Aim
This systematic review aimed to examine existing research on interventions and strategies that support older adults transitioning from driving to driving cessation, with a focus on improving mobility, well-being, and planning for this transition.
Methods
The authors conducted a comprehensive search across nine databases, screening nearly 10,000 records. Twelve studies were included:
- 3 controlled intervention studies evaluating formal programs
- 9 strategy-based studies (qualitative or descriptive)
Additional program toolkits were also reviewed to identify practical resources for supporting driving cessation.
Key findings:
- Older adults are highly dependent on private cars and rarely plan for driving cessation.
- Driving cessation is often reactive and crisis-driven, leading to negative impacts such as reduced independence, social isolation, and poorer mental health.
- Effective strategies cluster around six themes: early/proactive planning, involving multiple stakeholders (drivers, families, clinicians), collaborative decision-making, focusing on future mobility (not just driving ability), and planning alternative transport options.
Implications:
There is a clear need to shift from reactive assessments to proactive, person-centred planning for driving retirement. Healthcare professionals—particularly occupational therapists—should initiate early conversations and support transport planning. However, more rigorous research and large-scale interventions are needed to build a strong evidence base and better support ageing populations to maintain mobility and quality of life.