Table 1.
ACCOMPAGNE program workshops.
| Workshop (duration) | Main objective and methods | Materials (example) |
|---|---|---|
| Workshop introduction (1 h) | Main objective: To increase participant's involvement by considering him/her as a key member of the workshops and to initiate a group dynamic. | |
| Method: Round table: each participant answers the questions on the “question wheel”: Name, first name, age, place of residence. Do you like to drive? Do you drive often? For which activities? Do you experience any difficulties when driving? Motor skills? Concentration? Memory problems? | ||
| Cognitive skills workshop (1h30) | Main objective: to facilitate awareness of the cognitive skills involved in driving (visuo-spatial, attentional, memory, executive). |
|
| Method: After defining the different cognitive mechanisms involved in driving, role plays are distributed. The participants have to imagine the cognitive mechanisms involved in each situation. | ||
| Perception and environment workshop (1h30) | Main objective: To facilitate awareness of sensorimotor skills required to drive safely. |
|
| Method: For each visual skill (acuity, accommodation, contrast and distance vision) the facilitator creates a discussion around the questions “What role does this skill play in driving? What is the risk if this skill is impaired?” Establishment of a checklist based on sensory status and level of alertness green light = safe driving/orange = adaptation required/red = do not drive | ||
| Driving responsibilities workshop (1 h30) | Main objective: To facilitate awareness of accident risks linked to a driving affected by cognitive disorders or illness. To facilitate awareness of one's own responsibilities as a driver. | “Mrs. A., 82 years old, attends memory clinic for cognitive disorders and attentional difficulties. She also has a cataract. She uses her car several times a week to do her shopping. On this particular day, it is raining. Mrs A has to turn right, she does not see the bicycle that was riding behind her and hits it. The cyclist is injured and apparently has a broken arm. The cyclist is taken to hospital by the fire brigade and will probably need an operation.” What do you think are the administrative steps to be taken for Mrs A.? |
| Method: Reflection on situation vignettes. What are the responsibilities? Does she need to have her driving assessed? In the long term, what steps can she take to assess her driving? | ||
| Patient workshop (1 h) | Main objective: To share personal experience with driving and with driving adjustments because of cognitive or sensory disorders. |
|
| Method: Patients are asked to write 8 words or short sentences on 8 post-its (one idea per post-it) around the question “What are the abilities needed to drive safely? A collective meta-plan is made to synthesize all the ideas. Each patient then chooses a photo. The psychologist allows the patients to discuss their representations, and relies on the sharing of experiences to soften the impact of giving up driving. | ||
| Caregiver workshop (1 h) (at the same time than representation workshop) | Main objective: To allow speaking time to the caregivers so they can ask the questions they cannot ask when their relative is present. |
|
| Method: Envelope method. The natural caregivers ask their questions freely. The facilitators write down each question on a different envelope. Each participant will have to provide solutions to the questions in each envelope in turn (based on their own experience or on information acquired in the previous workshops). A collective discussion then allows the proposed solutions and possible adaptations to be listed. | ||
| Driving strategies and alternatives workshop | Main objective: To establish required strategies or means for safe and autonomous driving. |
|
| Method: Presentation of risky situations (Night driving, rush hour, city traffic, unfamiliar or long routes, intersections, roundabouts, bends, insertions, difficult weather conditions, motorways, telephones, radio, chatter, physical pain, drunkenness, emotional stress..) and group discussion on possible solutions or alternatives (avoidance, adaptations like turn off the radio in challenging situations, planning the journey ahead of time…). Brainstorming about resources that can be used to avoid some driving situations and making a dyad specific alternative transportation plan. |