California was the first state to legislate a Safe Routes to School (SR2S) program under Assembly Bill 1475 (1999). SR2S funds construction projects that make it safer for children to walk or bicycle to school and encourages a greater number of children to choose these modes of travel for the school commute. The main goal of this project was to assess the long-term impact of program-funded engineering modifications on walking and bicycling levels and safety. Improvements were evaluated with a targeted method to determine the countermeasures that resulted in safety and mode shift. The major results indicated that the safety of pedestrians increased within 250 ft of an infrastructure improvement, such as a sidewalk. There was also evidence of mode shift near improvements. Positive results for safety and mobility, as well as improved data collection for funded programs, should make SR2S programs competitive among other transportation needs.
Occupational therapy in palliative care aims to help patients achieve their optimum independence in activities that are important to them. The specific functional difficulties may include extreme fatigue, anxiety and shortness of breath due to advanced disease including metastatic spinal cord compression, fractures, or peripheral neuropathies. Patients may have problems with cognition and perception, body image, life role, and spiritual issues as well as physical disabilities. This chapter describes the broad range of areas in which the occupational therapist works in palliative care together with the interprofessional team. They take a key role in organizing and facilitating safe discharge and care at home, with the aim of achieving best quality of life and avoiding re-admission to hospital wherever possible. The occupational therapist analyses and assesses specific problems and provides a treatment programme or solution to help the patient remain as independent as possible, using clinical reasoning and evidence-based practice.
The purpose of this study was to provide an exploratory analysis of the proportion of pedestrians, bicyclists, and drivers exhibiting four specific behaviors at 12 intersections near transit stations in the San Francisco Bay Area of California. Those target behaviors were (a) pedestrians crossing a roadway while using a mobile device, such as a cell phone; (b) pedestrians crossing a signalized intersection against a red light; (c) bicyclists running a red light at a signalized intersection; and (d) automobiles turning right on red without stopping. Those four behaviors are important because they may lead to pedestrian crashes. Overall, 8% of pedestrians used mobile devices while crossing, but the proportion ranged from less than 3% to more than 18% at specific study sites. At some locations, fewer than 3% of nonmotorized road users violated red lights, whereas approximately 70% did at other sites. The percentage of motorists turning right on red without stopping ranged from zero to more than 70%. Female pedestrians were more likely than were males to talk on mobile devices while crossing a street, but males were more likely to violate traffic signals while walking or bicycling. However, these observations did not control for differences in gender and other characteristics at sites. As pedestrian and bicycle mode shares increase, it will be essential for all users to understand their rights and responsibilities in the environment of the roadway. The documentation of behaviors helps provide a foundation for engineering, education, enforcement, and encouragement countermeasures that will improve safety for pedestrians and other roadway users.
The size of the aging population in the United States is increasing, and transportation is critical to maintaining older adults mobility, independence, and quality of life. Travel training programs designed to increase individual knowledge are one way to encourage older adult use of fixedroute transit and improve the transportation options for older adults. The analysis conducted in this paper explores characteristics of travel-training participants in Alameda County, California in 2007-2008 and their knowledge and concerns regarding public transit. Specific issues addressed include transit habits, degree of increase in knowledge after participating in the training, and factors that predict training participation. Participants in this study represent a diverse group of older adults with a broad range of transportation experience and knowledge. After participation in the travel training course, participants showed an increase in knowledge of local public transit and how to access transit information independently. The study identifies currently driving as a predictive positive predictive factor for participating in the travel training course. Future travel training courses should make efforts to recruit current drivers who may wish to plan for their future mobility needs by becoming more familiar with public transit options. TRB 2009 Annual Meeting CD-ROMPaper revised from original submittal.
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