Toward Safe and Confident Silver Drivers: Interview Study Investigating Older Adults' Driving Practices

Overview

Journal JMIR Aging

Specialty Geriatrics

Date 2024 Aug 12

PMID 39133531

Authors

Sunyoung Kim

Phaneendra Sivangula

Affiliations

Soon will be listed here.

Abstract

Background: As the aging population in the United States continues to increase rapidly, preserving the mobility and independence of older adults becomes increasingly critical for enabling aging in place successfully. While personal vehicular transport remains a popular choice among this demographic due to its provision of independence and control over their lives, age-related changes may heighten the risk of common driving errors and diminish driving abilities.

Objective: This study aims to investigate the driving practices of older adults and their efforts to maintain safe and confident driving habits. Specifically, we sought to identify the factors that positively and negatively influence older adults' driving performance and confidence, as well as the existing efforts put into sustaining their driving abilities.

Methods: We recruited 20 adults aged ≥65 years who remained active drivers during the recruitment from the greater New York area. Then, we conducted semistructured interviews with them to examine their perceptions, needs, and challenges regarding safe and confident driving.

Results: Our findings uncovered a notable disparity between older adults' self-perceived driving skills and the challenges they face, particularly caused by age-related limitations and health conditions such as vision and memory declines and medication routines. Drawing on these findings, we proposed strategies to bridge this gap and empower older adults to drive safely and confidently, including fostering a realistic understanding of their capabilities, encouraging open dialogue regarding their driving, encouraging regular assessments, and increasing awareness of available resources.

Conclusions: This study uncovered a noticeable disparity between the perceived driving competence of older adults and the actual challenges they confront while driving. This divergence underscores a significant need for better support beyond the existing aid available to preserve older adults' driving skills. We hope that our recommendations will offer valuable insights for practitioners and scholars committed to enhancing the overall well-being and quality of life for older adults as they age in their homes.

References

Betz M, Dickerson A, Coolman T, Schold Davis E, Jones J, Schwartz R . Driving rehabilitation programs for older drivers in the United States. Occup Ther Health Care. 2014; 28(3):306-17. PMC: 4347878. DOI: 10.3109/07380577.2014.908336. View

Casutt G, Theill N, Martin M, Keller M, Jancke L . The drive-wise project: driving simulator training increases real driving performance in healthy older drivers. Front Aging Neurosci. 2014; 6:85. PMC: 4026721. DOI: 10.3389/fnagi.2014.00085. View

Karthaus M, Falkenstein M . Functional Changes and Driving Performance in Older Drivers: Assessment and Interventions. Geriatrics (Basel). 2019; 1(2). PMC: 6371115. DOI: 10.3390/geriatrics1020012. View

Edwards J, Perkins M, Ross L, Reynolds S . Driving status and three-year mortality among community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2009; 64(2):300-5. PMC: 2655033. DOI: 10.1093/gerona/gln019. View

Hirvensalo M, Rantanen T, Heikkinen E . Mobility difficulties and physical activity as predictors of mortality and loss of independence in the community-living older population. J Am Geriatr Soc. 2000; 48(5):493-8. DOI: 10.1111/j.1532-5415.2000.tb04994.x. View

Baldock M, Mathias J, McLean A, Berndt A . Self-regulation of driving and its relationship to driving ability among older adults. Accid Anal Prev. 2006; 38(5):1038-45. DOI: 10.1016/j.aap.2006.04.016. View

De Raedt R, Ponjaert-Kristoffersen I . The relationship between cognitive/neuropsychological factors and car driving performance in older adults. J Am Geriatr Soc. 2000; 48(12):1664-8. DOI: 10.1111/j.1532-5415.2000.tb03880.x. 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

10.

Allen H, Beck K, Zanjani F . Driving concerns among older adults: Associations with driving skill, behaviors, and experiences. Traffic Inj Prev. 2019; 20(1):45-51. PMC: 6445688. DOI: 10.1080/15389588.2018.1528358. View

11.

Ball K, Edwards J, Ross L, McGwin Jr G . Cognitive training decreases motor vehicle collision involvement of older drivers. J Am Geriatr Soc. 2010; 58(11):2107-13. PMC: 3057872. DOI: 10.1111/j.1532-5415.2010.03138.x. View

12.

Strogatz D, Mielenz T, Johnson A, Baker I, Robinson M, Mebust S . Importance of Driving and Potential Impact of Driving Cessation for Rural and Urban Older Adults. J Rural Health. 2019; 36(1):88-93. DOI: 10.1111/jrh.12369. View

13.

Taylor J, Connolly M, Brookland R, Samaranayaka A . Understanding driving anxiety in older adults. Maturitas. 2018; 118:51-55. DOI: 10.1016/j.maturitas.2018.10.008. View

14.

Dellinger A, Sehgal M, Sleet D, Barrett-Connor E . Driving cessation: what older former drivers tell us. J Am Geriatr Soc. 2001; 49(4):431-5. DOI: 10.1046/j.1532-5415.2001.49087.x. 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.

Lee H, Lee A, Cameron D . Validation of a driving simulator by measuring the visual attention skill of older adult drivers. Am J Occup Ther. 2003; 57(3):324-8. DOI: 10.5014/ajot.57.3.324. View

17.

Curl A, Stowe J, Cooney T, Proulx C . Giving up the keys: how driving cessation affects engagement in later life. Gerontologist. 2013; 54(3):423-33. DOI: 10.1093/geront/gnt037. View

18.

Fausto B, Adorno Maldonado P, Ross L, Lavalliere M, Edwards J . A systematic review and meta-analysis of older driver interventions. Accid Anal Prev. 2020; 149:105852. DOI: 10.1016/j.aap.2020.105852. View

19.

Sangrar R, Mun J, Cammarata M, Griffith L, Letts L, Vrkljan B . Older driver training programs: A systematic review of evidence aimed at improving behind-the-wheel performance. J Safety Res. 2019; 71:295-313. DOI: 10.1016/j.jsr.2019.09.022. View

20.

Whelihan W, DiCarlo M, Paul R . The relationship of neuropsychological functioning to driving competence in older persons with early cognitive decline. Arch Clin Neuropsychol. 2005; 20(2):217-28. DOI: 10.1016/j.acn.2004.07.002. View