Citation

Rapoport MJ, Sarracini CZ, Mulsant BM, Seitz DP, Molnar F, Naglie G, Herrmann N, Rozmovits L. Health Informatics J. 2019; ePub(ePub): 1460458219852870.

Affiliation

Independent Practice, Canada.

Copyright

(Copyright © 2019, SAGE Publishing)

DOI

10.1177/1460458219852870

PMID

31210555

Abstract

Clinicians face challenges in deciding which older patients with dementia to report to transportation administrators. This study used a qualitative thematic analysis to understand the utility and limitations of implementing a computer-based Driving in Dementia Decision Tool in clinical practice. Thirteen physicians and eight nurse practitioners participated in an interview to discuss their experience using the tool. While many participants felt the tool provided a useful 'virtual second opinion', specialist physicians felt that the tool did not add value to their clinical practice. Barriers to using the Driving in Dementia Decision Tool included lack of integration with electronic medical records and inability to capture certain contextual nuances. Opinions varied about the impact of the tool on the relationship of clinicians with patients and their families. The Driving in Dementia Decision Tool was judged most useful by nurse practitioners and least useful by specialist physicians. This work highlights the importance of tailoring knowledge translation interventions to particular practices.

Language: en

Keywords

automobile driving; dementia; mild cognitive impairment; qualitative research