Transportation and Aging: An Updated Research Agenda for Advancing Safe Mobility

Dickerson, Anne E.; Molnar, Lisa J.; Bédard, Michel; Eby, David W.; Classen, Sherrilene; Polgar, Janice M.

doi:10.1177/0733464817739154

Cited by 41 publications

(25 citation statements)

References 62 publications

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“…However, current older drivers in car-dependent countries are largely unfamiliar with any transport alternatives and this makes adaption difficult. Public transport can be made more attractive to older people, but it needs to be available, accessible, acceptable, affordable, and adaptable (Kerschner & Harris, 2007), and volunteer driving services could also fill in gaps if well-organized (Dickerson et al, 2019). Family members are asking for identifiable community-level services that can provide reliable advice and support.…”

Section: Discussionmentioning

confidence: 99%

Older Drivers and Their Future Mobility: Views and Involvement of Their Adult Children

2019

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In car-dependent societies like New Zealand, getting the right balance between mobility and safety could improve outcomes for older people but will require changes to policy and practice. Driving cessation is a major life transition with many impacts, and adult children are frequently involved in both the transition to non-driving and maintaining mobility afterward. This cross-sectional study ( N = 675) sought perspectives of family members of drivers aged 65 or older enrolled in a longitudinal study. Most (94%) were adult children, two thirds were women, and 19% were moderately to extremely anxious about their parent’s driving. Loss of independence, driving’s role in identity, and reluctance to rely on family were recognized as important barriers to driving cessation. Most (80%) felt that families, as well as older drivers, would be adversely affected by driving cessation. Families identified accessible local information and services, alternative transport, and community-based programs for drivers and families as assistance most needed.

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Section: Discussionmentioning

confidence: 99%

Older Drivers and Their Future Mobility: Views and Involvement of Their Adult Children

2019

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“…The ability to drive safely improves active aging, promotes independence and helps elderly adults stay connected with those in their community . To drive safely, elderly drivers require normal vision and cognitive and physical functions .…”

Section: Introductionmentioning

confidence: 99%

Brake time is correlated with lower extremity strength, dynamic balance and low‐contrast sensitivity in unpredictable driving situations in elderly drivers compared with young drivers: A cross‐sectional study

Park

Bae

2020

Geriatrics Gerontology Int

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Aims To compare physical function, driving fitness and brake time of young and elderly drivers, and to identify the association of physical function and driving fitness with brake time in elderly drivers in predictable or unpredictable situations during driving. Methods This study included 86 participants (50 men and 36 women), comprising 52 elderly drivers (age: 72.44 years, weight: 60.39 kg, height: 158.06 cm) and 34 young drivers (age: 26.53 years, weight: 63.74 kg, height: 153.65 cm), with a valid driver's license who drive at least once a week. Physical function was measured as upper and lower body flexibility and strength, dynamic balance and aerobic endurance. Driving fitness was measured as high‐ and low‐contrast sensitivity, route planning, visualization of missing information, visual search with divided attention and visual information processing speed using the DrivingHealth® Inventory. Brake time and braking distance was evaluated as unpredictable and predictable driving situations. Results Measurements of all categories, except lower extremity flexibility, endurance and high‐contrast sensitivity, were significantly lower in elderly drivers than in young drivers. Brake time did not differ in predictable situations but was slower (P = 0.004) in elderly drivers in unpredictable situations. In elderly drivers, upper body strength (P = 0.036), dynamic balance (P < 0.001) and low‐contrast sensitivity (P = 0.003) were associated with brake time in unpredictable driving situations. Conclusions In unpredictable situations, slower brake time in elderly drivers is associated with lower limb muscle strength, agility and low‐contrast sensitivity. Therefore, for safe driving, these parameters should be considered as guidelines for maintaining the driving ability of elderly drivers and aging people. Geriatr Gerontol Int 2020; ••: ••–••.

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“…The educator customized the education, while preserving program fidelity, in line with growing consensus that complex interventions have greater potential for success if an agreed level of flexibility is permitted to tailor content to individual needs (Craig et al, 2008;Dickerson et al, 2017;Hawe et al, 2004;Oakley et al, 2006). Messages were tailored to meet current self-regulation practices of individual participants using the precaution adoption process model (PAPM; Neil D. Weinstein, Lyon, Sandman, & Cuite, 1998;N.…”

Section: Program Descriptionmentioning

confidence: 99%

Behind the Wheel: Process Evaluation of a Safe-Transport Program for Older Drivers Delivered in a Randomized Controlled Trial

et al. 2018

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This process evaluation explores relationships between program outcomes and intervention implementation in a trial evaluating “Behind the Wheel,” an education-based safe-transport program for older drivers. Participants (intervention group) were 190 Sydney drivers aged ⩾75 years ( M = 80 ± 4years). Process measures included fidelity, dose delivered, and received. Outcomes were self-reported driving regulation and objectively measured driving exposure. Relationships were explored using regression models. Older drivers who took ownership of driving retirement and self-regulation by developing plans were more likely to reduce their weekly driving, (β = 38 km, 95% confidence interval (CI) = [7.5,68.7]), and night driving (β = 7 km, 95% CI = [3.5, 10.4]). Drivers of older age (odds ratio [ OR] = 1.1/year older, 95% CI = [1.05, 1.3]) had greater odds of developing driving retirement plans. Female drivers ( OR = 2.7,95% CI = [1.1, 6.9]), drivers with poorer function ( OR = 1.2/5-point decrease on DriveSafe, 95% CI = [1.04, 1.4]), and worse health ( OR = 1.2/additional medication, 95% CI = [1.02, 1.5]) had greater odds of developing safe mobility plans. This program had greatest impact with older, lower functioning drivers. A stronger message was delivered and received, as intended, to older drivers with lower function and poorer health. Our logic model can help channel resources to drivers who benefit most.

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Transportation and Aging: An Updated Research Agenda for Advancing Safe Mobility

Cited by 41 publications

References 62 publications

Older Drivers and Their Future Mobility: Views and Involvement of Their Adult Children

Older Drivers and Their Future Mobility: Views and Involvement of Their Adult Children

Brake time is correlated with lower extremity strength, dynamic balance and low‐contrast sensitivity in unpredictable driving situations in elderly drivers compared with young drivers: A cross‐sectional study

Behind the Wheel: Process Evaluation of a Safe-Transport Program for Older Drivers Delivered in a Randomized Controlled Trial

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