D, Horowitz A, Kerschner H, Page O, Silverstein NM, Staplin L, Trujillo L. Transportation and aging: a research agenda for advancing safe mobility. Gerontologist. 2007 Oct;47(5):578-90. Review. — View Citation
Eby DW, Molnar LJ. Driving fitness and cognitive impairment: issues for physicians. JAMA. 2010 Apr 28;303(16):1642-3. doi: 10.1001/jama.2010.495. — View Citation
Man-Son-Hing M, Marshall SC, Molnar FJ, Wilson KG. Systematic review of driving risk and the efficacy of compensatory strategies in persons with dementia. J Am Geriatr Soc. 2007 Jun;55(6):878-84. Review. — View Citation
Marshall SC, Wilson KG, Molnar FJ, Man-Son-Hing M, Stiell I, Porter MM. Measurement of driving patterns of older adults using data logging devices with and without global positioning system capability. Traffic Inj Prev. 2007 Sep;8(3):260-6. — View Citation
Marshall SC. The role of reduced fitness to drive due to medical impairments in explaining crashes involving older drivers. Traffic Inj Prev. 2008 Aug;9(4):291-8. doi: 10.1080/15389580801895244. Review. — View Citation
Tuokko HA, Rhodes RE, Dean R. Health conditions, health symptoms and driving difficulties in older adults. Age Ageing. 2007 Jul;36(4):389-94. Epub 2007 Mar 24. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | At-Fault Motor Vehicle Collisions (MVC) | Motor Vehicle Collision as determined through the provincial Ministry of Transportation records. | Throughout the 5-year period | |
| Secondary | Health Status | Physical, cognitive (i.e. Montreal Cognitive Assessment) and psychological assessment measures | Any point throughout 5-year study |