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Pages 7-20

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From page 7...
... 7   C H A P T E R 3 In addition to what was learned from the 44 SHSOs that responded to the survey, the project team conducted an extensive literature search as part of the research in each of the eight major highway safety elements identified in NHTSA's Highway Safety Program Guideline No. 13, Older Driver Safety.
From page 8...
... 8 Promoting Older Driver Safety: Guide for State Practices – Attempts to collect older road user crash data and information and develop policies based on Guideline No. 13 have been minimal.
From page 9...
... Research Findings 9 3.2 Roadway Design NHTSA recommended states undertake the following projects and policies to meet the roadway design objective: • Consider making older driver safety an emphasis area in the state SHSP if evidence supports the need to do so. • Develop and implement a plan to deploy guidelines to incorporate FHWA accommodations for older road users into new construction and spot improvements on state and local roadways.
From page 10...
... 10 Promoting Older Driver Safety: Guide for State Practices • Ensure state medical review practices align with the latest Driver Fitness Medical Guide­ lines published by NHTSA and the American Association of Motor Vehicle Administrators (AAMVA)
From page 11...
... Research Findings 11 before cessation than those with no restrictions, which might be due to greater confidence in their own driving. Restricting or removing driving privileges is often associated with feelings of depression, lowered levels of social interaction, loneliness, loss of independence, and increased illness and early morbidity.
From page 12...
... 12 Promoting Older Driver Safety: Guide for State Practices – No driving in severe weather, – Permission to drive only golf carts, and – Need for future re-evaluations. • Licensing restrictions and requirements may not be associated with changes in crash risks or outcomes because many older drivers restrict or reduce their driving while avoiding challenging situations, independent of licensing requirements.
From page 13...
... Research Findings 13 impact of reducing or eliminating driving by at-risk drivers, and ultimately reducing older driver crashes and fatalities. States could conduct research, either alone or in collaboration with other states, to collect and analyze data on at-risk drivers to determine whether they cease to drive after a license revocation or if they abide by the restrictions imposed on their driving.
From page 14...
... 14 Promoting Older Driver Safety: Guide for State Practices reported in The Gerontologist (Gergerich 2016) , a major reason is initiating such fitness-to-drive conversations changes the nature of the physicians' relationship with their patients.
From page 15...
... Research Findings 15 professionals (occupational or physical therapists or certified driver rehabilitation specialists) or to licensing authorities, even when mandated to do so.
From page 16...
... 16 Promoting Older Driver Safety: Guide for State Practices or ways to increase their referrals of medically at-risk drivers to appropriate licensing authorities. More importantly, officers are not aware of the impact aging can have on outcomes for older drivers, or how to use crash reporting data to identify at-risk drivers.
From page 17...
... Research Findings 17 seeking a broad range of services would likely have to patch together a variety of subsidized and community transportation alternatives, each of which might impose trip purpose, geographic, or scheduling constraints on their travel. Personal safety can also be a concern when transitioning to other forms of transportation.
From page 18...
... 18 Promoting Older Driver Safety: Guide for State Practices Conclusion Most older driver safety programs recommend older drivers develop a plan for when it is no longer feasible or safe to drive. As the research showed, the options available to older drivers in most communities are lacking and do not meet the full needs of older drivers.
From page 19...
... Research Findings 19 • Develop materials and programs to teach older drivers how to use the increasing number of vehicle technological features, many of which are designed to increase driver safety and ease the driving task. • Make the transition to driving reduction and eventual cessation longer and more seamless.
From page 20...
... 20 Promoting Older Driver Safety: Guide for State Practices • Maintain awareness of trends in older driver crashes at the national level and consider how these trends might influence activities statewide. Public programs based around communications strategies often count or assess input measures because they are the easiest and cheapest thing to measure.

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