Personal and Clinical Factors Associated with Older Drivers' Self-Awareness of Driving Performance

Can J Aging. 2021 Mar;40(1):82-96. doi: 10.1017/S071498082000001X. Epub 2020 Feb 24.

Abstract

Most older adults perceive themselves as good drivers; however, their perception may not be accurate, and could negatively affect their driving safety. This study examined the accuracy of older drivers' self-awareness of driving ability in their everyday driving environment by determining the concordance between the perceived (assessed by the Perceived Driving Ability [PDA] questionnaire) and actual (assessed by electronic Driving Observation Schedule [eDOS]) driving performance. One hundred and eight older drivers (male: 67.6%; age: mean = 80.6 years, standard deviation [SD] = 4.9 years) who participated in the study were classified into three groups: underestimation (19%), accurate estimation (29%), and overestimation (53%). Using the demographic and clinical functioning information collected in the Candrive annual assessments, an ordinal regression showed that two factors were related to the accuracy of self-awareness: older drivers with better visuo-motor processing speed measured by the Trail Making Test (TMT)-A and fewer self-reported comorbid conditions tended to overestimate their driving ability, and vice versa.

Keywords: aging; comorbidity; comorbidité; conduite automobile; driving; executive functioning; fonctions exécutives; perception de soi; self-awareness; vieillissement.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Traffic*
  • Aged
  • Aged, 80 and over
  • Automobile Driving*
  • Cognition
  • Humans
  • Male
  • Perception
  • Surveys and Questionnaires
  • Trail Making Test