CIHR Team in Driving in Older Persons (CANDRIVE)

This study is enrolling participants by invitation only.
Sponsor:
Collaborators:
University of Ottawa
Lakehead University
McGill University
University of British Columbia
University of Manitoba
University of Waterloo
University of Toronto
University of Western Ontario, Canada
University of Victoria
McMaster University
Information provided by (Responsible Party):
Dr. S. Marshall, Ottawa Hospital Research Institute
ClinicalTrials.gov Identifier:
NCT01237626
First received: November 8, 2010
Last updated: April 8, 2014
Last verified: April 2014
  Purpose

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.


Condition
Aging and Health and Impact on Driving

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: The CIHR Team in Driving in Older Persons (Candrive II) Research Program

Further study details as provided by Ottawa Hospital Research Institute:

Primary Outcome Measures:
  • At-Fault Motor Vehicle Collisions (MVC) [ Time Frame: Throughout the 5-year period ] [ Designated as safety issue: Yes ]
    Motor Vehicle Collision as determined through the provincial Ministry of Transportation records.


Secondary Outcome Measures:
  • Health Status [ Time Frame: Any point throughout 5-year study ] [ Designated as safety issue: Yes ]
    Physical, cognitive (i.e. Montreal Cognitive Assessment) and psychological assessment measures


Enrollment: 932
Study Start Date: October 2008
Estimated Study Completion Date: December 2016
Estimated Primary Completion Date: December 2016 (Final data collection date for primary outcome measure)
Detailed Description:

Driving a motor vehicle has become an everyday necessity in modern Canadian culture. The privilege of maintaining a valid driver's license promotes an independent lifestyle (Voelker, 1999). Since driving is a demanding task that requires a high level of mental and physical skills, it is critical that those who obtain a valid driver's license are medically fit to operate a motor vehicle. Adverse health conditions make driving difficult based on the high cognitive and physical demand (Man-Son-Hing, 2007, Marshall, 2008). The loss of driving privileges due to chronic health conditions can have a negative effect on an individual's quality of life. These individuals require greater community support and suffer from low self-esteem (Fonda, 2001, Ragland, 2004, Ansley et al., 2004). As much as it is desirable to promote independence, the safety implications of driving require careful consideration.

In Canada, persons over the age of 65 represent the fastest growing segment of the population. This age group is predicted to make up 24 % of the total population by the year 2030 (CMA Journal, 1994, Stats Can, 2005). As a result, the number of older persons holding a driver's license has increased in both percentage and absolute terms (Ont Road Safety, 2004, Transport Can, 2001, Ragland, 2004, Ansley et al., 2004). Therefore, it is not surprising that those over 70 years of age have the highest crash rates per mile driven (Brorsson, 1989, Stutts & Wilkins, 2003, Gresset & Meyer, 1994, Cotrell & Wild, 1999, Rizzo et al., 2001, Meddinger-Rapport, 2002, Ansley et al., 2004).

Candrive is an interdisciplinary health research program dedicated to improving the safety of older drivers in Canada. The members of Candrive believe that establishing a comprehensive approach to aging driver issues will reduce the morbidity and mortality associated with motor vehicle crashes and allow older Canadian drivers to maintain their independence and healthy lifestyles.

A major focus of the Canadian Institutes of Health Research (CIHR) Team Grant is to conduct the Common Cohort study, a study in which 1000 drivers age 70 or older will be recruited and followed for 5 years. The Common Cohort study involves 7 sites (Victoria, Winnipeg, Thunder Bay, Hamilton, Toronto, Ottawa, and Montreal) in 4 provinces. Participants in the Common Cohort study will undergo comprehensive annual assessments as well as having their driving patterns monitored for 5 years. One of the major objectives of the Common Cohort study will be the development of a valid, easy-to-use in-office screening tool that will help clinicians identify older drivers who may need further assessment of their driving ability.

The vision of Candrive is to use a national interdisciplinary research approach to improve the safety and health-related quality-of-life of older drivers. Collaboration with key stakeholders throughout the process ensures that research products will translate into public policy and clinical practice.

  Eligibility

Ages Eligible for Study:   70 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

The cohort will be established in 7 cities in 4 provinces, including Ontario (Ottawa, Thunder Bay, Toronto, Hamilton), Quebec (Montreal), Manitoba (Winnipeg) and British Columbia (Victoria). Participants will be recruited through the media - newspapers (community and city), radio, public presentations and newsletters to senior associations. We have established collaboration with two senior organizations; Canada's Association for the Fifty-plus (CARP) and the Federal Superannuates National Association (FSNA). These senior organizations will be targeted through mail out letters and presentations at annual meetings. Additionally, recruitment posters will be displayed at local community centres, fitness centres, doctor's offices, hospitals and other clinic waiting rooms.

Criteria

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.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01237626

Locations
Canada, British Columbia
University of Victoria
Victoria, British Columbia, Canada, V8W 2Y2
Canada, Manitoba
University of Manitoba
Winnipeg, Manitoba, Canada, R3T 2N2
Canada, Ontario
McMaster University
Hamilton, Ontario, Canada, H3C 3J7
The Ottawa Hospital Research Institute
Ottawa, Ontario, Canada, K1H 8M2
Lakehead University
Thunder Bay, Ontario, Canada, P7B 5E1
Toronto Rehabilitation Institue
Toronto, Ontario, Canada, M5G 2A2
Canada, Quebec
School of Physical and Occupational Therapy McGill University
Montreal, Quebec, Canada, H3G 1Y5
Sponsors and Collaborators
Ottawa Hospital Research Institute
University of Ottawa
Lakehead University
McGill University
University of British Columbia
University of Manitoba
University of Waterloo
University of Toronto
University of Western Ontario, Canada
University of Victoria
McMaster University
Investigators
Principal Investigator: Shawn C Marshall, MD MSc FRCPC The Ottawa Hospital Research Institute
Principal Investigator: Malcom Man-Son-Hing, MD The Ottawa Hospital Research Institute
  More Information

Additional Information:
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Dr. S. Marshall, Co-Principal Investigator, Ottawa Hospital Research Institute
ClinicalTrials.gov Identifier: NCT01237626     History of Changes
Other Study ID Numbers: #2008610-01H
Study First Received: November 8, 2010
Last Updated: April 8, 2014
Health Authority: Canada: Ethics Review Committee
Canada: Canadian Institutes of Health Research

Keywords provided by Ottawa Hospital Research Institute:
Driving
Aging
Older drivers
Medical Fitness to drive
Health Status
At-fault collisions

ClinicalTrials.gov processed this record on August 28, 2014