Driving reduction and cessation were explored through a review of the literature. The dispersed land use environment in the United States and the lack of suitable alternative transportation have made the automobile essential for mobility and the maintenance of a good quality of life. As people age, there are declines in vision, cognitive resources, and psychomotor ability, as well as declines due to the pathological effects of disease. These changes negatively affect the ability to drive. Ageing drivers compensate for these changes by self-restricting where and when they drive, and by simplifying the driving task by eliminating distractions, avoiding unpredictable situations, and sometimes involving the assistance of another person. Driving cessation occurs when a person can no longer compensate and is usually brought on by a triggering event. Health problems are the main factor associated with cessation but stress and loss of confidence also contribute. Reactions to advice on the time to stop driving from family and friends are mixed and such advice is better received from physicians. Older drivers prefer to make the driving cessation decision themselves. Programs of peer and social support have been relatively successful in helping older persons adjust to not driving.
Samenvatting