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Psychosocial Constructs as Possible Moderators of Self-Reported Driving Restrictions

Published online by Cambridge University Press:  29 March 2016

Alexandra Jouk*
Affiliation:
Centre on Aging, University of Victoria
Paweena Sukhawathanakul
Affiliation:
Department of Psychology, University of Victoria
Holly Tuokko
Affiliation:
Centre on Aging, University of Victoria
Anita Myers
Affiliation:
School of Public Health & Health Systems, University of Waterloo
Gary Naglie
Affiliation:
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
Brenda Vrkljan
Affiliation:
School of Rehabilitation Science, McMaster University
Michelle M. Porter
Affiliation:
Faculty of Kinesiology and Recreation Management, University of Manitoba
Mark Rapoport
Affiliation:
Department of Psychiatry, University of Toronto
Shawn Marshall
Affiliation:
Ottawa Hospital Research Institute, University of Ottawa
Barbara Mazer
Affiliation:
School of Physical & Occupational Therapy, McGill University Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain
Malcolm Man-Son-Hing
Affiliation:
Ottawa Hospital Research Institute, University of Ottawa
Nicol Korner-Bitensky
Affiliation:
School of Physical and Occupational Therapy, McGill University
Isabelle Gélinas
Affiliation:
School of Physical & Occupational Therapy, McGill University Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain
Michel Bédard
Affiliation:
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: Ms. Alexandra Jouk, Ph.D. Centre on Aging, University of Victoria PO BOX 1700, STN CSC Victoria, BC V8W 2Y2 (ajouk@uvic.ca)

Abstract

To date, associations between psychosocial driving variables and behaviour have been examined only cross-sectionally. Using three waves of data collected annually from 928 older drivers (mean age = 76.21 years; 62% male) enrolled in the Candrive II cohort, we examined in this study whether changes in attitudes and perceptions towards driving (decisional balance and day and night driving comfort) were associated with changes in older adults’ reported restrictions in driving practices and perceived driving abilities. Multi-level models revealed that older adults who showed an increase in negative attitudes towards driving over time were more likely to report more-restricted practices (greater avoidance of challenging driving situations) and perceived declines in driving abilities compared to individuals whose attitudes towards driving remained stable across two years. This work supports previous findings and offers a new understanding of how attitudes relate to driving perceptions (e.g., comfort) and self-regulation in older adults over time.

Résumé

Les associations entre les variables psychosociaux et les comportements de conduite ont été examinés seulement en coupe transversale à ce jour. Dans cette étude, nous avons utilisé trois vagues de données recueillies chaque année de 928 conducteurs âgés (âge moyen = 76.21 ans; 62% d'hommes) s'inscrits pour la cohorte Candrive II, afin de déterminer si des changements dans les attitudes et les perceptions à l'égard de conduire (l'équilibre décisionnel et le confort à la conduite de jour comme de nuit) ont été associés à des limitations à la conduite rapportées chez les aînés et de leurs capacités perçues à conduire. Des modèles à plusieurs niveaux ont révélé que plus de personnes âgées qui ont montré une augmentation des attitudes négatives à l'égard de conduite étaient plus susceptibles de déclarer la pratique de plus en plus restreinte (on évite souvent des situations difficiles de conduite) et des baisses perçues dans la capacité de conduire, par rapport aux individus dont les attitudes envers la conduite restaient stable au cours de deux années. Ce travail confirme les résultats précédents et offre une nouvelle compréhension de la façon dont les attitudes ont trait aux perceptions de conduite (c'est-à-dire, le confort), et l'auto-régulation chez les personnes âgées au fil du temps.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2016 

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