Linking people and activities through community mobility : an international comparison of the mobility patterns of older drivers and non-drivers
- Unsworth, Carolyn, Dickerson, Anne, Gélinas, Isabelle, Harries, Priscilla, Margot-Cattin, Isabel, Mazer, Barbara, Stapleton, Tadhg, Swanepoel, Lizette, Timmer, Amanda, Niekerk, Lana, Vrkljan, Brenda
- Authors: Unsworth, Carolyn , Dickerson, Anne , Gélinas, Isabelle , Harries, Priscilla , Margot-Cattin, Isabel , Mazer, Barbara , Stapleton, Tadhg , Swanepoel, Lizette , Timmer, Amanda , Niekerk, Lana , Vrkljan, Brenda
- Date: 2022
- Type: Text , Journal article
- Relation: Ageing and Society Vol. 42, no. 8 (2022), p. 1938-1963
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- Description: Community mobility using private and public transportation is important for maintaining health, social participation and living well in later life. This international cross-sectional cohort study (N = 246) reported on the health and driving status of older adults from seven countries where the mobility patterns of drivers and non-drivers were compared in terms of city and rural areas, weather, as well as their respective differences in the number of out-of-home places accessed and quality of life. Older adults participated in a semi-structured interview and completed four standardised instruments: the EQ-5D-5L, modified PULSES health profile, modified Transportation Questionnaire, and the Transport - Participation in Activities and Places Outside the Home. Results suggested inclement weather and place of residence negatively impacted out-of-home activities but did not increase use of public transportation. Drivers accessed more out-of-home activities than non-drivers, suggesting higher community participation among this group, and quality of life was generally high among all participants, but slightly higher for drivers. Findings indicate that a complex myriad of factors can influence community mobility in older adults and further investigations are needed to understand patterns of transport in later life, particularly with regard to those factors that promote and maintain transport mobility, and relationships between transport mobility, community participation and quality of life. Copyright © The Author(s), 2021. Published by Cambridge University Press.
- Authors: Unsworth, Carolyn , Dickerson, Anne , Gélinas, Isabelle , Harries, Priscilla , Margot-Cattin, Isabel , Mazer, Barbara , Stapleton, Tadhg , Swanepoel, Lizette , Timmer, Amanda , Niekerk, Lana , Vrkljan, Brenda
- Date: 2022
- Type: Text , Journal article
- Relation: Ageing and Society Vol. 42, no. 8 (2022), p. 1938-1963
- Full Text:
- Reviewed:
- Description: Community mobility using private and public transportation is important for maintaining health, social participation and living well in later life. This international cross-sectional cohort study (N = 246) reported on the health and driving status of older adults from seven countries where the mobility patterns of drivers and non-drivers were compared in terms of city and rural areas, weather, as well as their respective differences in the number of out-of-home places accessed and quality of life. Older adults participated in a semi-structured interview and completed four standardised instruments: the EQ-5D-5L, modified PULSES health profile, modified Transportation Questionnaire, and the Transport - Participation in Activities and Places Outside the Home. Results suggested inclement weather and place of residence negatively impacted out-of-home activities but did not increase use of public transportation. Drivers accessed more out-of-home activities than non-drivers, suggesting higher community participation among this group, and quality of life was generally high among all participants, but slightly higher for drivers. Findings indicate that a complex myriad of factors can influence community mobility in older adults and further investigations are needed to understand patterns of transport in later life, particularly with regard to those factors that promote and maintain transport mobility, and relationships between transport mobility, community participation and quality of life. Copyright © The Author(s), 2021. Published by Cambridge University Press.
A systematic review of effective interventions and strategies to support the transition of older adults from driving to driving retirement/cessation
- Dickerson, Anne, Stapleton, Tadhg, Bloss, Jamie, Géinas, Isabelle, Harries, Priscilla, Choi, Moon, Margot-Cattin, Isabel, Mazer, Barbara, Patomella, Anne-Helen, Swanepoel, Lizette, Van Niekerk, Lana, Unsworth, Carolyn, Vrkljan, Brenda
- Authors: Dickerson, Anne , Stapleton, Tadhg , Bloss, Jamie , Géinas, Isabelle , Harries, Priscilla , Choi, Moon , Margot-Cattin, Isabel , Mazer, Barbara , Patomella, Anne-Helen , Swanepoel, Lizette , Van Niekerk, Lana , Unsworth, Carolyn , Vrkljan, Brenda
- Date: 2024
- Type: Text , Journal article , Review
- Relation: Innovation in Aging Vol. 8, no. 6 (2024), p.
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- Description: Background and Objectives: In most western countries, older adults depend on private cars for transportation and do not proactively plan for driving cessation. The objective of this review was to examine current research studies outlining effective interventions and strategies to assist older adults during their transition from driver to driving retirement or cessation. Research Design and Methods: A search was completed across 9 databases using key words and MeSH terms for drivers, cessation of driving, and older adult drivers. Eligibility screening of 9,807 titles and abstracts, followed by a detailed screening of 206 papers, was completed using the Covidence platform. Twelve papers were selected for full-text screen and data extraction, comprising 3 papers with evidence-based intervention programs and 9 papers with evidence-informed strategies. Results: Three papers met the research criteria of a controlled study for programs that support and facilitate driving cessation for older adults. Nine additional studies were exploratory or descriptive, which outlined strategies that could support older drivers, their families, and/or healthcare professionals during this transition. Driving retirement programs/toolkits are also presented. Discussion and Implications: The driver retirement programs had promising results, but there were methodological weaknesses within the studies. Strategies extracted contributed to 6 themes: Reluctance and avoidance of the topic, multiple stakeholder involvement is important, taking proactive approach is critical, refocus the process away from assessment to proactive planning, collaborative approach to enable “ownership” of the decision is needed, and engage in planning alternative transportation should be the end result. Meeting the transportation needs of older adults will be essential to support aging in place, out-of-home mobility, and participation, particularly in developed countries where there is such a high dependency on private motor vehicles. © The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America.
- Authors: Dickerson, Anne , Stapleton, Tadhg , Bloss, Jamie , Géinas, Isabelle , Harries, Priscilla , Choi, Moon , Margot-Cattin, Isabel , Mazer, Barbara , Patomella, Anne-Helen , Swanepoel, Lizette , Van Niekerk, Lana , Unsworth, Carolyn , Vrkljan, Brenda
- Date: 2024
- Type: Text , Journal article , Review
- Relation: Innovation in Aging Vol. 8, no. 6 (2024), p.
- Full Text:
- Reviewed:
- Description: Background and Objectives: In most western countries, older adults depend on private cars for transportation and do not proactively plan for driving cessation. The objective of this review was to examine current research studies outlining effective interventions and strategies to assist older adults during their transition from driver to driving retirement or cessation. Research Design and Methods: A search was completed across 9 databases using key words and MeSH terms for drivers, cessation of driving, and older adult drivers. Eligibility screening of 9,807 titles and abstracts, followed by a detailed screening of 206 papers, was completed using the Covidence platform. Twelve papers were selected for full-text screen and data extraction, comprising 3 papers with evidence-based intervention programs and 9 papers with evidence-informed strategies. Results: Three papers met the research criteria of a controlled study for programs that support and facilitate driving cessation for older adults. Nine additional studies were exploratory or descriptive, which outlined strategies that could support older drivers, their families, and/or healthcare professionals during this transition. Driving retirement programs/toolkits are also presented. Discussion and Implications: The driver retirement programs had promising results, but there were methodological weaknesses within the studies. Strategies extracted contributed to 6 themes: Reluctance and avoidance of the topic, multiple stakeholder involvement is important, taking proactive approach is critical, refocus the process away from assessment to proactive planning, collaborative approach to enable “ownership” of the decision is needed, and engage in planning alternative transportation should be the end result. Meeting the transportation needs of older adults will be essential to support aging in place, out-of-home mobility, and participation, particularly in developed countries where there is such a high dependency on private motor vehicles. © The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America.
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