Driving avoidance by older adults: Is it always self-regulation?

Molnar, Lisa J.; Eby, David W.; Charlton, Judith Lynne; Langford, James William; Koppel, Sjaan; Marshall, Shawn; Man-Son-Hing, Malcolm

doi:10.1016/j.aap.2013.04.010

Cited by 75 publications

(56 citation statements)

References 26 publications

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“…However, the value of driving avoidance has been questioned, in terms of constraining everyday behaviour and independent mobility and disregarding an older adult's goals and motivations for driving (Gwyther & Holland, 2014). Molnar et al, (2013) examined self-regulatory practices in older adults taking into account motivations behind driving avoidance in certain circumstances. They determined that reasons for driving avoidance were often more Pre-print copy of .…”

Section: Introductionmentioning

confidence: 99%

An intervention encouraging planned self-regulation and goal setting in drivers across the lifespan: Testing an extended theory of planned behaviour

Gwyther

Holland

2015

Journal of Transport & Health

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Previous work has demonstrated that planning behaviours may be more adaptive than avoidance strategies in driving self-regulation, but ways of encouraging planning have not been investigated. The efficacy of an extended Theory of Planned Behaviour (TPB) plus implementation intention based intervention to promote planning self-regulation in drivers across the lifespan was tested. An age stratified group of participants (N=81, aged 18 to 83 years) was randomly assigned to an experimental or control condition. The intervention prompted specific goal setting with action planning and barrier identification. Goal setting was carried out using an agreed behavioural contract. Baseline and follow-up measures of TPB variables, self-reported, driving self-regulation behaviours (avoidance and planning) and mobility goal achievements were collected using postal questionnaires. Like many previous efforts to change planned behaviour by changing its predictors using models of planned behaviour such as the TPB, results showed that the intervention did not significantly change any of the model components. However, more than 90% of participants achieved their primary driving goal, and self-regulation planning as measured on a self-regulation inventory was marginally improved. The study demonstrates the role of pre-decisional, or motivational components as contrasted with post-decisional goal enactment, and offers promise for the role of self-regulation planning and implementation intentions in assisting drivers in achieving their mobility goals and promoting safer driving across the lifespan, even in the context of unchanging beliefs such as perceived risk or driver anxiety.

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Section: Introductionmentioning

confidence: 99%

An intervention encouraging planned self-regulation and goal setting in drivers across the lifespan: Testing an extended theory of planned behaviour

Gwyther

Holland

2015

Journal of Transport & Health

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“…Moreover, some older adults need help to adopt new behaviors such as changing driving habits or using compensatory strategies. In fact, one recent study showed that self-regulation is a complex process that cannot be defined simply by the driving modifications reportedly made by drivers (Molnar et al 2013). The motivations for these behaviors varied and differed considerably across driving situations and were closely related to lifestyle or preferences.…”

Section: Discussionmentioning

confidence: 98%

Awareness Tool for Safe and Responsible Driving (OSCAR): A Potential Educational Intervention for Increasing Interest, Openness and Knowledge About the Abilities Required and Compensatory Strategies Among Older Drivers

Levasseur

Audet

Gélinas

et al. 2015

Traffic Injury Prevention

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In summary, in addition to increasing older adults' interest, openness, and knowledge to discussion about driving, OSCAR also improved awareness of the changes that could negatively impact safe driving and enhanced utilization of compensatory strategies. While promoting safe driving and the prevention of crashes and injuries, this intervention could ultimately help older adults maintain or increase their transportation mobility. More studies are needed to further evaluate OSCAR and identify ways to improve its effectiveness.

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“…The current study focused on the general population of older adults (e.g., those with MMSE scores ≥25); therefore, advanced age might not necessarily have had a negative impact on the risk of unsafe driving among cognitively healthy older adults. In addition, older drivers with self-regulation might intentionally avoid driving situations considered to be challenging [39]. Further study to clarify the effects of frequency and distance on driving among older adults is required.…”

Section: Discussionmentioning

confidence: 99%

Associations of Near-Miss Traffic Incidents with Attention and Executive Function among Older Japanese Drivers

Makizako¹,

Shimada²,

Hotta³

et al. 2018

Gerontology

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Background: Attention and executive function may play an important role in ensuring safe driving as they involve paying attention to complex information and making an instantaneous judgment during driving. We hypothesized that poor performance in attention and executive function may increase the risk of near-miss incidents among older drivers. Objective: The aim of this study was to examine associations of current experience of near-miss traffic incidents with attention and executive function among older Japanese drivers. Methods: The study included 3,421 general older drivers (mean age: 71.7 ± 4.9 years; 56.3% men) with a valid driver’s license who were currently driving at least once per week and who had participated in a community-based cohort study between February 2015 and August 2016. The participants were asked about their experiences of near-miss traffic incidents in 10 situations that had almost happened during driving in the previous year. Results: Of the 3,421 older drivers, 1,840 (53.8%) had experienced near-miss incidents during driving in the previous year at least once. Male sex (OR 1.46, 95% CI 1.27–1.69) and high driving frequency (OR 1.11, 95% CI 1.07–1.15) were significantly associated with the current experience of near-miss traffic incidents when the overall data were analyzed. In young-old drivers aged 65–74 years, poor performance in attention as assessed by the Trail Making Test-part A (OR 1.45, 95% CI 1.05–2.00) was significantly associated with near-miss traffic incidents. Conclusion: Male sex, high driving frequency, and poor performance in attention (in young-old drivers) were associated with near-miss traffic incidents. Improvement in attention may play a role in decreasing the risk of traffic accidents among older drivers.

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Driving avoidance by older adults: Is it always self-regulation?

Cited by 75 publications

References 26 publications

An intervention encouraging planned self-regulation and goal setting in drivers across the lifespan: Testing an extended theory of planned behaviour

An intervention encouraging planned self-regulation and goal setting in drivers across the lifespan: Testing an extended theory of planned behaviour

Awareness Tool for Safe and Responsible Driving (OSCAR): A Potential Educational Intervention for Increasing Interest, Openness and Knowledge About the Abilities Required and Compensatory Strategies Among Older Drivers

Associations of Near-Miss Traffic Incidents with Attention and Executive Function among Older Japanese Drivers

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