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Trial registered on ANZCTR
Registration number
ACTRN12612000543886
Ethics application status
Approved
Date submitted
18/05/2012
Date registered
22/05/2012
Date last updated
4/07/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of a program to enable older, at-risk drivers to stop or limit driving, but maintain mobility
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Scientific title
Comparison of the safety and independent mobility of older drivers who complete an educational program about safe driving to older drivers who do not receive a program
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Secondary ID [1]
280507
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Nil
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Universal Trial Number (UTN)
U1111-1130-8834
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Crashes and near misses defined by a rapid deceleration of the participants vehicle.
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Driving exposure in kilometers traveled, distance from home and kilometers traveled at night.
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Community participation using the Keele Assessment of Participation
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Condition category
Condition code
Injuries and Accidents
286752
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0
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Other injuries and accidents
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Public Health
286798
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0
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Other public health
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
An individual education program delivered over 2 sessions (1 month apart) based on the Knowledge Enhances Your Safety Curriculum (KEYS, Stalvey & Owlsey, Copyright 1998) but adapted for the Australian context.
The sessions will be supervised by an occupational therapist. The first session will run for 2 hours and the content will be individually tailored to the participant's stage of behaviour change according to the Precaution Adoption Process Model (Weinstein et al 1998). The session is conducted in a conversational format and closely follows the educational curriculum in the KEYS program relating to vision but also includes some discussion of cognition, physical abilities and medications. The driving scenes are replaced with scenes relevant to an Australian context. The results of the DriveSafe Drive Aware (Kay, Bundy & Clemson 2009) is also integrated into the discussion. At the outset of the session an inventory of driving and weekly activities is recorded. Information about alternative transport options is provided. A set of goals will be developed during the session and strategies devised to achieve these goals.
Session 2 will be of 30 minutes duration and will involve revising some of the material and discussion of progress towards goals.
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Intervention code [1]
284880
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Behaviour
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Intervention code [2]
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Prevention
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Comparator / control treatment
No program
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Control group
Active
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Outcomes
Primary outcome [1]
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Rate of crashes and near misses defined as a rapid deceleration event detected by an accelerometer in an in-vehicle monitoring device installed into the participants' vehicle.
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Assessment method [1]
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Timepoint [1]
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Continuous measurement for 12 months
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Secondary outcome [1]
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Driving exposure as measured by Global Positioning System in an in-vehicle monitoring device installed into the participants' vehicle.
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Assessment method [1]
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Timepoint [1]
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Continuous measurement for 12 months
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Secondary outcome [2]
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Community participation as measured by the Keele Assessment of Participation
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Assessment method [2]
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Timepoint [2]
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Baseline and 12 months
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Eligibility
Key inclusion criteria
75 years of age or older
currently hold a NSW drivers license
resident in the Hills Shire, in Sydney Australia
drive at least 5 days per week
have own vehicle
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Minimum age
75
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Short Portable Mental Status Questionnaire score of 3 or more errors (adjusted for education)
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be a convenience sample of volunteers who meet the eligibility criteria. They will be recruited through seniors groups, flyers, community transport organisation and general medical practitioners. After screening by telephone for eligibility informed consent will be sought and a baseline assessment completed. After assessment the participant will be randomised using a concealed (web-based) process.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation scheme will be generated using an on-line random number generator (http://www.randomization.com/) and implemented through the study data base to conceal the randomisation (RedCAP) until baseline assessment is completed.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2012
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Actual
2/07/2012
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Date of last participant enrolment
Anticipated
28/06/2013
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Actual
31/10/2013
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Date of last data collection
Anticipated
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Actual
31/10/2014
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Sample size
Target
380
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Accrual to date
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Final
380
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council
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Address [1]
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Level 2, 11 Lancaster Place
Majura Park ACT 2609
AUSTRALIA
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Country [1]
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Australia
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Funding source category [2]
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University
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Name [2]
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University of Sydney NHMRC Equipment Grant
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Address [2]
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The University of Sydney
NSW 2006
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Country [2]
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Australia
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Funding source category [3]
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Charities/Societies/Foundations
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Name [3]
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IRT Foundation
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Address [3]
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3/77 Market Street
Wollongong NSW 2500
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Country [3]
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Australia
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Funding source category [4]
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Government body
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Name [4]
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Transport for NSW
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Address [4]
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Level 4 18 Lee St, Chippendale NSW 2008
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Country [4]
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Australia
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Primary sponsor type
University
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Name
The George Institute for Global Health, The University of Sydney
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Address
321 Kent Street
Sydney NSW 2000
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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NeuroScience Research Australia, The University of New South Wales
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Address [1]
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Hospital Road
Randwick NSW 2031
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Country [1]
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Australia
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Secondary sponsor category [2]
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University
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Name [2]
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Kolling Institute of Medical Research
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Address [2]
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Royal North Shore Hospital
Pacific Hwy
St Leonards NSW 2065
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Country [2]
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Australia
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Secondary sponsor category [3]
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University
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Name [3]
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Discipline of Occupational Therapy, The University of Sydney
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Address [3]
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75 East St
Lidcombe NSW 2141
AUSTRALIA
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Country [3]
284158
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Australia
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Other collaborator category [1]
260816
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Charities/Societies/Foundations
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Name [1]
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Community Transport Organisation
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Address [1]
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Suite 2, Level 1,
186 Church Street, Parramatta
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
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Level 6 Jane Foss Russell Building G02 University of Sydney NSW 2006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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01/11/2011
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Ethics approval number [1]
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14235
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Summary
Brief summary
We are using a randomised controlled trial to evaluate a program designed to promote safe mobility for drivers aged 75 years and older. Half of our study participants will be randomly selected to receive an integrated program which includes individual advice about safe driving and promotion of alternative transport delivered over two sessions in the participants own home. All study participants’ cars will be fitted with a monitoring device which transmits GPS location, speed and acceleration patterns during the 12 month study. We will compare driving exposure and incident involvement (crashes and rapid deceleration events) through this objective measurement. Community participation and independent mobility will be assessed with surveys. The trial will determine if an individual program can improve safety in a group of older drivers. The trial will assess the impact on mobility and evaluate uptake of alternative transport. The study approach is robust using a randomised controlled design and safety outcomes will be measured objectively. Safety of older drivers, is of concern due to increased crash involvement per km travelled and their vulnerability to injury. While there are a number of programs designed to improve safe driving, there is very little evidence about their effectiveness. The results of this trial will contribute high level evidence for policy makers in this area.
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Trial website
nil
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Trial related presentations / publications
nil
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Lisa Keay
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Address
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The George Institute for Global Health
Level 3, 50 Bridge Street,
Sydney NSW 2000
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Country
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Australia
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Phone
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+61296570335
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Fax
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+61296570301
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Email
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[email protected]
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Contact person for public queries
Name
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Lisa Keay
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Address
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PO Box M201
Missenden Road NSW 2050
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Country
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Australia
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Phone
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61 2 9657 0335
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Fax
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61 2 9657 0301
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Email
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[email protected]
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Contact person for scientific queries
Name
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Lisa Keay
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Address
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PO Box M201
Missenden Road NSW 2050
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Country
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Australia
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Phone
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61 2 9657 0335
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Fax
8366
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61 2 9657 0301
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF