Systematic Literature Review and Model for Older Driver Safety

Using the Precede-Proceed Model of Health Promotion (PPMHP) and an etiological systematic literature review, we examined the risk/protective factors of older driver safety in the United States. We described key features of this literature review and developed a structural model illustrating the prevalence of risk/protective factors in the health domain (63%) and in other PPMHP domains (environment 20%; behavior and lifestyle 10%; predisposing 1%; reinforcing 3%, enabling 2%; health education 2%). This model, a first step in synopsizing and quantifying these risk/protective factors, informs rehabilitation professionals of their etiology and prevalence, affords opportunities for multidisciplinary research, and lays the foundation for intervention planning.