Relationship of Decisional Conflict About Driving Habits Between Older Adult Drivers and Their Family Members and Close Friends

Overview

Journal J Appl Gerontol

Specialties Geriatrics
Infectious Diseases

Date 2023 Dec 13

PMID 38087851

Authors

Nicole R Fowler

Rachel L Johnson

Ryan Peterson

Matthew W Schroeder

Faris Omeragic

Carolyn DiGuiseppi

S Duke Han

Linda Hill

Marian E Betz

Affiliations

Soon will be listed here.

Abstract

This study examines the relationship of decisional conflict about driving habits between older adult drivers (≥70 years old) and their family members and close friends. This secondary analysis utilizes data originating from a multi-site randomized controlled trial assessing the effect of a driving decision aid (DDA) intervention. Decisional conflict about stopping or changing driving habits for drivers was measured with the Decisional Conflict Scale (DCS). Dyadic associations between drivers' and study partners' (SPs') DCS scores were analyzed using an actor-partner interdependence model. Among 228 driver-SP dyads, Dyadic DCS was correlated at baseline ( = .18, < .01), and pre-intervention DCS was associated with post-intervention DCS ( < .001 for SPs [β = .73] and drivers [β = .73]). Drivers' baseline DCS and SPs' post-intervention DCS were slighly correlated (β = .10; = .036). Higher decisional conflict about driving among older drivers is frequently shared by their SPs. Shared decisional conflict may persist beyond intervening to support decision-making about driving cessation.

References

Edwards J, Lunsman M, Perkins M, Rebok G, Roth D . Driving cessation and health trajectories in older adults. J Gerontol A Biol Sci Med Sci. 2009; 64(12):1290-5. PMC: 2773808. DOI: 10.1093/gerona/glp114. View

Marottoli R, OSTFELD A, Merrill S, Perlman G, Foley D, Cooney Jr L . Driving cessation and changes in mileage driven among elderly individuals. J Gerontol. 1993; 48(5):S255-60. DOI: 10.1093/geronj/48.5.s255. View

Betz M, Hill L, Fowler N, DiGuiseppi C, Han S, Johnson R . "Is it time to stop driving?": A randomized clinical trial of an online decision aid for older drivers. J Am Geriatr Soc. 2022; 70(7):1987-1996. PMC: 9283277. DOI: 10.1111/jgs.17791. View

Liddle J, Bennett S, Allen S, Lie D, Standen B, Pachana N . The stages of driving cessation for people with dementia: needs and challenges. Int Psychogeriatr. 2013; 25(12):2033-46. DOI: 10.1017/S1041610213001464. View

Windsor T, Anstey K . Interventions to reduce the adverse psychosocial impact of driving cessation on older adults. Clin Interv Aging. 2007; 1(3):205-11. PMC: 2695172. DOI: 10.2147/ciia.2006.1.3.205. View

Chihuri S, Mielenz T, DiMaggio C, Betz M, DiGuiseppi C, Jones V . Driving Cessation and Health Outcomes in Older Adults. J Am Geriatr Soc. 2016; 64(2):332-41. PMC: 5021147. DOI: 10.1111/jgs.13931. View

Singh G, Siahpush M . Increasing inequalities in all-cause and cardiovascular mortality among US adults aged 25-64 years by area socioeconomic status, 1969-1998. Int J Epidemiol. 2002; 31(3):600-13. DOI: 10.1093/ije/31.3.600. View

Choi M, Mezuk B . Aging without driving: evidence from the Health And Retirement Study, 1993 to 2008. J Appl Gerontol. 2014; 32(7):902-12. PMC: 4029065. DOI: 10.1177/0733464812441502. View

Li G, Eby D, Santos R, Mielenz T, Molnar L, Strogatz D . Longitudinal Research on Aging Drivers (LongROAD): study design and methods. Inj Epidemiol. 2017; 4(1):22. PMC: 5537138. DOI: 10.1186/s40621-017-0121-z. View

10.

Rudman D, Friedland J, Chipman M, Sciortino P . Holding on and letting go: the perspectives of pre-seniors and seniors on driving self-regulation in later life. Can J Aging. 2006; 25(1):65-76. DOI: 10.1353/cja.2006.0031. View

11.

Kostyniuk L, Shope J . Driving and alternatives: older drivers in Michigan. J Safety Res. 2003; 34(4):407-14. DOI: 10.1016/j.jsr.2003.09.001. View

12.

Cicchino J, McCartt A . Critical older driver errors in a national sample of serious U.S. crashes. Accid Anal Prev. 2015; 80:211-9. DOI: 10.1016/j.aap.2015.04.015. View

13.

King M, Meuser T, Berg-Weger M, Chibnall J, Harmon A, Yakimo R . Decoding the Miss Daisy Syndrome: an examination of subjective responses to mobility change. J Gerontol Soc Work. 2010; 54(1):29-52. DOI: 10.1080/01634372.2010.522231. View

14.

Lyman S, Ferguson S, Braver E, Williams A . Older driver involvements in police reported crashes and fatal crashes: trends and projections. Inj Prev. 2002; 8(2):116-20. PMC: 1730843. DOI: 10.1136/ip.8.2.116. View

15.

Freund B, Colgrove L, Burke B, McLeod R . Self-rated driving performance among elderly drivers referred for driving evaluation. Accid Anal Prev. 2005; 37(4):613-8. DOI: 10.1016/j.aap.2005.03.002. View

16.

OConnor A . Validation of a decisional conflict scale. Med Decis Making. 1995; 15(1):25-30. DOI: 10.1177/0272989X9501500105. View

17.

Windsor T, Anstey K, Walker J . Ability perceptions, perceived control, and risk avoidance among male and female older drivers. J Gerontol B Psychol Sci Soc Sci. 2008; 63(2):P75-83. DOI: 10.1093/geronb/63.2.p75. View

18.

Cicchino J . Why have fatality rates among older drivers declined? The relative contributions of changes in survivability and crash involvement. Accid Anal Prev. 2015; 83:67-73. DOI: 10.1016/j.aap.2015.06.012. View

19.

Foley D, Heimovitz H, Guralnik J, Brock D . Driving life expectancy of persons aged 70 years and older in the United States. Am J Public Health. 2002; 92(8):1284-9. PMC: 1447231. DOI: 10.2105/ajph.92.8.1284. View

20.

Mezuk B, Rebok G . Social integration and social support among older adults following driving cessation. J Gerontol B Psychol Sci Soc Sci. 2008; 63(5):S298-303. DOI: 10.1093/geronb/63.5.s298. View