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Attitudes: Mediators of the Relation between Health and Driving in Older Adults

Published online by Cambridge University Press:  03 June 2016

Holly Tuokko*
Centre on Aging, University of Victoria
Paweena Sukhawathanakul
Psychology Department, University of Victoria
Laura Walzak
Psychology Department, University of Victoria
Alexandra Jouk
Centre on Aging, University of Victoria
Anita Myers
School of Public Health & Health Systems, University of Waterloo
Shawn Marshall
Ottawa Hospital Research Institute, University of Ottawa
Gary Naglie
Research Department, Toronto Rehabilitation Institute, University Health Network Department of Medicine and Rotman Research Institute, Baycrest Geriatric Health Care Centre Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto
Mark Rapoport
Department of Psychiatry, University of Toronto
Brenda Vrkljan
School of Rehabilitation Science, McMaster University
Michelle Porter
Faculty of Kinesiology and Recreation Management, University of Manitoba
Malcolm Man-Son-Hing
Ottawa Hospital Research Institute, University of Ottawa
Barbara Mazer
School of Physical & Occupational Therapy, McGill University Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain
Nicol Korner-Bitensky
School of Physical & Occupational Therapy, McGill University Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain
Isabelle Gélinas
School of Physical & Occupational Therapy, McGill University Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain
Michel Bédard
Centre for Research on Safe Driving, Lakehead University
La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to: Dr. Holly Tuokko Centre on Aging University of Victoria PO BOX 1700, STN CSC Victoria, BC V8W 2Y2 (


We examined the relations between perceived health (e.g., self-perceived health status) and driving self-regulatory practices (e.g., frequency of driving, avoiding challenging driving situations) as mediated by driving attitudes and perceptions (i.e., driving comfort, positive and negative attitudes towards driving) in data collected for 928 drivers aged 70 and older enrolled in the Candrive II study. We observed that specific attitudes towards driving (e.g., driving comfort, negative attitudes towards driving) mediate the relations between health symptoms and self-regulatory driving behaviours at baseline and over time. Only negative attitudes towards driving fully mediated the relationships between changes in perceived health symptoms and changes in driving behavior. Perceived health symptoms apparently influence the likelihood of avoiding challenging driving situations through both initial negative attitudes towards driving as well as changes in negative attitudes over time. Understanding influences on self-regulatory driving behaviours will be of benefit when designing interventions to enhance the safety of older drivers.


Nous avons examiné les relations entre la santé perçue (p. ex., l’état de santé auto-évaluation) et des pratiques d’autorégulation de la conduite (p. ex., la fréquence de la conduite, l’evitement des situations de conduite difficiles) comme médiée par les attitudes et les perceptions de conduite (à savoir, le confort de conduite, les attitudes positif et négatif envers la conduite) dans les données recueillies pour 928 conducteurs âgés de 70 ans et plus inscrits à l’étude Candrive II. Nous avons observé que les attitudes spécifiques à la conduite (p. ex., le confort de conduite, les attitudes négatives envers la conduite) assurent la médiation des relations entre les symptômes de santé et les comportements de conduite auto-reglementés au début et au fil du temps. Seuls les attitudes négatives à l’égard de conduite ont mediés entièrement les relations entre les changements dans les symptômes perçus de la santé et les changements dans le comportement de conduite. Les symptômes perçus pour la santé influencent apparemment la probabilité d’éviter des situations difficiles de conduite par le biais de deux attitudes négatives initiales pour la conduite, ainsi que des changements dans les attitudes négatives au fil du temps. Comprendre les influences sur le comportement de conduite d’auto-réglementation seront bénéfiques lors de la conception des interventions visant à améliorer la sécurité des conducteurs âgés.

Copyright © Canadian Association on Gerontology 2016 

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