Long-term efficacy of exercise across diagnostically heterogenous mental disorders and the mediating role of affect regulation skills

BackgroundExercise interventions are efficacious in reducing disorder-specific symptoms in various mental disorders. However, little is known about long-term transdiagnostic efficacy of exercise across heterogenous mental disorders and the potential mechanisms underlying treatment effects.MethodsPhysically inactive outpatients, with depressive disorders, anxiety disorders, insomnia or attention deficit hyperactivity disorder were randomized to a standardized 12-week exercise intervention, combining moderate exercise with behavior change techniques (BCTs) (n = 38), or a passive control group (n = 36). Primary outcome was global symptom severity (Symptom Checklist-90, SCL-90-R) and secondary outcomes were self-reported exercise (Physical Activity, Exercise, and Sport Questionnaire), exercise-specific affect regulation (Physical Activity-related Health Competence Questionnaire) and depression (SCL-90-R) assessed at baseline (T1), post-treatment (T2) and one year after post-treatment (T3). Intention-to-treat analyses were conducted using linear mixed models and structural equations modeling.ResultsFrom T1 to T3, the intervention group significantly improved on global symptom severity (d = −0.43, p = .031), depression among a depressed subsample (d = −0.62, p = .014), exercise (d = 0.45, p = .011) and exercise-specific affect regulation (d = 0.44, p = .028) relative to the control group. The intervention group was more likely to reveal clinically significant changes from T1 to T3 (p = .033). Increases in exercise-specific affect regulation mediated intervention effects on global symptom severity (ß = −0.28, p = .037) and clinically significant changes (ß = −0.24, p = .042).ConclusionsThe exercise intervention showed long-term efficacy among a diagnostically heterogeneous outpatient sample and led to long-lasting exercise behavior change. Long-term increases in exercise-specific affect regulation within exercise interventions seem to be essential for long-lasting symptom reduction.     

Testing motivational and self-regulatory mechanisms of action on device-measured physical activity in the context of a weight loss maintenance digital intervention: A secondary analysis of the NoHoW trial

BackgroundTo date, few digital behavior change interventions for weight loss maintenance focusing on long-term physical activity promotion have used a sound intervention design grounded on a logic model underpinned by behavior change theories. The current study is a secondary analysis of the weight loss maintenance NoHoW trial and investigated putative mediators of device-measured long-term physical activity levels (six to 12 months) in the context of a digital intervention.MethodsA subsample of 766 participants (Age = 46.2 ± 11.4 years; 69.1% female; original NoHoW sample: 1627 participants) completed all questionnaires on motivational and self-regulatory variables and had all device-measured physical activity data available for zero, six and 12 months. We examined the direct and indirect effects of Virtual Care Climate on post intervention changes in moderate-to-vigorous physical activity and number of steps (six to 12 months) through changes in the theory-driven motivational and self-regulatory mechanisms of action during the intervention period (zero to six months), as conceptualized in the logic model.ResultsModel 1 tested the mediation processes on Steps and presented a poor fit to the data. Model 2 tested mediation processes on moderate-to-vigorous physical activity and presented poor fit to the data. Simplified models were also tested considering the autonomous motivation and the controlled motivation variables independently. These changes yielded good results and both models presented very good fit to the data for both outcome variables. Percentage of explained variance was negligible for all models. No direct or indirect effects were found from Virtual Care Climate to long term change in outcomes. Indirect effects occurred only between the sequential paths of the theory-driven mediators.ConclusionThis was one of the first attempts to test a serial mediation model considering psychological mechanisms of change and device-measured physical activity in a 12-month longitudinal trial. The model explained a small proportion of variance in post intervention changes in physical activity. We found different pathways of influence on theory-driven motivational and self-regulatory mechanisms but limited evidence that these constructs impacted on actual behavior change. New approaches to test these relationships are needed. Challenges and several alternatives are discussed.Trial registrationISRCTN Registry, ISRCTN88405328. Registered December 16, 2016, https://www.isrctn.com/ISRCTN88405328.     

Utilizing driving simulators for persons with multiple sclerosis: A scoping review

ObjectiveThis scoping review synopsized and mapped the evidence on the utility of driving simulators for drivers with Multiple Sclerosis (MS) including participant characteristics (e.g., demographic, clinical) suited to simulator use; and driving scenario environments, maneuvers, and outcomes reflective of driving performance.Data SourcesThe research team searched six databases for English studies on driving simulator performance in drivers with MS.Study SelectionFour reviewers independently screened 976 unique titles, 148 abstracts, and 18 full-text sources for study inclusion or exclusion. Inclusion criteria ensured that studies utilized measures of driving simulator performance in adults 18 years or older with MS.Data ExtractionReviewers independently charted, verified, and achieved consensus on 100% of the data in the extraction table.Data SynthesisThe scoping review included thirteen studies (twelve assessment, one intervention), published between 2001 and 2021. Studies included small samples (N = 11–50) of adults (M age = 36–50 years; 40–91% female), mostly with a relapsing-remitting (53–100%) diagnosis and low to moderate physical disability (Expanded Disability Status Scale score < 6.0). The assessment studies utilized driving scenarios to assess pre-driving (n = 1) or driving abilities (n = 2), responses to hazardous events in suburban (n = 1) or urban environments (n = 4), or the ability to maintain speed or lateral lane positioning during monotonous highway drives (n = 7), with four scenarios also including responses to secondary divided attention tasks. The intervention study utilized driving simulation as a training program to improve driving-related skills.ConclusionsThe evidence on the utility of driving simulators for adults with MS is limited to assessment of driving performance, mostly during monotonous highway drives. Further research should consider exploring how driving simulators can be utilized to assess driving performance in other environments or for intervention. Gender should be examined to support gender diverse populations.     

Testing the Physical Activity Self-Definition Model among low-active adults participating in a physical activity intervention

Seeing oneself as a physically active person is one of the strongest predictors of physical activity behaviour and self-regulatory strategies. Determining whether and how physical activity self-perceptions can be stimulated may help low-active individuals who do not see themselves as a physically active person become more active. Cross-sectional research has tested the Physical Activity Self-Definition (PASD) model among active samples; longitudinal studies among low-active adults have yet to be done. The purpose of this study was to test the predictive power of the PASD model among low-active adults over a 16-week physical activity intervention. Participants completed surveys of validated questionnaires in-person at baseline (pre-intervention) and at 16-weeks (end of intervention) at one of two primary care facilities. The final sample included 119 low-active adults. Partial least squares-structural equation modeling indicated that the original model had small-medium predictive power (Q² = 0.22; SRMR = 0.13 [0.05, 0.07]; RMSE = 1.13; MAE = 0.9; BIC = 1348.40). Two paths were added in the revised model (perceived wanting—PASD; perceived ability—perceived commitment), which explained an additional 4% and 5% of the variance in perceived commitment (R² = 0.62 [0.48, 0.72]) and PASD (R² = 0.74 [0.64, 0.80]; all p’s < 0.001), respectively. The revised model had medium predictive power (Q² = 0.25; SRMR = 0.11 [0.05, 0.06]; RMSE = 1.1; MAE = 0.87; BIC = 1332.84) All path coefficients remained positive and significant at p ≤ .001. Among low-active adults, perceived wanting and perceived ability may be more salient when engaging in physical activity and regarding themselves as a physically active person. Findings may support practitioners and health care professionals in designing physical activity interventions to foster PASD among low-active adult populations.     

The conscious experience of color constancy and neural responses to subliminal deviations – A behavioral and EEG/ERP oddball study

IntroductionColor constancy, a property of conscious color experience, maintains object color appearance across illuminant changes. We investigated the neural correlates of subliminal vs. conscious stimulus deviations of color constancy manipulations.MethodsBehavioral and Oddball EEG/ERP experiments were conducted (n = 20). Psychophysical illuminant variation discrimination thresholds were first estimated, to establish individual perceptual awareness ranges, allowing for simulation of natural daylight spectral and spatial variations on colored surfaces, at different ambiguity levels.ResultsBehavioral results validated illuminant choice. ERPs showed a significant modulation of posterior P1 component specifically for the subliminal global uniform deviation condition, respecting color constancy. Neural correlates of conscious percepts were identified at posterior N2-P3 latencies, parietal (P3b) and frontal regions.ConclusionsWe identified an early subliminal correlate of low-level illuminant change, which reflects automatic unconscious detection of global color constancy deviations. Its suppression under conscious perception is probably due to top-down suppression according to prediction error models.     

The interplay between parental behaviors and adolescents' sports-related values in understanding adolescents' dropout of organized sports activities

Using short-term longitudinal data, the primary goal of the present study was to examine the interplay between adolescents’ sports-related intrapersonal (e.g., sports values) and interpersonal factors (e.g., perceived parental involvement) in relation to sports dropout. A secondary goal was to explore the direction of effects in the association between intra- and interpersonal factors. A total of 420 adolescents (39% girls, M_age = 14.06; SD_age = 0.33) responded to a set of survey questions over two consecutive years. Results from structural equation modeling suggested that parental involvement predicted adolescents’ dropout one year later, via sports values. Further, the results suggested that the direction of influence is mainly from parents to adolescents. Overall, the findings indicate that adolescents whose parents attend their practices and games perceive sports activities as fun, important and useful; as a result, adolescents are less likely to dropout. The findings offer an improved understanding of how parents’ behaviors may influence adolescents’ dropout of organized sports.     

Biological and psychological predictors of heart rate patterns during physical activity

ObjectiveLatent class modeling (LCM) offers a promising approach for examining correlates of heart rate (HR) patterns over multiple exercise sessions. This research examined biological and psychological variables associated with different patterns of HR response to physical activity (PA).MethodsIn a three-arm randomized controlled trial (exercise video games vs. standard exercise vs. non-exercise control), HR was recorded during PA sessions over a 12-week period. LCM identified three patterns of HR during PA across 189 participants in active arms: 1) high HR across sessions with low variability within sessions, 2) linear increase in HR across sessions with low variability within sessions, and 3) high variability in HR across all sessions. Associations with biological (resting heart rate, blood pressure, BMI, age, cholesterol, triglycerides, HbA1c) and psychological (depression, motivations for PA, PA-induced feelings) predictors of latent class membership were iteratively tested.ResultsPsychological variables played as important a role in the final model as biological variables for predicting latent class membership. Few differences were found between LC1 and LC2, but LC3 differed from the other two groups in that participants were likelier to report that they feel revitalized after PA (vs. LC1 and LC2), to be less motivated for PA (vs. LC1), reported greater depression (vs. LC1 and LC2), and were younger (vs. LC1).ConclusionsThese findings demonstrate the potential of LCM to identify biological and psychological factors associated with chronotropic responses to PA, and advance understanding of the role of psychological factors in chronotropic PA outcomes.     

Attentional focus effects on joint covariation in a reaching task

Adopting an external focus of attention (EF) has been found beneficial over internal focus (IF) for performing motor skills. Previous studies primarily examined focus of attention (FOA) effects on performance outcomes (such as error and accuracy), with relatively less emphasis on movement coordination. Given that human movements are kinematically and kinetically abundant (Gefland & Latash, 1998), FOA instructions may change how motor abundance is utilized by the CNS. This study applied the uncontrolled manifold analysis (UCM) to address this question in a reaching task. Healthy young adults (N = 38; 22 ± 1 yr; 7 men, 31 women) performed planar reaching movements to a target using either the dominant or nondominant arm under two different FOA instructions: EF and IF. Reaching was performed without online visual feedback and at a preferred pace. Joint angles of the clavicle-scapula, shoulder, elbow, and wrist were recorded, and their covariation for controlling dowel endpoint position was analyzed via UCM. As expected, IF led to a higher mean radial error than EF, driven by increases in aiming bias and variability. Consistent with this result, the UCM analysis showed that IF led to higher goal-relevant variance among the joints (V_ORT) compared to EF starting from the first 20% of the reach to the end. However, the goal-irrelevant variance (V_UCM)—index of joint variance that does not affect the end-effector position—did not show FOA effects. The index of stability of joint coordination with respect to endpoint position (ΔV) was also not different between the EF and IF. Consistent with the constrained action hypothesis, these results provide evidence that IF disrupted goal-relevant joint covariation starting in the early phases of the reach without affecting goal-irrelevant coordination.     

Verbal and practical intelligence in general anxiety,obsessive compulsive and major depression disorders

IntroductionPrevious researches have shown that anxiety symptoms are negatively associated with measures of intelligence. However, recent findings indicate possible positive relationships between Generalized Anxiety Disorders (GAD) and intelligence. Also, Obsessive Compulsive Disorder (OCD) is associated with a moderate degree of underperformance on cognitive tests, including deficient processing. There are inconsistent results to present the relationship between Major Depression Disorder (MDD) and IQ. The present study has three main aims. The first aim of this study is to investigate the difference between IQ in individuals with GAD, OCD and major depressive disorder, and normal group. The second purpose is to perform a comparative study between the GAD, OCD and MDD groups on verbal and non-verbal intelligence. The third aim of this study is to examine the relationships between GAD, OCD and MDD as well as their underlying cognitive processes, including worry, rumination, and post-event processing, with verbal and non-verbal intelligence.ObjectiveThe present study is performed on four groups of participants including those with GAD, OCD, MDD and Healthy Volunteer (HV) group consisting of individuals without psychiatric disorders.MethodThe number of 50 healthy volunteers as the control group, 45 patients with GAD, 20 patients with OCD and 25 patients with MDD (n = 140) were selected as the case-referent groups. The present study was a cross-sectional type and the research was performed based on the causal-comparative method. Verbal and non-verbal intelligence was measured with the Wechsler Adult Intelligence Scale-3rd edition (WAIS-III). Rumination and post-event processing were measured by PSWQ, RRS-BR, and PEPQ, respectively.ResultsThe results indicate that Verbal Intelligence and Verbal Comprehension Index in GAD patients have significant differences in comparison to the OCD, MDD and control groups. While, the value of the Working Memory Index (WMI) in the normal group is higher than the value of the same index in the GAD, OCD and MDD groups. Also, the values of the Processing Speed Index (PSI) in normal and GAD groups are higher than the OCD and MDD groups. The worry, rumination, and post-event processing in patients with GAD are positively correlated with general and verbal intelligence. But, verbal and non-verbal intelligence had a negative correlation with worry, rumination and post-event processing in healthy volunteers.ConclusionInvestigation of the possible connections between intelligence and the cognitive processes underlying emotional disorders can provide therapeutic strategies for smart individuals who are at risk for GAD.     

Testing attitudes,social desirability and behavioral regulations as moderators of implicit-explicit exercise discrepancies: A replication study in Iranian students

IntroductionThere is mixed evidence regarding moderators of the relationship between implicitly and explicitly measured constructs. This study examined this issue with evaluations of exercise relative to health or appearance in a sample of Iranian adolescents. Investigaing automatic associations and reflective constructs might provide important implications for developing interventions targeting exercise behavior in a population with different cultural, social, and economic barriers to exercise than European or North American adolescents.MethodsParticipants were 471 students enrolled in grades 9 to 12, of whom 269 (54.9%) were female. Behavioral regulations, explicit attitudes, and social desirability were investigated as possible moderators. All students completed questionnaire measures of physical activity behavior, attitudes, social desieality and behavioral regulation. They also completed two Go/No Go Association tasks to measure automatic associations of exercise with health and apperarance.ResultsAttitude was a significant moderator of discrepancies between automatic associations of exercise with health and health motives. Interjected regulation moderated implicit-explicit appearance discrepancies. Participants with low social desirability and negative automatic appearance associations had the highest appearance motivation.ConclusionsParticipants focused on the potential of achieving positive health outcomes of exercise rather than physical appearance outcomes, which differs from research from other countries. It is possible that, health was strongly linked with exercise by the pervasive societal pressures in Iran to have a healthy body.     

‘On-the ground’ strategy matrix for fostering quality participation experiences among persons with disabilities in community-based exercise programs

ObjectiveThe purposes of this paper are to (1) document the generation and refinement of a quality participation strategy list to ensure resonance and applicability within community-based exercise programs (CBEPs) for persons with physical and intellectual disabilities, and (2) identify theoretical links between strategies and the quality participation constructs.MethodsTo address purpose one, a list of strategies to foster quality participation among members was extracted from qualitative interviews with providers from nine CBEPs serving persons with physical disabilities. Next, providers from CBEPs serving persons with physical (n = 9) and intellectual disabilities (n = 6) were asked to identify the strategies used, and examples of their implementation, within their programs. Additional strategies noted by providers and in recent published syntheses were added to the preliminary list. A re-categorization and revision process was conducted. To address purpose two, 22 researchers with expertise in physical and/or intellectual disability, physical activity, participation and/or health behaviour change theory completed a closed-sort task to theoretically link each strategy to the constructs of quality participation.ResultsThe final list of 85 strategies is presented in a matrix. Each strategy has explicit examples and proposed theoretical links to the constructs of quality participation.ConclusionsThe strategy matrix offers a theoretically-meaningful representation of how quality participation-enhancing strategies can be practically implemented “on-the-ground” in CBEPs for persons with disabilities.     

Regulate to facilitate: A scoping review of prefrontal asymmetry in sport and exercise

BackgroundPrefrontal asymmetry (PFA) describes the relative activity of the right PFC compared to the left PFC. It has been shown that PFA is associated with affective and motivational variables in several contexts, including sport and exercise. Considering the significant roles of affect and motivation in different performance settings, PFA might also be an important indicator of athletic performance. However, the relevance of PFA in the sport and exercise setting has not yet been addressed in its entirety. Instead, previous systematic reviews have solely focused on affective variables. Mapping out the complex interactions between PFA and affective, motivational as well as performance variables could help to understand what determines successful athletic performance as well as the positive psychological effects associated with exercise.ApproachScientific databases were searched for quantitative studies in English language published in international peer-reviewed journals. All 27 selected studies assessed physical activity and measured PFA in the brain locations F4-F3 and/or F8-F7 using electroencephalography.FindingsThe majority of the studies used a non-athlete sample (78%) and exercise types were diverse. While all studies focused on affective or motivational processes, 19% also reported associations with performance. Even though findings are inconsistent, they support the assumption that PFA plays a role in self-regulation.ConclusionThere is evidence for an involvement of PFA in affective, motivational and performance processes in the sport and exercise setting that can be interpreted as regulatory mechanisms. Future research on the underlying mechanisms is warranted, in particular, associations with motivational processes and performance need to be investigated more explicitly.     

Additional effects of a cognitive task on dual-task training to reduce dual-task interference

ObjectiveWhen we perform dual-tasks in daily life, task performance is generally reduced. As these reductions in performance (i.e., dual-task interference) are responsible for various accidents such as falls, the repeated practice of dual-task (i.e., dual-task training) is often implemented to reduce dual-task interference. However, the risk of various accidents increases with longer dual-task training, as dual-task interference cannot be avoided. Therefore, it is important to achieve training goals more rapidly during dual-task training. This study sought to determine whether a combination of dual-task training and cognitive tasks would accelerate training effects.DesignThe experimental design included four groups: 1) cognitive task training group, 2) dual-task training group, 3) cognitive task and dual-task training group, and 4) non training group.MethodWe assessed single- and dual-task performance before and after the 2-week training sessions. We adopted a dual-task involving knee extension and an auditory reaction, and used N-back task as a cognitive task. On the other hand, dual-task training was the same method to assess dual-task performance.ResultDual-task interference was reduced in all groups in both the tasks. However, the number of participants in the cognitive task and dual-task training group who achieved a reduction in dual-task cost was significantly higher than those in other groups.ConclusionThese findings could contribute to the development of an effective method for reducing dual-task interference and resolving issues caused by dual-task interference in daily life.     

Coordination tending towards an anti-phase relationship determines greater sway reduction during entrainment with a simulated partner

The increased risk of falls in the older aged population demands the development of assistive robotic devices capable of effective balance support. For the development and increased user acceptance of such devices, which provide balance support in a human-like way, it is important to understand the simultaneous occurrence of entrainment and sway reduction in human-human interaction. However, sway reduction has not been observed yet during a human touching an external, continuously moving reference, which rather increased human body sway. Therefore, we investigated in 15 healthy young adults (27.20±3.55 years, 6 females) how different simulated sway-responsive interaction partners with different coupling modes affect sway entrainment, sway reduction and relative interpersonal coordination, as well as how these human behaviours differ depending on the individual body schema accuracy. For this, participants were lightly touching a haptic device that either played back an average pre-recorded sway trajectory (“Playback”) or moved based on the sway trajectory simulated by a single-inverted pendulum model with either a positive (Attractor) or negative (Repulsor) coupling to participant's body sway. We found that body sway reduced not only during the Repulsor-interaction, but also during the Playback-interaction. These interactions also showed a relative interpersonal coordination tending more towards an anti-phase relationship, especially the Repulsor. Moreover, the Repulsor led to the strongest sway entrainment. Finally, a better body schema contributed to a reduced body sway in both the “reliable” Repulsor and the “less reliable” Attractor mode. Consequently, a relative interpersonal coordination tending more towards an anti-phase relationship and an accurate body schema are important to facilitate sway reduction.     

Using targeted visceroception to improve interoceptive sensibility and emotion regulation

Focusing on one's body can improve the awareness and regulation of emotion. Interoception – sensing the physiological condition of the body, particularly of the viscera – appears to play an important role. While the majority of previous research studies have examined interoceptive sensitivity (i.e., detection of objectively measurable physiological changes), there has been relatively limited investigation of interoceptive sensibility (i.e., subjective awareness of those changes), and even fewer studies permitting causal conclusions. The current study is part of a randomised controlled trial on visceroception in the context of emotion regulation, using an 8-week intervention involving focused attention on either cardiac or gastrointestinal activity. Group differences in emotion regulation and reactivity were assessed using the Multidimensional Assessment of Interoceptive Awareness (MAIA), the Difficulties in Emotion Regulation Scale, and the Emotion Reactivity Scale (ERS). The findings suggest that focussed attention on gastrointestinal activity (i.e., gastroception), in particular, improves interoceptive sensibility and emotion regulation, as evidenced by increases on the MAIA's Noticing, Body Listening, and Self-regulation subscales, and decreases on the Arousal subscale of the ERS. Gastroception may make distinct contributions to the benefits of body focus in a research context where the gut is often overlooked.     

Achievement goal orientations and motivational outcomes in youth sport: The role of social orientations

ObjectivesSocial goal orientations, which reflect ways of conceptualizing competence in terms of social relationships with others, have been researched minimally in the physical domain. While the relationship between task and ego orientations and motivational outcomes has been well-studied, the link of friendship, group acceptance, and coach praise orientations with enjoyment, perceived physical competence, and intrinsic motivation warrants further study.MethodMale and female middle-school students (N = 303) completed questionnaires assessing task, ego, coach praise, friendship, and group acceptance orientations; enjoyment; perceived physical competence; and motivation. Two approaches to data analysis (variable-centered, person-centered) examined whether social orientations were significantly related to motivational outcomes among adolescents.ResultsVariable-centered analysis (i.e., canonical correlation) showed that social orientations were related to enjoyment, perceived physical competence, and intrinsic motivation. Person-centered analyses (i.e., cluster analysis, MANOVA) classified participants with similar patterns of goal orientations and then compared the emergent groups on motivational outcomes. Participants who defined success using either higher task, ego, and social goal orientations or higher friendship and lower ego orientations reported the most adaptive responses (higher perceived competence, enjoyment, and intrinsic motivation).ConclusionsSocial orientations in sport are important to consider alongside task and ego orientations in research stemming from achievement goal theory. Defining success or competence in terms of social relationships can have positive motivational benefits in sport.     

Why do new members stop attending health and fitness venues? The importance of developing frequent and stable attendance behaviour

ObjectivesAttendance at health and fitness venues often declines dramatically during the first year of membership. The present study sought to identify factors associated with continued attendance in new members.MethodsA secondary data analysis was conducted on the attendance data of 1726 new members of a health and fitness organisation over the first 12 months of their membership. Associations were assessed between members’ frequency and pattern of attendance during the first quarter of their membership, age, gender, and home location and their attendance levels in the fourth quarter after joining.ResultsThere was a significant reduction in the frequency of attendance over time from a mean of 7.48 times in the first month to a mean of 0.92 in the 12th month after joining. Older age, starting membership in the autumn or spring, frequency of attendance in the first quarter and stability of the context of attendance (i.e., same time and location) in month three were all significantly associated with increased attendance levels in the fourth quarter.ConclusionsThe findings indicate that new members’ early attendance behaviour, in terms of the frequency and the stability of attendance, may be important for supporting continued attendance at health and fitness venues. Interventions to increase longer-term attendance and, in turn, physical activity, should focus on promoting regular and consistent attendance, especially in terms of day, time and location, early on in individuals’ membership of health and fitness venues.     

Factors affecting perceived safety and enjoyment based on driver experience

A positive driving experience, especially for older drivers, increases the attention to the emotional dimensions of driving, such as the driver’s perceived safety. Therefore, this study empirically presents factors affecting driver experience and compares them between older and younger drivers. Consequently, we conducted a face-to-face survey on elderly and young drivers and analyzed the data of 246 drivers using structural equation modeling. The analysis presented measurements and structural model evaluations. Considering the analysis, it was found that driving-related information and car-exterior context affect the perceived safety and enjoyment of a driver’s experience. Additionally, car-exterior context exerts a greater influence on the perceived safety and enjoyment of the elderly drivers’ group than the young drivers’ group. The results of this study will empirically contribute to the satisfaction of driver experience and perceived safety improvement in the future. It also provides a basis for the development of driving interfaces to improve the quality of the driving experience of the elderly.