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‘…it's hard to prepare yourself, it's like a death’: barriers and facilitators to older people discussing and planning for driving retirement

Published online by Cambridge University Press:  28 October 2022

Nadine Veerhuis Open the ORCID record for Nadine Veerhuis [Opens in a new window] ,
Victoria Traynor Open the ORCID record for Victoria Traynor [Opens in a new window]  and
Melanie Randle Open the ORCID record for Melanie Randle [Opens in a new window]
Nadine Veerhuis*
Affiliation:
Aged, Dementia, Health Education and Research (ADHERe), School of Nursing, University of Wollongong, Wollongong, NSW, Australia
Victoria Traynor
Affiliation:
Aged, Dementia, Health Education and Research (ADHERe), School of Nursing, University of Wollongong, Wollongong, NSW, Australia
Melanie Randle
Affiliation:
Faculty of Business and Law, University of Wollongong, Wollongong, NSW, Australia
*
*Corresponding author. Email: nadine_veerhuis@uow.edu.au
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Abstract

Driving is the preferred mode of transport for many older drivers, providing mobility to maintain independence and quality of life. The loss of driving privilege has negative psychosocial consequences, including depression. Early discussions and planning for driving retirement are therefore essential. Driving retirement, however, is typically a taboo topic for older drivers and their support networks. To understand why discussions and planning about driving retirement are avoided, 43 semi-structured interviews were conducted with older drivers in New South Wales, Australia. Drawing on Löckenhoff's ageing and decision-making framework, thematic analysis of transcripts offers insights into why discussions and planning for driving retirement are avoided or facilitated. The findings reveal most older drivers had not discussed or planned for driving retirement. Barriers to discussing and planning for driving retirement included: perceptions of loss, change, death and denial. Facilitators to discussing or planning for driving retirement included: declining health and driving confidence, medical advice, age or car accident. Driving retirement in car-dependent societies is a major life event, symbolising an end-of-life stage for many older people. This paper calls for strategies to encourage early and regular discussions about driving retirement with older drivers. To support older drivers’ transition to driving retirement, an understanding of the value and meaning placed on driving in the context of the individuals' identity and lifestyle is recommended.

Keywords

older peopleageingdriving cessationplanningdecision making
Type
Article
Information
Ageing & Society , First View , pp. 1 - 27
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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References

Andrew, C, Traynor, V and Iverson, D (2015) An integrative review: understanding driving retirement decisions for individuals living with a dementia. Journal of Advanced Nursing 71, 2728–2740.CrossRefGoogle ScholarPubMed
Ang, BH, Chen, WS and Lee, SWH (2017) Global burden of road traffic accidents in older adults: a systematic review and meta-regression analysis. Archives of Gerontology and Geriatrics 72, 32–38.CrossRefGoogle ScholarPubMed
Ang, BH, Jennifer, O, Chen, WS and Lee, SWH (2019 a) Factors and challenges of driving reduction and cessation: a systematic review and meta-synthesis of qualitative studies on self-regulation. Journal of Safety Research 69, 101–108.CrossRefGoogle ScholarPubMed
Ang, BH, Oxley, JA, Chen, WS, Yap, KK, Song, KP and Lee, SWH (2019 b) To reduce or to cease: a systematic review and meta-analysis of quantitative studies on self-regulation of driving. Journal of Safety Research 70, 243–251.CrossRefGoogle ScholarPubMed
Australian Government Department of Health (2019) Modified Monash Model. Available at https://www.health.gov.au/health-topics/rural-health-workforce/classifications/mmm#what-is-the-mmm-used-for.Google Scholar
Babulal, GM, Vivoda, J, Harmon, A, Carr, DB, Roe, CM and Zikmund-Fisher, B (2019) Older adults’ expectations about mortality, driving life and years left without driving. Journal of Gerontological Social Work 62, 912–929.CrossRefGoogle ScholarPubMed
Baldock, MR, Thompson, JP, Dutschke, J, Kloeden, CN, Lindsay, V and Woolley, J (2016) Older Road Users: Emerging Trends. Austroads Research Report AP-R530-16. Sydney: Austroads. Available at https://austroads.com.au/publications/road-safety/ap-r530-16.Google Scholar
Baltes, PB and Baltes, MM (1990) Psychological perspectives on successful aging: the model of selective optimization with compensation. In Baltes, PB and Baltes, MM (eds), Successful Aging: Perspectives from the Behavioral Sciences. New York, NY: Cambridge University Press, pp. 1–34.CrossRefGoogle Scholar
Betz, ME, Jones, J, Petroff, E and Schwartz, R (2013) ‘I wish we could normalize driving health’: a qualitative study of clinician discussions with older drivers. Journal of General Internal Medicine 28, 1573–1580.CrossRefGoogle Scholar
Betz, ME, Jones, J and Carr, DB (2015) System facilitators and barriers to discussing older driver safety in primary care settings. Injury Prevention 21, 231–237.CrossRefGoogle ScholarPubMed
Betz, ME, Scott, K, Jones, J and Diguiseppi, C (2016) ‘Are you still driving?’ Metasynthesis of patient preferences for communication with health care providers. Traffic Injury Prevention 17, 367–373.CrossRefGoogle ScholarPubMed
Betz, ME, Villavicencio, L, Kandasamy, D, Kelley-Baker, T, Kim, W, DiGuiseppi, C, Mielenz, TJ, Eby, DW, Molnar, LJ, Hill, L, Strogatz, D, Carr, DB and Li, G (2019) Physician and family discussions about driving safety: findings from the LongROAD study. Journal of the American Board of Family Medicine 32, 607–613.CrossRefGoogle ScholarPubMed
Bieri, R, Nef, T, Müri, RM and Mosimann, UP (2015) Development of a novel driving behavior adaptations questionnaire. International Psychogeriatrics 27, 1017–1027.CrossRefGoogle ScholarPubMed
Braun, V and Clarke, V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77–101.CrossRefGoogle Scholar
Buys, L, Snow, S, van Megen, K and Miller, E (2012) Transportation behaviours of older adults: an investigation into car dependency in urban Australia. Australasian Journal on Ageing 31, 181–186.CrossRefGoogle ScholarPubMed
Carmody, J, Potter, J, Lewis, K, Bhargava, S, Traynor, V and Iverson, D (2014) Development and pilot testing of a decision aid for drivers with dementia. BMC Medical Informatics and Decision Making 14, 19.CrossRefGoogle ScholarPubMed
Carstensen, LL (1995) Evidence for a life-span theory of socioemotional selectivity. Current Directions in Psychological Science 4, 151–156.CrossRefGoogle Scholar
Carstensen, LL, Isaacowitz, DM and Charles, ST (1999) Taking time seriously: a theory of socioemotional selectivity. American Psychologist 54, 165–181.CrossRefGoogle ScholarPubMed
Chihuri, S, Mielenz, TJ, DiMaggio, CJ, Betz, ME, DiGuiseppi, C, Jones, VC and Li, G (2016) Driving cessation and health outcomes in older adults. Journal of the American Geriatrics Society 64, 332–341.CrossRefGoogle ScholarPubMed
Connell, CM, Harmon, A, Janevic, MR and Kostyniuk, LP (2013) Older adults’ driving reduction and cessation: perspectives of adult children. Journal of Applied Gerontology 32, 975–996.CrossRefGoogle ScholarPubMed
Cui, J, Loo, BPY and Lin, D (2017) Travel behaviour and mobility needs of older adults in an ageing and car-dependent society. International Journal of Urban Sciences 21, 109–128.CrossRefGoogle Scholar
Dickerson, AE, Meuel, DB, Ridenour, CD and Cooper, K (2014) Assessment tools predicting fitness to drive in older adults: a systematic review. American Journal of Occupational Therapy 68, 670–680.CrossRefGoogle ScholarPubMed
Feng, YR and Meuleners, L (2020) Planning for driving cessation in older drivers. Transportation Research Part F: Traffic Psychology and Behaviour 72, 62–70.CrossRefGoogle Scholar
Foley, DJ, Heimovitz, HK, Guralnik, JM and Brock, DB (2002) Driving life expectancy of persons aged 70 years and older in the United States. American Journal of Public Health 92, 1284–1289.CrossRefGoogle ScholarPubMed
Gormley, M and O'Neill, D (2019) Driving as a travel option for older adults: findings from the Irish Longitudinal Study on Aging. Frontiers in Psychology 10, 1329.CrossRefGoogle ScholarPubMed
Hansen, S, Newbold, KB, Scott, DM, Vrkljan, B and Grenier, A (2020) To drive or not to drive: driving cessation amongst older adults in rural and small towns in Canada. Journal of Transport Geography 86, 102773.CrossRefGoogle Scholar
Harmon, AC, Babulal, GM, Vivoda, JM, Zikmund-Fisher, BJ and Carr, DB (2018) Planning for a nondriving future: behaviors and beliefs among middle-aged and older drivers. Geriatrics 3, 19.CrossRefGoogle ScholarPubMed
Haustein, S and Siren, A (2015) Older people's mobility: segments, factors, trends. Transport Reviews 35, 466–487.CrossRefGoogle Scholar
Hess, TM, Queen, TL and Ennis, GE (2013) Age and self-relevance effects on information search during decision making. The Journals of Gerontology: Series B 68, 703–711.CrossRefGoogle ScholarPubMed
Hjorthol, RJ, Levin, L and Sirén, A (2010) Mobility in different generations of older persons. The development of daily travel in different cohorts in Denmark, Norway and Sweden. Journal of Transport Geography 18, 624–633.CrossRefGoogle Scholar
Huseth-Zosel, AL, Sanders, G, O'Connor, M, Fuller-Iglesias, H and Langley, L (2016) Health care provider mobility counseling provision to older adults: a rural/urban comparison. Journal of Community Health 41, 1–10.CrossRefGoogle Scholar
Jones, VC, Johnson, RM, Borkoski, C, Rebok, GW, Gielen, AC, Soderstrom, C, Molnar, LJ, Pitts, SI, Diguiseppi, C, Hill, L, Strogatz, D, Mielenz, TJ, Betz, ME, Kelley-Baker, T, Eby, DW and Li, G (2019) Social support moderates the negative association between reduced driving and life satisfaction in older adults. Journal of Applied Gerontology 39, 1258–1262.CrossRefGoogle ScholarPubMed
Kahvedžić, A (2013) International Re-licensing Models of Older Drivers. National Programme Office for Traffic Medicine, Royal College of Physicians of Ireland. Available at https://rcpi-live-cdn.s3.amazonaws.com/wp-content/uploads/2016/02/4_International-Re-Licensing-Models-of-Older-Drivers-1.pdf.Google Scholar
King, MD, Meuser, TM, Berg-Weger, M, Chibnall, JT, Harmon, AC and Yakimo, R (2011) Decoding the Miss Daisy Syndrome: an examination of subjective responses to mobility change. Journal of Gerontological Social Work 54, 29–52.CrossRefGoogle ScholarPubMed
Liddle, J, Gustafsson, L, Bartlett, H and Mckenna, K (2012) Time use, role participation and life satisfaction of older people: impact of driving status. Australian Occupational Therapy Journal 59, 384–392.CrossRefGoogle ScholarPubMed
Löckenhoff, CE (2018) Aging and decision-making: a conceptual framework for future research – a mini-review. Gerontology 64, 140–148.CrossRefGoogle ScholarPubMed
Löckenhoff, CE and Carstensen, LL (2004) Socioemotional selectivity theory, aging, and health: the increasingly delicate balance between regulating emotions and making tough choices. Journal of Personality 72, 1395–1424.CrossRefGoogle ScholarPubMed
Luth, EA (2016) Future time perspective and end-of-life planning in older adults. Research on Aging 38, 178–201.CrossRefGoogle ScholarPubMed
Mckernan, E, Chia, SYD, Traynor, V, Veerhuis, N, Mcneil, K and Pond, CD (2022) Driving assessments for older adult patients: interviews with general practitioners to gauge current strategies and future directions. Australian Journal of General Practice 51, 457–462.CrossRefGoogle ScholarPubMed
Murray, A and Musselwhite, C (2019) Older peoples’ experiences of informal support after giving up driving. Research in Transportation Business and Management 30, 100367.CrossRefGoogle Scholar
Musselwhite, C (2017) Exploring the importance of discretionary mobility in later life. Working with Older People 21, 49–58.CrossRefGoogle Scholar
Musselwhite, C and Haddad, H (2010) Mobility, accessibility and quality of later life. Quality in Ageing and Older Adults 11, 25–37.CrossRefGoogle Scholar
Musselwhite, C and Haddad, H (2018) Older people's travel and mobility needs: a reflection of a hierarchical model 10 years on. Quality in Ageing and Older Adults 19, 87–105.CrossRefGoogle Scholar
Musselwhite, C and Shergold, I (2013) Examining the process of driving cessation in later life. European Journal of Ageing 10, 89–100.CrossRefGoogle ScholarPubMed
Naumann, RB, West, BA and Sauber-Schatz, EK (2014) At what age do you think you will stop driving? Views of older U.S. adults. Journal of the American Geriatrics Society 62, 1999–2001.CrossRefGoogle Scholar
Nordbakke, S and Schwanen, T (2014) Well-being and mobility: a theoretical framework and literature review focusing on older people. Mobilities 9, 104–129.CrossRefGoogle Scholar
Oxley, J and Whelan, M (2008) It cannot be all about safety: the benefits of prolonged mobility. Traffic Injury Prevention 9, 367–378.CrossRefGoogle ScholarPubMed
Pachana, NA, Leung, JK, Gardiner, PA and McLaughlin, D (2016) Moderating effects of social engagement on driving cessation in older women. International Psychogeriatrics 28, 1237–1244.CrossRefGoogle ScholarPubMed
Pachana, NA, Jetten, J, Gustafsson, L and Liddle, J (2017) To be or not to be (an older driver): social identity theory and driving cessation in later life. Ageing & Society 37, 1597–1608.CrossRefGoogle Scholar
Parkes, A (ed.) (2016) Supporting Safe Driving into Old Age: A National Older Driver Strategy. London: Road Safety Foundation. Available at https://roadsafetyfoundation.org/wp-content/uploads/2017/11/modsfl.pdf.Google Scholar
Pethtel, OL and Chen, Y (2013) Age differences in choice deferrals as functions of interattribute conflict and decision domain. Educational Gerontology 39, 772–782.CrossRefGoogle Scholar
Polit, DF and Beck, CT (2004) Nursing Research: Principles and Methods, 7th Edn. Philadelphia, PA: Lippincott Williams and Wilkins.Google Scholar
Pomidor, A (ed.) (2019) Clinician's Guide to Assessing and Counseling Older Drivers, 4th Edn. New York, NY: The American Geriatrics Society.Google Scholar
Pristavec, T (2018) Social participation in later years: the role of driving mobility. The Journals of Gerontology: Series B 73, 1457–1469.Google ScholarPubMed
Qin, W, Tuschman, P and Wang, F (2020) Driving cessation and social participation in late life: a systematic review. Journal of Human Behaviour in the Social Environment 30, 559–572.CrossRefGoogle Scholar
Reed, AE, Chan, L and Mikels, JA (2014) Meta-analysis of the age-related positivity effect: age differences in preferences for positive over negative information. Psychology and Aging 29, 1–15.CrossRefGoogle ScholarPubMed
Sanford, S, Naglie, G, Cameron, DH and Rapoport, MJ (2020) Subjective experiences of driving cessation and dementia: a meta-synthesis of qualitative literature. Clinical Gerontologist 43, 135–154.CrossRefGoogle ScholarPubMed
Siren, A and Haustein, S (2015) Driving licences and medical screening in old age: review of literature and European licensing policies. Journal of Transport and Health 2, 68–78.CrossRefGoogle Scholar
Solis, GR, Mancera, BM and Shen, MJ (2018) Strategies used to facilitate the discussion of advance care planning with older adults in primary care settings: a literature review. Journal of the American Association of Nurse Practitioners 30, 270–279.CrossRefGoogle ScholarPubMed
Tannou, T, Koeberlé, S, Aubry, R and Haffen, E (2020) How does decisional capacity evolve with normal cognitive aging: systematic review of the literature. European Geriatric Medicine 11, 117–129.CrossRefGoogle ScholarPubMed
Tasmanian Department of Infrastructure, Energy and Resources (2011) The Alternative Older Driver Licensing System for Tasmania: Final Report. Available at www.transport.tas.gov.au/?a=110857.Google Scholar
United Nations, Department of Economic and Social Affairs, Population Division (2019) World Population Prospects 2019: Ten Key Findings. Available at https://www.population.un.org/wpp/Publications/Files/WPP2019_10KeyFindings.pdf.Google Scholar
Windsor, TD, Anstey, KJ, Butterworth, P, Luszcz, MA and Andrews, GR (2007) The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study. The Gerontologist 47, 215–223.CrossRefGoogle ScholarPubMed
World Health Organization (2015) World Report on Ageing and Health. Geneva: World Health Organization. Available at https://www.who.int/publications/i/item/9789241565042.Google Scholar