Safe Mobility for Older Americans (2005) / Chapter Skim
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Pages 22-33
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From page 22... ...
3Committee Findings and Recommendations The committee members reviewed available data, deliberated among themselves,and used professional judgment to synthesize findings and recommendationsfrom the technical papers, discussions, and information provided at the international conference, in numerous focus groups, in Special Report 218, and from other sources. The resulting recommendations are directed to policy makers, the research community, government agencies, older persons and their caregivers, the private sector, and other stakeholders.
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From page 23... ...
• Coordination of user-friendly mobility options for drivers who are restricted or must cease driving; • Coordination of effective public and private systems for the delivery of services; • Development of public information and education programs on the functional capacity changes that may occur with aging, how these changes may affect driving, and the importance of planning for driving limitations or driving cessation; • Ongoing implementation of roadway design and rehabilitation improvements; • Ongoing improvements of vehicle crashworthiness; and • Encouragement of land use designs that will provide senior-friendly housing choices. A comprehensive strategy is recommended in which national, state, and local government agencies work in partnership with private-sector institutions, organizations, and older persons themselves to develop and implement practical, affordable, and effective solutions that preserve safe and independent mobility for older Americans while serving the public health and safety needs and promoting the quality of life and economic vitality of society as a whole.
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conditions and the medications used to treat them, as well as visual, cognitive, and physical impairments that become more prevalent among older adults. In addition, research has evolved from simply identifying aging adults with functional deficiencies and removing them from the driving population to identifying those with specific conditions that place them at increased crash risk and intervening to promote safe mobility (Owsley 2004)
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Certified driving rehabilitation specialists drawn principally, though not exclusively, from the occupational therapist profession constitute perhaps the largest group of practitioners in the United States with the expertise necessary for identifying and counseling high-risk older drivers. There are, however, far too few such specialists nationwide to meet the need.
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From page 26... ...
• Providing information on strategies for maintaining mobility through driving or the use of alternative transportation options, • Informing older persons about the importance of planning for driving limitations or cessation, and • Encouraging individuals to plan and save for their future mobility needs. Research Needs It is well established that the range of performance for older age cohorts dramatically exceeds the range for younger ones, and as the distribution of abilities flattens and elongates with advancing age, characterizing an individual in terms of a group average is prone to error.
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From page 27... ...
Finally, there is little doubt that "volunteer bias" is present in at least some of the studies of older travelers. Given the assumption that better-educated and healthier people are more likely to volunteer as participants in research projects, logic dictates that the samples tend to be slightly biased toward the "cream of the crop" (Schieber 2004)
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From page 28... ...
computing, and the Global Positioning System. A number of ITS applications may have importance for older drivers (e.g., route guidance, emergency vehicle location and response, vision enhancement systems, and collision warning systems)
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Pedestrians (Staplin et al.
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days of the week. They must also be accessible: bus stairs must be negotiable; chair seats must be high enough, the bus stop must be within walking distance; pickups must come all the way up the driveway.
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Many organizations deliver transportation-related services to older persons -- the medical community and health care providers, consumer-oriented businesses, senior centers, churches, and so forth. However, these organizations rarely work collaboratively.
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A Decade of Experience, Transportation Research Board of the National Academies, Washington, D.C., pp.
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From page 33... ...
Smiley, A
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