Longitudinal use and factors associated with public transport and other travel options for older people with an intellectual disability in Ireland

Abstract

Background Transport is an important basis for social participation. Challenges to accessing and using transport for people with intellectual disabilities increase their risk of exclusion and loneliness. Method Data from a nationally representative study of older people with intellectual disabilities (n = 708) were used to examine longitudinal changes in transport usage and factors associated with using public transport and other travel options. Results Findings confirmed that this population depends on others for transportation. The most frequently used mode, staff‐supported transport, showed no significant longitudinal change. Public transport was secondary, with only moderate continued use between data collection points. Level of intellectual disability most strongly predicted public transport use, while community residence most strongly predicted using public transport to attend work or day programmes. Conclusions Transport usage is associated with demand and supply factors linked to the person's environment, including having somewhere to go that requires transport and availability of transport options.

Aging, Community-Based Employment, Mobility Impairment, and Retirement: National Core Indicators–Adult Consumer Survey Data

“…Causes of retirement, such as health changes (including age-related mobility impairment), precede effects on outcomes such as employment and retirement. Future longitudinal research on age, mobility, transportation, employment, and retirement could evaluate whether changes in mobility are followed by changes in transportation to work, or by (premature) retirement (McCausland et al, 2019). Examination of the nature of work tasks and workplace accommodations (Anand & Senak, 2017; Tompa et al, 2015) could determine how they influence workplace participation and retirement.…”

“…Across disability types, access to transportation, physical location, and travel requirements were noted as major considerations in finding and keeping employment (Graham, Inge, Wehman, Seward, & Bogenschutz, 2018). McCausland, Stancliffe, McCallion, and McCarron (2019) reported that older people with IDD in Ireland mostly used transportation provided by disability staff to attend work or day programs, with a minority traveling independently using public transportation. Those working in community employment were more likely to use public transportation than people involved in segregated employment or day programs (McCausland et al, 2019).…”

“…McCausland, Stancliffe, McCallion, and McCarron (2019) reported that older people with IDD in Ireland mostly used transportation provided by disability staff to attend work or day programs, with a minority traveling independently using public transportation. Those working in community employment were more likely to use public transportation than people involved in segregated employment or day programs (McCausland et al, 2019). Public transportation use is more difficult for people with a mobility impairment, so age-related mobility problems may affect travel to work, especially for community employment.…”

Nature and extent of intellectual disability nursing research in Ireland: a scoping review to inform health and health service research

“…Human rights and housing policy 53 Human rights and citizenship of older adults 54 Physical restraint interventions 55 Community living Transition to community 49 56 57 Public transport 58 Community participation 59 Deinstitutionalisation 60 Place of residence 61 Employment Employment and occupational outcomes 62 Employment issues 63 Decision making Parental decision making 64 The right of choice 65 Making choices [66][67][68] Measuring choice 69 70 A review on ageing 71 Needs of ageing people 72 Support the person who is frail 73 Dementia care Advance care planning for end of life 74 Multidisciplinary specialist teams and dementia clinics 75 Education 76 Research investment to enable identification and quality care provision 77 Developing a model of key indicators for future care 78 Advanced dementia care 79…”

Navigating Landscapes for Digital Innovation: A Nordic Government Agency Case

“…In addition, people with intellectual disabilities are hindered by unsupportive networks and communities (Friedman and Rizzolo, 2016;Mechling and O'Brien, 2010) and at the same time they need to rely on others for their transportation needs (Price et al, 2018). These aspects along with inadequate training (Friedman and Rizzolo, 2016) and the lack of driver's license (McCausland, Stancliffe, McCallion, McCarron, 2019), result in a dependence on special transport. Studies show that transportation is one of the largest barriers to achieve independence, employment, and social inclusion (Dymond, 2011;World Health Organization, 2001).…”