title: Attitudes: Mediators of the Relation between Health and Driving in Older Adults.
abstract: 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.
authors.affiliation: Centre on Aging, University of Victoria.
authors.forename: Holly
authors.initials: H
authors.lastname: Tuokko
authors.affiliation: Psychology Department, University of Victoria.
authors.forename: Paweena
authors.initials: P
authors.lastname: Sukhawathanakul
authors.affiliation: Psychology Department, University of Victoria.
authors.forename: Laura
authors.initials: L
authors.lastname: Walzak
authors.affiliation: Centre on Aging, University of Victoria.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Jouk
authors.affiliation: School of Public Health & Health Systems, University of Waterloo.
authors.forename: Anita
authors.initials: A
authors.lastname: Myers
authors.affiliation: Ottawa Hospital Research Institute, University of Ottawa.
authors.forename: Shawn
authors.initials: S
authors.lastname: Marshall
authors.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.
authors.forename: Gary
authors.initials: G
authors.lastname: Naglie
authors.affiliation: Department of Psychiatry, University of Toronto.
authors.forename: Mark
authors.initials: M
authors.lastname: Rapoport
authors.affiliation: School of Rehabilitation Science, McMaster University.
authors.forename: Brenda
authors.initials: B
authors.lastname: Vrkljan
authors.affiliation: Faculty of Kinesiology and Recreation Management, University of Manitoba.
authors.forename: Michelle
authors.identifier: http://orcid.org/0000-0002-6333-6404
authors.initials: M
authors.lastname: Porter
authors.affiliation: Ottawa Hospital Research Institute, University of Ottawa.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Man-Son-Hing
authors.affiliation: School of Physical & Occupational Therapy, McGill University.|Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain.
authors.forename: Barbara
authors.initials: B
authors.lastname: Mazer
authors.affiliation: School of Physical & Occupational Therapy, McGill University.|Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain.
authors.forename: Nicol
authors.initials: N
authors.lastname: Korner-Bitensky
authors.affiliation: School of Physical & Occupational Therapy, McGill University.|Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Gélinas
authors.affiliation: Centre for Research on Safe Driving, Lakehead University.
authors.forename: Michel
authors.initials: M
authors.lastname: Bédard
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001294:Attitude to Health; D001334:Automobile Driving / Q000523:psychology*; D001362:Avoidance Learning; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D057566:Self Report; D000068356:Self-Control
keywords: aging; analyse de la médiation; attitudes; auto-réglementation; changement comportemental; conducteurs âgés; longitudinal; mediation analysis; older drivers; self-regulation; vieillissment