Implementation of municipal mobility support services for older people who have stopped driving in Japan

Arai, Asuna; Mizuno, Y.; Arai, Yasuhiko

doi:10.1016/j.puhe.2011.09.016

Cited by 11 publications

(16 citation statements)

References 29 publications

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“…It is hoped that this can facilitate discussion with patients and families and enhance a collaborative approach (O'Neill, 2010 ), between clinician, patient and family when discussing the process of continuing to and eventual cessation of driving. The use of the pathway as part of a driving pack will also serve to normalise the process of dealing with driving in the clinical setting, as an on-going aspect of management of the disease (Adler et al ., 2000a , 2000b ), and aid in addressing the issue of viable alternatives (Taylor and Tripodes, 2001 ; Arai et al ., 2011 ).…”

Section: Discussionmentioning

confidence: 99%

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Driving and dementia: a clinical decision pathway

Carter

Monaghan

O’Brien

et al. 2014

Int J Geriatr Psychiatry

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ObjectiveThis study aimed to develop a pathway to bring together current UK legislation, good clinical practice and appropriate management strategies that could be applied across a range of healthcare settings.MethodsThe pathway was constructed by a multidisciplinary clinical team based in a busy Memory Assessment Service. A process of successive iteration was used to develop the pathway, with input and refinement provided via survey and small group meetings with individuals from a wide range of regional clinical networks and diverse clinical backgrounds as well as discussion with mobility centres and Forum of Mobility Centres, UK.ResultsWe present a succinct clinical pathway for patients with dementia, which provides a decision-making framework for how health professionals across a range of disciplines deal with patients with dementia who drive.ConclusionsBy integrating the latest guidance from diverse roles within older people's health services and key experts in the field, the resulting pathway reflects up-to-date policy and encompasses differing perspectives and good practice. It is potentially a generalisable pathway that can be easily adaptable for use internationally, by replacing UK legislation for local regulations. A limitation of this pathway is that it does not address the concern of mild cognitive impairment and how this condition relates to driving safety. © 2014 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons, Ltd.

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Section: Discussionmentioning

confidence: 99%

“…Crucially, patients and their families may often find that there is little available in the way of viable alternatives (e.g. Taylor and Tripodes, 2001 ; Arai et al ., 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Driving and dementia: a clinical decision pathway

Carter

Monaghan

O’Brien

et al. 2014

Int J Geriatr Psychiatry

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“…The field of transport and mobility has seen a deluge of articles on older people and mobility in the last ten years, which span disciplines in transport and transport geography (Delbosc, 2012;Musselwhite and Haddad, 2008;Schwanen and Páez, 2010;Titheridge et al, 2009); gerontology (Arai et al, 2011;Davey, 2007;Gagliardi et al, 2007Gagliardi et al, , 2010Heikkinen, 2004;Hjorthol et al, 2010;Kaiser, 2009); urban studies (Burnett and Lucas, 2010;Lord et al, 2011); geography (Scott et al, 2009); architecture (Kim, 2011); health studies (Rosso et al, 2011;Satariano et al, 2012;Yen and Anderson, 2012); and psychology (Gagliardi et al, 2007;Oxley et al, 2010). Much of the literature, especially in transport, health studies and psychology, centres on older people's car use (Hakamies-Blomqvist, 2004;Harrison and Ragland, 2003;Hjorthol et al, 2010;Lyman et al, 2001;Oxley et al, 2010;Rosenbloom 2001Rosenbloom , 2009Rosenbloom , 2010Rosenbloom and Herbel, 2009), with debates on the relative safety and riskiness of older drivers.…”

Section: Transdisciplinary Thinking On Agementioning

confidence: 99%

“…Although the use of concepts such as 'accessibility' imply a focus on people's travel needs, the research methods used are often quantitative with more complex mobility practices, meanings and aspirations excluded due to an inability to quantify them (Alsnih and Hensher, 2003;Titheridge et al, 2009). Many studies emphasize the wellbeing aspects of older people's mobility (Arai et al, 2011;Delbosc, 2012;Gagliardi et al, 2010;Gilhooly et al, 2003;HakamiesBlomqvist, 2004;Kim, 2011;Hjorthol et al, 2010;Haddad, 2008, 2010;Rosso et al, 2011;Nordbakke and Schwanen, 2014;Schwanen and Páez, 2010;Ziegler and Schwanen, 2011), with mobility associated with maintaining social networks and providing access to paces that are directly (for example health centres) or indirectly (for example green spaces) therapeutic. The majority of these studies are premised on the increasing automobility of older people, which is both gendered (Davey, 2007;Hjorthol et al, 2010 andHakamies-Blomqvist andSiren, 2003), and differentiated by income and education; and this impacts on access to car (Lord et al, 2011).…”

Section: Transdisciplinary Thinking On Agementioning

confidence: 99%

Age-friendly mobilities: A transdisciplinary and intergenerational perspective

Murray

2015

Journal of Transport & Health

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“…The estimated life expectancy is now 83 years, and in 2030 1 of 4 persons will be over 65 (Roser 2019). Older adults are healthier today and engage in travel, social, and health-promoting activities (Schm€ ocker et al 2008;Clarke et al 2009;Cole et al 2010;Arai et al 2011). They travel often in cars and are accustomed to deciding when, where, and how to travel.…”

Section: Introductionmentioning

confidence: 99%

A comparison of seat belt fit and comfort experience between older adults and younger front seat passengers in cars

Bohman

Osvalder

Ankartoft

et al. 2019

Traffic Injury Prevention

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Objective: The purpose was to study how occupant age affects seat belt fit and comfort by comparing older adults and younger occupants in the front seat of a passenger vehicle. Methods: An exploratory user study was performed for the front seat of a stationary large passenger vehicle in a laboratory environment, including 11 older (aged 72-81) and 11 younger (aged 25-30) participants. Each participant first entered the vehicle and buckled up in a predefined seat position. Next, they adjusted the seat to their preferred seat position and buckled up again. Anthropometric data were collected on height, weight, and waist and hip circumferences. Photographs and measurements were taken of seat/seat belt positions and posture, and structured interviews were conducted regarding comfort perceptions of the 2 tested scenarios, including previous experience and awareness of seat belt usage and discomfort experienced as passengers in cars. Results: Nonoptimal belt fit included shoulder belt on the shoulder edge or close to the neck or lap belt over the abdomen. Five of 11 older adults had nonoptimal belt fit in the predefined position, and in the preferred position 7 older adults had nonoptimal belt fit. Only one showed safety awareness and recognized the nonoptimal belt fit in the preferred position. In the younger group, 4 of 11 had nonoptimal belt fit in the predefined position and 4 in the preferred position. Two acknowledged the nonoptimal belt fit. Older adult participants with a more pronounced kyphotic posture had the upper part of the shoulder belt positioned closer to the suprasternal notch compared to younger participants. Older adults were also more likely to have the lower part of the shoulder belt higher up on the abdomen compared to younger participants. Participants with higher body mass indexes (BMIs) were more likely to have the shoulder belt higher up on the abdomen, independent of age and gender. When the shoulder belt was positioned higher up on the abdomen the upper portion of the shoulder belt was routed closer to the throat. Older adults preferred to sit higher up to achieve a better field of vision compared to younger adults. Conclusions: The change in body posture due to aging influences belt fit. Older adults seemed less aware of safety related to belt fit. Increased BMI influenced shoulder belt fit, independent of age. These findings are important when designing restraint systems to ensure safety for all occupants. ARTICLE HISTORY

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Implementation of municipal mobility support services for older people who have stopped driving in Japan

Cited by 11 publications

References 29 publications

Driving and dementia: a clinical decision pathway

Driving and dementia: a clinical decision pathway

Age-friendly mobilities: A transdisciplinary and intergenerational perspective

A comparison of seat belt fit and comfort experience between older adults and younger front seat passengers in cars

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