title: Predictors of health care provider anticipatory guidance provision for older drivers.
abstract: The objective of this study was to determine the frequency of health care provider (HCP) driving safety/cessation-related anticipatory guidance provision and predictors of driving safety-related anticipatory guidance provision by HCPs.
  
  
  
  HCPs in several central/upper Midwest states were surveyed about frequency of anticipatory guidance provision (n = 265).
  
  
  
  More than half of HCPs stated that they frequently or always provide driving safety/cessation-related anticipatory guidance to patients aged 85 or older, 38.7% provided this guidance to patients aged 75 to 84, and 13.7% to patients aged 65 to 74. Predictors of driving safety/cessation-related anticipatory guidance provision differed by patient age. For patients aged 65-74, HCP personal experience with a motor vehicle crash (either the HCP themselves or a friend/family member) was significant in predicting anticipatory guidance provision. However, for patients aged 75 and older, significant predictors included HCP rural practice, HCP age, and percentage of HCP patients who were older adults.
  
  
  
  HCP counseling provision related to driving issues differs by patient age and several HCP characteristics, including HCP rurality, age, and personal experience with motor vehicle crashes. Because aging results in physical and mental changes that affect driving and can be identified by HCPs, HCPs are in a position to counsel patients on the potential impacts of aging on the act of driving. Future research should examine the reasons for the differences in anticipatory guidance provision found in this study.
authors.affiliation: a Department of Public Health , North Dakota State University , Fargo , North Dakota.
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Huseth-Zosel
authors.affiliation: b College of Human Development and Education , North Dakota State University , Fargo , North Dakota.
authors.forename: Gregory
authors.initials: G
authors.lastname: Sanders
authors.affiliation: c Department of Human Development and Family Science , North Dakota State University , Fargo , North Dakota.
authors.forename: Melissa
authors.initials: M
authors.lastname: O'Connor
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001334:Automobile Driving; D037001:Directive Counseling / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006282:Health Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D019035:Rural Health Services / Q000706:statistics & numerical data; D012449:Safety
keywords: Older driver; anticipatory guidance; driving cessation; patient education; primary care