A virtual second opinion: Acceptability of a computer-based decision tool to assess older drivers with dementia. (June 2020)

• Record Type: Journal Article
• Authors: Rapoport, Mark J; Sarracini, Carla Zucchero; Mulsant, Benoit M; Seitz, Dallas P; Molnar, Frank; Naglie, Gary; Herrmann, Nathan; Rozmovits, Linda
• Other Names: Bian Jiang guest-editor.; Zhang Yaoyun guest-editor.; Tao Cui guest-editor.
• Is Part Of: Health informatics journal. Volume 26:Number 2(2020)
• Page Start: 911
• Page End: 924
• Publication Date: 2020-06
• Subjects: automobile driving -- dementia -- mild cognitive impairment -- qualitative research; Medical informatics -- Periodicals; 610.285
• DOI: 10.1177/1460458219852870
• Languages: English
• ISSNs: 1460-4582

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.