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Senior Journal - Today's News and Information for Senior Citizens

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Today is Tuesday, July 08, 2008

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Should Mom or Dad Still Drive?

New Guide Available Online to Those Concerned About an Aging Driver

July 6, 2004 – You know older drivers are a problem when insurance companies start producing expensive materials to help solve the problem. There is now available a new guide and video online for families worried about an aging parent's ability to drive safely.

We Need to Talk: Family Conversations with Older Drivers was produced in partnership by The Hartford Financial Services Group (NYSE:HIG) and the Massachusetts Institute of Technology AgeLab.

Based on a two-year study of older drivers' attitudes and driving habits, We Need to Talk offers families easy-to-use, practical information to help them advise their loved ones on whether it is time to limit or even give up driving. The 24-page guide is free and available at its companion web site at http://www.thehartford.com/talkwitholderdrivers/ or by writing to: The Hartford, We Need to Talk, 200 Executive Blvd., Southington, Conn. 06489.

The Hartford and the MIT AgeLab's study included a nationally representative survey of 3,824 licensed drivers aged 50 and older, in addition to focus groups with older adults who had modified their driving and interviews with family caregivers of people with dementia. The Hartford and the MIT AgeLab have collaborated on research on older driver issues since 1999.

Maureen Mohyde, The Hartford's director of corporate gerontology and co-author of We Need to Talk, emphasizes that age alone is not an indication that a person needs to give up driving.

"Many people can drive safely throughout their later years," Mohyde said. "As a group, older drivers are typically safe drivers. Drivers age 65 and older represent 14 percent of the driving population but just 8 percent of vehicular accidents. If older drivers do have problems behind the wheel most prefer to hear from family members first. Before broaching the subject or taking drastic action, families need to take the time to observe first-hand their relative's driving behavior to see if skills have deteriorated."

Mohyde notes that the research found about two-thirds of older drivers self-regulate, or voluntarily restrict, their driving to avoid night driving, slippery road conditions, rush hour traffic or other difficult driving conditions.

Joseph Coughlin, Ph.D., director of the MIT AgeLab and We Need to Talk's co-author, said that adult children should understand that hanging up the car keys can be devastating for the driver.

"Driving is about more than transportation. It's a symbol of independence and freedom. But having frank conversations about driver safety early on -- well before it becomes a problem -- can reinforce safe practices without the strain of asking the parent to curtail or stop driving," Coughlin said.

We Need to Talk offers families a multi-step approach to crafting candid, effectual discussions about older driver safety, from positive conversation starters to advice on which family member should broach the topic. We Need to Talk also features an important Warning Signs checklist; strategies for alternative transportation; testing opportunities; and recommendations on what to do if a parent has dementia or a high-risk driver refuses to stop driving.

The best time to start talking about driving is long before driving becomes an issue, says Mohyde.

"Comments about how much more congested traffic has become recently or about an auto accident in the news can be a good way to start a conversation about driving safety. By starting in a non-threatening way, your parent will be more comfortable expressing his or her feelings about driving," said Mohyde.

If potential problems arise, We Need to Talk urges families to speak openly. According to The Hartford/MIT AgeLab older driver survey, 75 percent said a health change was a legitimate reason for family members to talk to them about their driving; 70 percent said a conversation was warranted if they got lost while driving; 50 percent said a serious accident was an opportunity to start a conversation and 33 percent said a minor accident or a near-miss should trigger a talk.

"Deteriorating health or changes in medication can have a significant impact on one's ability to drive safely. Families should consider it a trigger for discussing potential driving restrictions or even cessation," said Coughlin.

Before families initiate serious talks about severely limiting or stopping driving, they need to do their homework.

Topping the list is the importance of observing their relative's driving first-hand over a period of time. The Warning Signs checklist contains 30 driving behaviors to watch for, ranging from minor indicators, such as riding the brake and hitting curbs, to such prescriptions for immediate action as failure to stop at a red light or confusing the gas and brake pedals. We Need to Talk recommends that families look for a pattern of problems, not simply an isolated incident. The Hartford/MIT AgeLab study found that older drivers were more willing to listen to those who had driven with them.

Enlisting the aid of a parent's doctor is also beneficial. Some physicians are comfortable assessing driving skills while others may recommend driving rehabilitation specialists for testing. The Hartford/MIT AgeLab survey showed that in addition to family members more than 30 percent said they valued their doctors' opinions about driving issues.

Families also need to investigate transportation alternatives to keep their loved ones engaged in life's activities. While enlisting family members and friends as drivers is often the first choice, other transportation sources include Dial-a-Ride-type programs, taxis, and mass transit. Many communities also offer van service through a local church or non-profit program. We Need to Talk's "Getting There" worksheet contains list of transportation alternatives and advice on what questions to ask.

Mohyde emphasizes that family support and understanding is paramount to helping a loved one make the transition from driver to passenger.

"Expect to have several conversations and show your concern for your loved one's safety," Mohyde said. "The good news is that talking to an older person about driving works. Our research found that more than half of those who had been spoken to about driving said they listened to and followed their families' suggestions."

The Hartford has been a founding sponsor of the MIT AgeLab since 1999, establishing the Safe Driving for a Lifetime partnership. MIT's Joseph Coughlin and The Hartford's corporate gerontology group are committed to producing original research that can expand the understanding of older drivers and their families as they deal with changes in driving abilities.

 In 2000, The Hartford and the MIT AgeLab published At the Crossroads: A Guide to Alzheimer's Disease, Dementia & Driving, now with more than 250,000 copies in print. At the Crossroads is available at www.thehartford.com/alzheimers.

The Hartford is one of the nation's largest financial services and insurance companies, with 2003 revenues of $18.7 billion. The company is a leading provider of investment products, life insurance and group benefits; automobile and homeowners products; and business property-casualty insurance. The Hartford's Internet address is www.thehartford.com.

The MIT AgeLab invents new ideas and creatively translates technologies into practical solutions that improve people's health and enable them to be functional throughout the lifespan. Based within MIT's School of Engineering's Engineering Systems Division, the MIT AgeLab has assembled a multi-disciplinary and global team of researchers, business partners, universities, and the aging community to design, develop and deploy innovations to improve quality of life.

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