Community Mobility


Book Description

Affordable, easy-to-use, and flexible transportation options are vital to older adults' quality of life. Community Mobility: Driving and Transportation Alternatives for Older Persons provides physical and occupational therapists with recent research findings on older driver assessment, remediation/rehabilitation, and the use of alternatives to the car in the event that older adults need to “retire” from driving. This unique book addresses changes in driving patterns over time, the impact of climate conditions on driving, mental and physical health issues, self-regulation by drivers, and driver safety. Community Mobility addresses changes in driving patterns over time, the impact of climate conditions on driving, mental and physical health issues, self-regulation by drivers, and driver safety. This unique book also includes summaries of recent consensus conferences held in the United States and Canada to determine the best approaches to therapist services and counseling. Community Mobility examines: the effect of alternative forms of transportation on drivers in declining mental and physical health safety interventions the relationship between chronic illness and an elderly driver’s “home range” road conditions versus driving patterns factors that can act as predictors in mobility patterns self-regulation and adaptation strategies effective remediation techniques a comprehensive driving evaluation (CDE) and much more! Community Mobility is an essential resource for anyone working with elderly drivers who face the loss of independence and the decreased access to social activities, medical services, and other basic needs that accompany “retirement” from the driver’s seat.




Working environment and work retention


Book Description

The project shows that the working environment is rarely the sole cause of early retirement, but working environment factors may explain a large fraction of the transition to disability pension in particular. Several working environment predictors of early retirement are well-documented in the Nordic countries, but workplace policies and activities to retain older workers rarely aim to improve the working environment. There may be great potentials in developing workplace interventions which combine prevention of working environment risk factors (e.g. risk factors for accidents, strenuous work/high physical work demands, insufficient recovery between work shifts, quantitative work demands, conflicts at work and bullying/harassment, and age discrimination) with increment of job satisfaction through increased control/influence, possibilities for development and recognition from management.




Selection, Optimization, and Compensation in the Self-Regulatory Driving Behaviors of Older Adults


Book Description

To combat declines in functioning, older drivers engage in selection, optimization, and compensation (SOC). Often these behaviors are either ineffective at reducing accidents or associated with negative outcomes such as depressed mood. The Compensatory Driving Behavior Scale was created to clarify self-regulatory driving behaviors related to this process. The scale yielded a five-component solution assessing Comfort, Vision Comfort, Frequency, Avoidance, and Difficulty Adapting associated with driving in challenging situations. These components demonstrated relationships with age, health, changes in driving abilities, extraversion, emotional stability, and external locus of control. Older drivers reported additional self-regulatory behaviors, including increasing attention, defensive driving, and increasing adherence to the laws. Reasons for these adaptations varied from age to concern for others. A re-conceptualization of the SOC model, focused on independence through driving rather than mobility, follows.







Regulating Older Drivers


Book Description

Are older drivers posing increasing risk to the public? If so, what public policies might mitigate that risk? Older drivers (those 65 and older) are slightly likelier than drivers aged 25 to 64 to cause an accident, but drivers aged 15 to 24 are nearly three times likelier than older drivers to do so. The authors of this paper conclude that stricter licensing policies targeting older drivers would likely not improve traffic safety substantially.




Perspectives and Strategies for Promoting Safe Transportation Among Older Adults


Book Description

Promoting Safe Transportation among Older Adults: Perspectives and Strategies provides a concise, comprehensive, and up-to-date resource on safe mobility for an aging population. The book offers an interdisciplinary perspective for understanding and influencing the behavior of older adults with regard to their safe transportation. It is organized around the professions and disciplines that have a stake in the safe transportation of older adults and the role they play at each stage of their mobility needs. The book also addresses the various strategies that have been used to help keep older adults safe and mobile. Readers will find great insights on key issues related to aging and mobility, giving them an overarching framework for how to maintain safe mobility into older adulthood. The book enables readers to understand the perspectives of the critical groups of people involved in keeping older people safe and explores existing strategies by which an aging individual can maintain safe mobility. Utilizes a multidisciplinary, evidence-based approach for examining the complexities of transportation for older adults Offers an integrated, overarching narrative for understanding the key issues of safety and mobility in our aging society Written by leading transportation and health scholars Offers insights into the perspectives of all the stakeholders, such as hands-on transportation and health practitioners, students of varying levels, researchers and policymakers




Self-regulatory Driving Behaviour, Perceived Abilities and Comfort Level of Older Drivers with Parkinson's Disease Compared to Age-matched Healthy Controls


Book Description

Introduction: Multiple studies have shown the symptoms of Parkinson's disease (PD) can impair driving performance. Studies have also found elevated crash rates in drivers with PD, however, none have controlled for exposure or amount of driving. Although a few studies have suggested that drivers with PD may self-regulate (e.g., by reducing exposure or avoiding challenging situations), findings were based on self-report data. Studies with healthy older drivers have shown that objective driving data is more accurate than self-estimates. Purposes: The primary objectives of this study were to examine whether drivers with PD restrict their driving (exposure and patterns) relative to an age-matched control group and explore possible reasons for such restrictions: trip purposes, perceptions of driving comfort and abilities, as well as depression, disease severity and symptoms associated with PD.