The Older Driver in Oregon


Book Description

In a study of older adults and their travel patterns in Oregon, a statewide mail survey and telephone interviews were conducted with older drivers and older adults who had voluntarily chosen to stop driving. The purpose of the study was to determine: (1) the factors that influence driving cessation; (2) the physical and emotional barriers that delay driving cessation; (3) what opportunities exist for alternative transportation after driving cessation; (4) whether drivers make relocation decisions on the basis of driving cessation; (5) the warning signs that make a driver stop driving; and (6) whether a crisis situation generally forces a driver to stop driving. Completed mail surveys included those from 342 respondents who were current drivers (184 urban and 141 rural, plus 17 who did not report whether they lived in an urban or rural area) and 158 respondents who had voluntarily ceased driving (110 urban and 37 rural, plus 11 who did not report their urban/rural status). Telephone interviews were completed with 33 urban drivers, 36 rural drivers, 25 urban ceasers, and 6 rural ceasers. Changes in driving patterns, occurred gradually and late, mostly for respondents in their late 70's or early 80's. Among the results of the study was the finding that those most likely to have chosen to stop driving were older, depressed females in poorer health who were living in senior housing, using alternative transportation when available, making fewer trips, and seeing fewer limitations associated with using alternative transportation. Relocation to improve access to transportation alternatives was not seen by most respondents as a viable option. Because this study was a cross-sectional, not longitudinal, analysis, it was not possible to determine causality (e.g., to know whether people became depressed as a result of ceasing to drive or being depressed led them to cease driving, or to know whether poor health was the result or cause of driving cessation). Additional research is needed to establish causality, ideally following groups of individuals in particular age cohorts over time, including individuals forced to stop driving through the Medically-At-Risk Program. Such research would enable better understanding of the factors affecting driving decisions and the effects of those decisions, and help to signal possible strategies to implement to encourage the use of alternative transportation.










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.










Transportation in an Aging Society


Book Description




Clinical Neurology of the Older Adult


Book Description

Now in its Second Edition, this text is the most up-to-date reference on the evaluation and treatment of neurologic problems in older adults. The book is organized so that clinicians can quickly look up either a patient's symptom(s) or a disease, and includes medication charts and diagnostic algorithms. Psychosocial issues such as driving and long-term care options are also addressed. This edition has more information on EMG, evoked potentials, other clinical neurophysiologic procedures, brain imaging, PET scans for dementia screening, and functional imaging in patients with cognitive changes. Updated information on new antiparkinsonian agents and paraneoplastic syndromes is also included.




Aging America and Transportation


Book Description

"Recommended."--CHOICE: Current Reviews for Academic Libraries "Coughlin and DíAmbrosioís edited volume is a welcome contribution to highlighting this issue for gerontologists. The collection is an informative and useful reference for students, researchers, practitioners, planners, and policy analysts"--The Gerontologist This solution-focused volume fills a gap in the literature by addressing the key issues around mobility and transportation for the aging Baby Boomer generation--issues that will be significantly different than those of previous generations of older adults. This new generation, many of whom will continue to work past the traditional retirement age and expect to pursue an active lifestyle, may have to confront new transportation technology, the need to use public transportation, and ways to continue driving safely as their eyesight fades and reaction time slows down. This volume examines many of the issues faced by policymakers, transportation officials, vehicle manufacturers, health and human services professionals, and aging adults themselves as the largest generation prepares to enter late adulthood. The volume's editors are both at the MIT AgeLab, whose multi-disciplinary team designs, develops and deploys innovations to enhance quality of life for aging populations. Through the contributions of a diverse group of theorists and practitioners, including recommendations from the National Older Driver Safety Advisory Council, a collaboration between AARP's Driver Safety Program and the MIT AgeLab, the book discusses several key topics pertinent to Aging America and transportation. Among them are the changing demographics of the population, how this generation's lifestyle choices affect mobility, technology trends in private vehicles, changes in the infrastructure and transportation system, the "new" older driver, and issues of safety and education among older drivers. This book also explores practical solutions and strategies, such as new transportation options and innovations that will significantly impact the future of mobility for older adults, for keeping these seniors active and mobile well into their later years. Key Features: Focuses on the unique mobility needs of the aging Baby Boomer generation Provides practical solutions and strategies for policy changes to enhance the mobility of older adults Examines issues faced by policymakers, transportation officials, vehicle manufacturers, health and human services professionals, and aging adults Discusses strategies for updating the infrastructure and transportation system, driving safety education for older drivers, and trends in private vehicle innovations




Women in Science: Aging and Public Health 2022


Book Description

The demographics of aging –whether differences in life expectancy or shouldering the burden of care for our aging populations—reflect that aging is indeed a women’s issue. In the field of Aging and Public Health, there are many highly influential and successful women who are contributing to the field and tackling important questions about risk factors for successful aging as well intervention strategies for promoting health and quality of life across the life-course.