‘Mobility work’: Older adults' experiences using public transportation

Ravensbergen, Léa; Newbold, K. Bruce; Ganann, Rebecca; Sinding, Christina

doi:10.1016/j.jtrangeo.2021.103221

Cited by 19 publications

(12 citation statements)

References 44 publications

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“…Older participants having more access to quiet space and less access to reliable transport is reflective of older adults being more likely to be home owners ( 19 ) and in this survey, the majority of older people lived alone, whilst younger participants predominantly lived with a partner or family. Furthermore, older individuals also experience more difficulties accessing public transport ( 20 ) and reduce the amount they drive or stop driving ( 21 ).…”

Section: Discussionmentioning

confidence: 99%

Eliciting perspectives on remote healthcare delivery from service users with psychosis in the community: a cross-sectional survey study

Kuhn,

Abdel-Halim,

Healey

et al. 2024

Front. Digit. Health

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IntroductionThe transition towards remote healthcare has been rapidly accelerated in recent years due to a number of factors, including the COVID-19 pandemic, however, few studies have explored service users' views of remote mental healthcare, particularly in community mental health settings.MethodsAs part of a larger study concerned with the development of a remotely delivered psychosocial intervention, a survey was conducted with service users with psychosis (N = 200) from six NHS trusts across England to gain cross-sectional data about service users' opinions and attitudes towards remote interventions and explore how digital access varies across different demographic groups and geographical localities.ResultsThe majority of service users had access to technological devices and a quiet space to receive care. Age was a key factor in motivation to engage with remote care as older participants had less access to technological devices and the internet, and reported less confidence to learn how to use new technologies compared to younger participants. Differences in access and attitudes towards remote care were found across the different geographical localities. Over half of the participants (53.1%) preferred a hybrid model (i.e., mixture of face-to-face and remotely delivered treatment), with only 4.5% preferring remote treatment exclusively. Factors that both encourage and deter service users from engaging with remote care were identified.ConclusionsThe findings of this study provide important information about the environmental and clinical barriers that prevent, or limit, the uptake of remotely delivered care for people with psychotic disorders. Although service users often have the ability and capacity to receive remote care, providers need to be cognisant of factors which may exacerbate digital exclusion and negatively impact the therapeutic alliance.

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Section: Discussionmentioning

confidence: 99%

Eliciting perspectives on remote healthcare delivery from service users with psychosis in the community: a cross-sectional survey study

Kuhn,

Abdel-Halim,

Healey

et al. 2024

Front. Digit. Health

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“…In China, research has found that the impact of public transport accessibility and the walking environment on the travel behavior of older people is significant (32). In addition, older people experiencing limited mobility or frailty must navigate additional barriers to public transport use compared to able-bodied riders (33). Other researchers have investigated the effects of urban transportation infrastructure systems, environmental pollution, and energy consumption on the mobility of older adults (34).…”

Section: Literature Reviewmentioning

confidence: 99%

Oldest old’s travel mode choice and new mobility technology acceptance: case in America and China

Zhang,

Guan,

D'Ambrosio

et al. 2024

Front. Public Health

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IntroductionThe oldest olds (aged 85 and over) are the fastest-growing age segment. However, our understanding of their mobility is limited. To address this gap, we invited 19 U.S. and 30 Chinese “oldest old” to take part in focus groups and complete a mobility questionnaire. We focus on travel mode choice, which includes changes in travel modes, frequency of usage, and perceptions of comfort.MethodsOlder adults’ familiarity and acceptance of new mobility technologies (e.g., ridesharing, carsharing, and autonomous vehicles) were measured by questionnaire and focus group. Word clouds were also used to illustrate people’s reasons for choosing their primary mode of transportation.Results and discussionThe results show that both panels of older adults similarly feel some extent of travel limitations. But the responses among the two groups differ: 18 American participants chose “drive myself” as their primary option a decade ago, while 11 chose it now; no Chinese participants selected it either a decade ago or now. Both currently and 10 years ago, there was a significant difference in mode choice between participants in China and the United States. However, this gap has narrowed over the past decade. Participants in China have significantly changed their transportation preferences compared to 10 years ago, while participants in the US have remained nearly unchanged. American respondents consider “ease” as an important factor, while Chinese respondents pay more attention to “safety” and “no other option to get around” when making travel mode choices. Compared to Chinese participants, American participants were more comfortable with driving an autonomous vehicle. These differences may result from the various developmental stages and transportation policies of the two countries. This study supports the development of new mobility technologies for the oldest old to improve their quality of life.

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“…Efficient and accessible public transport could be a crucial coping strategy for driving cessation for the elderly [ 29 ]. However, public transport in practice is often cumbersome, especially for the elderly, and is regarded as a poor substitute for automobility [ 30 , 31 ]. Relying on others for trips to a food store is another coping strategy.…”

Section: Physical Accessibility Of Foodmentioning

confidence: 99%

Food Accessibility in the Suburbs of the Metropolitan City of Antwerp (Belgium): A Factor of Concern in Local Public Health and Active and Healthy Aging

Geurden

Cant

Beckers

2022

IJERPH

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Population aging and declining birth rates are key demographic trends of the 21st century. While the overall life expectancy and healthy life years increase, the quality of life and functional capacity worsens due to non-communicable diseases strongly related to aging. Therefore, aging citizens are often vulnerable to food insecurity. The aim of this paper is to provide insights into the physical accessibility of fresh food and possible alternatives within the setting of an aging society in Antwerp (Belgium), a metropolitan city at the heart of the EU Reference Site ‘Three Rivers Food Delta’. We demonstrate that a large number of the Antwerp suburban areas in which 15 to 25% of current inhabitants are already over 65 years old are confronted with problematic physical accessibility of food due to long walking distances to the nearest food shop. E-commerce has the potential to provide better access to fresh food. This is especially relevant for people with specific needs, such as health-related diets, dysphagia, and/or limited mobility. However, e-commerce introduces new inequalities, as those who would benefit the most from digital accessibility currently use it least. Hence, the organization of fresh food access requires a more thoughtful organization of the ‘last mile’ and possible alternatives to home delivery. This makes food accessibility an urgent factor of concern in public health and healthy aging in the Antwerp suburban areas.

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‘Mobility work’: Older adults' experiences using public transportation

Cited by 19 publications

References 44 publications

Eliciting perspectives on remote healthcare delivery from service users with psychosis in the community: a cross-sectional survey study

Eliciting perspectives on remote healthcare delivery from service users with psychosis in the community: a cross-sectional survey study

Oldest old’s travel mode choice and new mobility technology acceptance: case in America and China

Food Accessibility in the Suburbs of the Metropolitan City of Antwerp (Belgium): A Factor of Concern in Local Public Health and Active and Healthy Aging

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