Many older adults self-regulate driving behavior, but little is known about the process underlying this behavior change. We adapted a decisional balance instrument assessing the cognitive and motivational aspects of decision-making for use in the context of driving restriction by older adults. In this exploratory study of forty drivers aged 57 to 90, it was shown that the four subscales assessing positive and negative aspects of driving in relation to self and others yielded generally Holly A. Tuokko is a Canadian Institutes of Health Research (CIHR) Institute of Aging senior investigator and a professor in the
Stakeholders in rural and mid-size urban communities were asked to share their views concerning factors that affect the mental health of older adults, and indicate how, and how well, these factors were addressed in their community. The identified factors clustered into six categories: clinical, physical, organizational, educational, psychosocial, and spiritual. Additional factors impacting care providers and caregivers and their ability to support the mental health of older adults also emerged. Similarities and distinct differences between rural and urban communities were reported and call for innovative strategies to meet the needs of seniors, particularly those living in rural areas.
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