Nghiên cứu dài hạn về Người Lái xe Lớn Tuổi (LongROAD): thiết kế và phương pháp nghiên cứu

Injury Epidemiology - Tập 4 - Trang 1-16 - 2017
Guohua Li1,2,3, David W. Eby4, Robert Santos5, Thelma J. Mielenz1, Lisa J. Molnar4, David Strogatz6, Marian E. Betz7,8, Carolyn DiGuiseppi8, Lindsay H. Ryan9, Vanya Jones10, Samantha I. Pitts11, Linda L. Hill12, Charles J. DiMaggio13, David LeBlanc4, Howard F. Andrews14,15
1Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA
2Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, USA
3Center for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, USA
4University of Michigan Transportation Research Institute and the Center for Advancing Transportation Leadership and Safety (ATLAS Center), Ann Arbor, USA
5The Urban Institute, Washington, USA
6Bassett Research Institute, Cooperstown, USA
7Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, USA
8Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, USA
9Institute for Social Research, University of Michigan, Ann Arbor, USA
10Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA
11Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, USA
12Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, USA
13Division of Trauma, Emergency Surgery and Surgical Critical Care, New York University School of Medicine, New York, USA
14Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, USA
15Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, USA

Tóm tắt

Lái xe là một chỉ số quan trọng của tính di động, mang lại nhiều lợi ích xã hội và sức khỏe cho người cao tuổi. Mặc dù tầm quan trọng của sự di động an toàn khi dân số già đi, dữ liệu dọc vẫn còn thiếu sót về lịch sử tự nhiên và các yếu tố quyết định sự an toàn khi lái xe ở người lớn tuổi. Dự án Nghiên cứu Dài hạn về Người Lái xe Lớn Tuổi (LongROAD) là một nghiên cứu đoàn hệ triển vọng đa địa điểm được thiết kế nhằm tạo ra dữ liệu thực nghiệm để hiểu rõ vai trò của các yếu tố y tế, hành vi, môi trường và công nghệ trong sự an toàn khi lái xe trong quá trình lão hóa. Tổng cộng có 2990 tài xế đang hoạt động trong độ tuổi 65–79 tại thời điểm ban đầu đã được tuyển chọn qua các phòng khám chăm sóc sức khỏe ban đầu hoặc hệ thống chăm sóc sức khỏe ở năm địa điểm nghiên cứu tại California, Colorado, Maryland, Michigan và New York. Các tham gia viên đã đồng ý được đánh giá tại thời điểm ban đầu bằng các giao thức và công cụ nghiên cứu tiêu chuẩn hóa, bao gồm kiểm tra phương tiện, các bài kiểm tra hiệu suất chức năng và xem xét thuốc theo phương pháp “brown-bag review”. Phương tiện chính của mỗi tham gia viên được lắp đặt một thiết bị thu thập dữ liệu nhỏ, ghi lại lại dữ liệu lái xe chi tiết bất cứ khi nào phương tiện được vận hành và phát hiện khi nào tham gia viên đang lái xe. Việc theo dõi hàng năm được thực hiện trong tối đa ba năm với một bảng câu hỏi qua điện thoại vào các thời điểm 12 và 36 tháng và đánh giá trực tiếp vào thời điểm 24 tháng. Hồ sơ y tế được xem xét hàng năm để thu thập thông tin về chẩn đoán lâm sàng và việc sử dụng dịch vụ y tế. Các hồ sơ lái xe, bao gồm cả tai nạn và vi phạm, được thu thập hàng năm từ các cơ quan quản lý phương tiện giao thông ở tiểu bang. Thử nghiệm pilot được thực hiện trên 56 tình nguyện viên trong tháng 3 đến tháng 5 năm 2015. Tuyển sinh và ghi danh đã hoàn tất từ tháng 7 năm 2015 đến tháng 3 năm 2017. Kết quả của dự án LongROAD sẽ tạo ra bằng chứng cần thiết để xây dựng chính sách công và phát triển các chương trình can thiệp nhằm duy trì di động an toàn trong khi đảm bảo sức khỏe cho người cao tuổi.

Từ khóa

#lái xe người cao tuổi #nghiên cứu dọc #an toàn giao thông #sức khỏe người cao tuổi #phương pháp nghiên cứu

Tài liệu tham khảo

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Injury Epidemiology

Tập 4

1-16

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