title: Crash risk of older drivers after attending a mature driver education program.
abstract: OBJECTIVE
  The primary aim of this study was to determine if the crash rate of aging drivers can be mitigated by post-license driver education.
  
  
  METHODS
  This study of 884 older drivers who attended the 55 Alive/Mature Driving program was conducted in three phases. Phase 1, which examined self-selection bias of seniors attending the driver education program, and Phase 2, which examined changes in crash rate after attending the program, were carried out through analysis of driving records before and after attending the course. In Phase 3, the use of selection, optimization, and compensation strategies by older male drivers who attended 55 Alive/Mature Driving was addressed through focus group interviews.
  
  
  RESULTS
  Findings showed a self-selection bias among older drivers who attended 55 Alive/Mature Driving. Results also showed attendance at the program was associated with an increased number of crashes for men aged 75 years and older, but no effect on subsequent crashes of younger men and women of all ages. Focus group sessions suggested older men who attended the program used fewer strategies to cope with their declining skills.
  
  
  CONCLUSIONS
  Recognizing and understanding characteristics and behaviors of older drivers who attend remedial driver education is essential to the design and delivery of successful driver safety programs.
authors.affiliation: Insurance Corporation of British Columbia, 404-132 West Esplanade, North Vancouver, BC V7M 1A2, Canada. glenyth.nasvadi@icbc.com
authors.forename: Glenyth E
authors.initials: GE
authors.lastname: Nasvadi
authors.forename: John
authors.initials: J
authors.lastname: Vavrik
mesh_terms: D000056:Accident Prevention / Q000379:methods*; D000063:Accidents, Traffic / Q000517:prevention & control*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001334:Automobile Driving / Q000193:education*; D016022:Case-Control Studies; D015331:Cohort Studies; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D040242:Risk Reduction Behavior; D015983:Selection Bias; D012737:Sex Factors; D016896:Treatment Outcome