Department of Occupational Therapy, East Carolina University, Greenville, North Carolina.
University of Michigan Transportation Research Institute and Center for Advancing Transportation Leadership and Safety (ATLAS Center), Ann Arbor, Michigan.
Gerontologist. 2019 Mar 14;59(2):215-221. doi: 10.1093/geront/gnx120.
Engagement in civic, social, and community life plays an important role in health, well-being, and quality of life, and requires individuals to be mobile in their environment. In this article, we review what is currently known about 2 areas relevant to safe mobility for older drivers and identify future research in these areas. Using a framework for transportation and safe mobility, 2 key areas were selected for review: the process of transitioning to non-driving and the maintenance of mobility after driving has ceased. This article serves as a companion to another article that used the same approach to explore safe mobility issues for older adults who are still driving. We found that although there has been progress in supporting transitioning process to non-driving and improving mobility options for older adults following driving cessation, many knowledge gaps still exist. We identified several research topics that would benefit from continued scientific inquiry. In addition, several themes emerged from the review, including the need for: multidisciplinary, community-wide solutions; large-scale, longitudinal studies; improved education and training for older adults and the variety of stakeholders involved in older adult transportation; and the need for programs and interventions that are flexible and responsive to individual needs and situational differences.
参与公民、社会和社区生活对健康、幸福和生活质量起着重要作用，这需要个人在环境中具有流动性。在本文中，我们回顾了与老年驾驶员安全流动性相关的 2 个领域的现有知识，并确定了这些领域的未来研究方向。使用交通和安全流动性框架，选择了 2 个关键领域进行审查：向非驾驶状态过渡的过程和停止驾驶后保持流动性。本文是另一篇文章的姊妹篇，该文采用相同方法探讨了仍在开车的老年驾驶员的安全流动性问题。我们发现，尽管在支持向非驾驶状态过渡的过程和改善停止驾驶后老年人的流动选择方面已经取得了进展，但仍存在许多知识空白。我们确定了一些需要继续进行科学研究的研究课题。此外，从审查中还出现了几个主题，包括需要：多学科、全社区的解决方案；大规模、纵向研究；为老年驾驶员和涉及老年驾驶员交通的各种利益相关者提供更好的教育和培训；以及需要灵活和响应个人需求和情况差异的计划和干预措施。
