Table 2.

Representative Quotes, by Emergent Theme and Participant Group

Theme	Clinicians	Older drivers
Clinician initiation of conversation	“I don’t really discuss this with most of my patients.”	“I think it is a question doctor should be asking you, as you age, he should say, ‘do you feel comfortable driving, do you have any problems you think you might have that you shouldn’t be driving?” I think it would be good to ask that.”
	“The conversation is almost always either initiated by myself…or occasionally by concerned family members, hardly ever initiated by the patient.”
Driver openness to conversation	“Patients would be receptive, so long as it was in the abstract.”	“I would want her to say are you still driving? And if she said you are losing your motor skills, have you ever thought about maybe it’s time not to be driving? I would listen.”
Family influences	[They’re] “looking for us to support them, or to be the bearer of that bad news.”	“’Oh no, don’t take my keys!’ But I hope to … make the decision myself.”
	“I rely heavily on what the family says.”	“I don’t have anyone to have [an ADD] with.”
Clinical setting factors	[We need] “more reasonable options for people who are not going to drive anymore.”	“With a primary care doctor, your appointment is usually scheduled for 15 or 20 min, he’s not going to take 5 or 10 min out of that to discuss your driving.”
	“I never have time for anything.”
Recommendations	“Say, ’10 years from now and you’re not able to drive, what would your plan be, whom would you ask, or when do you think for yourself that driving is not a good option?’ I would like to get their say about it, so that they are more compliant and more agreeable to that idea of when they come to that stage.”	“They could say ‘this is part of our prevention policy here,’ and introduce it that way.”