Learning Objectives Identify factors that may cause people with - - PDF document

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Association canadienne des ergothérapeutes Canadian Association of Occupational Therapists

National Blueprint for Injury Prevention in Drivers with Arthritis

Directions to enable safety, health and well-being for drivers with arthritis

Presenter: Julie Lapointe, erg., OT(C), OT Reg. (Ont.), PhD

June 1, 2017

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Acknowledgement

• This National Blueprint has been made possible

through a financial contribution from the Canadian Institutes of Health Research (CIHR) Institute of Musculoskeletal Health and Arthritis.

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Learning Objectives

• Identify factors that may cause people with

musculoskeletal conditions and arthritis to avoid disclosing their difficulties with the activity of driving.

• Be able to determine the concrete actions

stakeholders may lead to support drivers with musculoskeletal conditions.

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Outline of the Presentation

• Background
• Objective
• Methods
• Outline of the National Blueprint
• The Next Steps

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Background

• Arthritis affects over 4.6 million Canadians of all

ages (The Arthritis Society, 2016)

• Drivers with arthritis are at higher risk of car

crashes (Marshall, 2008)

• Due to their medical condition, they may

experience pain, fatigue, decreased mobility, joint stiffness and decreased reaction time (Busteed,

Daly, Silke, & Molloy, 2004)

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Background

• Issues affecting people living with arthritis have

been largely overlooked in the areas of research, training, practice and policy

• No guidelines are available to support the

activity of driving for people with arthritis

• Consequently, practitioners feel unprepared to

address this issue and drivers are afraid to report their difficulties for fear of losing their license

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Background

• The input of several professionals is instrumental

in addressing the needs of this specific population of drivers

• For instance:

– an occupational therapist can help with finding an ideal sitting position and implementing car adaptations – a physiotherapist can help with regaining the physical strength to get in and out of the car – a pharmacist can assist with ensuring the optimal use of prescribed pharmacological treatment

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Objective

• Engage key Canadian stakeholders in the creation

and dissemination of a comprehensive and sustainable strategic action plan, the National Blueprint for Injury Prevention in Drivers with Arthritis

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Methods

• It followed the methods

used to develop the National Blueprint for Injury Prevention in Older Drivers published by the Canadian Association of Occupational Therapists (CAOT) in 20091

1 Available at www.caot.ca/driving

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Methods

The development of the action plan comprised of two phases

• The data-gathering phase:

– a scoping review on driving and musculoskeletal conditions and arthritis – collection of input from the 15 members of the National Advisory Team

• The consensus-building phase:

– rounds of document exchange (i.e. the Delphi method) – a free public conference – an in-person meeting – an external review process

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Methods

• The National Advisory Team

– 15 experts and key stakeholders

• occupational therapists with knowledge and experience in

driving rehabilitation and assessment (n=4)

• representatives of not-for-profit organizations (n=2)
• a physiotherapist (n=1)
• a physician (n=1)
• researchers in occupational therapy, kinesiology and

pharmacy (n=7)

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Methods

• Scoping review

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Methods

• Delphi rounds for the

collection of input

• Free public conference on

May 17, 2016

• In-person meeting on

May 18, 2016

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Outline of the National Blueprint

• The National Blueprint for Injury Prevention in

Drivers with Arthritis comprises:

– 1 Vision – 9 Guiding Principles – 6 Priority Goals – 16 Directions for action

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Outline of the National Blueprint

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Outline of the National Blueprint

• The Vision:

Adults with arthritis will be aware of driving practices and have access to services poised to prevent injury and promote health, well-being and public safety

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Outline of the National Blueprint

• Guiding Principles:

– i. Community mobility is integral to health and well- being – it is considered a right. – ii. Driving is a privilege; individual’s privileges must not compromise public safety. – iii. Drivers with arthritis are involved stakeholders.

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Outline of the National Blueprint

• Guiding Principles

– iv. National and regional needs and considerations are respected. – v. Safe driving strategies are integrated throughout the lifespan. – vi. Services and resources are evidence-based and accessible.

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Outline of the National Blueprint

• Guiding Principles

– vii. Innovation is fostered and supported. – viii. Knowledge translation is integral to promoting safe driving practices for persons with arthritis. – ix. Driving retirement is a life transition that should be proactively planned for.

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Outline of the National Blueprint

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Outline of the National Blueprint

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Outline of the National Blueprint

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Outline of the National Blueprint

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Outline of the National Blueprint

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Outline of the National Blueprint

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Available at www.caot.ca/driving

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The Next Step

• Disseminate this document widely:

The National Blueprint may be reproduced, stored or transmitted in any form or by any means, including electronic, mechanical, photocopying and recording, with proper acknowledgment to the Canadian Association of Occupational Therapists. This publication can be retrieved from: www.caot.ca/driving

• Raise public awareness related to this important

issue

• Reach out to decision makers and funders so that

initiatives could be undertaken to advance knowledge and resources

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References

Busteed, S., Daly, M., Silke, C., & Molloy, M. G. (2004). Rheumatoid arthritis impairs driving ability even in patients with a low disability index. Rheumatology (Oxford), 43(1), 107-

• 108. doi:10.1093/rheumatology/keg455

Canadian Association of Occupational Therapists. (2009). National Blueprint for Injury Prevention in Older Drivers. Ottawa ON: CAOT Publications ACE. The Arthritis Society. (2016). About Arthritis. Retrieved from https://arthritis.ca/understand-arthritis/about-arthritis Marshall, S. C. (2008). The role of reduced fitness to drive due to medical impairments in explaining crashes involving older drivers. Traffic Inj Prev, 9(4), 291-298. doi:10.1080/15389580801895244

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Questions?

Julie Lapointe practice@caot.ca THANK YOU

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