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

2017-05-29 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 CAOT Professional Development News & Resources Webinar June 1, 2017 Canadian Association of Occupational Therapists Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes Association canadienne des ergothérapeutes 1 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. Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 2 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. Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 3 1

2017-05-29 Outline of the Presentation • Background • Objective • Methods • Outline of the National Blueprint • The Next Steps Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 4 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) Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 5 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 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 6 2

2017-05-29 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 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 7 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 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 8 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 2009 1 1 Available at www.caot.ca/driving Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 9 3

2017-05-29 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 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 10 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) Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 11 Methods • Scoping review Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 12 4

2017-05-29 Methods • Delphi rounds for the collection of input • Free public conference on May 17, 2016 • In-person meeting on May 18, 2016 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 13 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 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 14 Outline of the National Blueprint Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 15 5

2017-05-29 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 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 16 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. Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 17 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. Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 18 6

2017-05-29 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. Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 19 Outline of the National Blueprint Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 20 Outline of the National Blueprint Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 21 7

2017-05-29 Outline of the National Blueprint Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 22 Outline of the National Blueprint Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 23 Outline of the National Blueprint Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 24 8

2017-05-29 Outline of the National Blueprint Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 25 Available at www.caot.ca/driving Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 26 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 Canadian Association of Occupational Therapists Association canadienne des ergothérapeutes 27 9