Objective:Driving and stopping driving present challenging issues for older people living with memory problems and the family members supporting them. Changes to driving status impact the individual stopping driving and their family members. CarFreeMe is an existing, effective driving cessation program for older people that may be applicable to older people living with dementia. The purpose of this study was to adapt the program and explore feasibility and key stakeholder perspectives.Methods:The Medical Research Council guidelines for conducting research into complex interventions guided the development, acceptability and feasibility piloting. A multidisciplinary approach was taken, and key stakeholders were involved throughout the process. This included an adaptation process, followed by expert reference group feedback and case series pilot study.Results:The background research indicated that some key changes were required to meet the needs of people living with dementia. Aspects of the content, language, format and activities were adapted and an additional module was created for family members – whose involvement was identified as important. A more personalized, flexible approach was recommended. The expert reference group [psychologists (n = 2), occupational therapists (n = 3) and dementia behavior consultants (n = 2)] indicated the program was appropriate and needed, and made recommendations for feasibility. Pilot testing with three families indicated acceptability.Conclusion:A driving cessation program adapted for use with people living with dementia and their families required some changes to meet the needs and situations based on feedback from key stakeholders. Future studies will evaluate implementation outcomes across a range of settings.

中文翻译：

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调整 CarFreeMe 驾驶员退休干预措施，为患有痴呆症的老年人提供停止驾驶支持

目的：驾驶和停止驾驶给有记忆问题的老年人和支持他们的家庭成员带来了挑战。驾驶状态的变化会影响停止驾驶的个人及其家人。CarFreeMe 是一项现有的、有效的老年人停止驾驶计划，可能适用于患有痴呆症的老年人。本研究的目的是调整该计划并探索可行性和关键利益相关者的观点。方法：医学研究委员会对复杂干预进行研究的指南指导了开发、可接受性和可行性试点。采取了多学科方法，关键利益相关者参与了整个过程。这包括一个适应过程，其次是专家参考小组反馈和案例系列试点研究。结果：背景研究表明，需要一些关键的改变来满足痴呆症患者的需求。内容、语言、格式和活动的各个方面都进行了调整，并为家庭成员创建了一个额外的模块——他们的参与被认为是重要的。建议采用更个性化、更灵活的方法。专家参考小组 [心理学家 (n= 2), 职业治疗师 (n= 3) 和痴呆行为顾问 (n= 2)] 表明该计划是适当的和需要的，并就可行性提出了建议。对三个家庭进行的试点测试表明可以接受。结论：适用于痴呆症患者及其家人的停车计划需要根据主要利益相关者的反馈进行一些更改以满足需求和情况。未来的研究将评估一系列环境中的实施结果。