Holland Bloorview Kids Rehabilitation Hospital, Bloorview Research Institute , Toronto , Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto , Toronto , Canada.
Disabil Rehabil. 2019 Nov;41(22):2607-2621. doi: 10.1080/09638288.2018.1471165. Epub 2018 May 9.
Being able to travel independently, whether as a pedestrian or by taking public transportation, is a critical element to maintaining quality of life and participation in the community. The objective of this systematic review is to understand the best practices and effective components of pedestrian and public transit training interventions for youth with disabilities. Systematic searches of seven international databases identified 29 studies meeting our inclusion criteria. We analyzed these studies based on participant characteristics, methods, results, and quality of evidence. Among the 29 studies, 857 participants (aged 5-39, mean 18.3 years) were represented across 10 countries. Although the intervention outcomes varied across the studies, 24 of them reported an improvement in at least one of the following: pedestrian and general navigation skills, pedestrian safety, landmark recognition, route knowledge, and public transportation skills. Our findings highlight that pedestrian and public transit interventions have the potential to improve the participation and quality of life of children and youth with disabilities. More rigorous, theoretically informed interventions, using standardized measures are needed to enhance pedestrian and transit training skills among youth with disabilities. Implications for rehabilitation Travel training interventions have the potential to effectively support youth with disabilities in learning pedestrian and public transportation navigation skills. Clinicians and educators should encourage youth with disabilities to participate in travel training programs enhance their independence skills and participation in the community. Clinicians, educators, and program managers can help to build relevant content for travel training programs and connect youth to programs.
能够独立出行，无论是步行还是乘坐公共交通工具，是维持生活质量和参与社区活动的关键因素。本系统评价的目的是了解针对残疾青年的行人及公共交通培训干预措施的最佳实践和有效组成部分。通过对七个国际数据库进行系统检索，确定了符合纳入标准的 29 项研究。我们根据参与者的特征、方法、结果和证据质量对这些研究进行了分析。在 29 项研究中，有 857 名参与者（年龄 5-39 岁，平均 18.3 岁）来自 10 个国家。尽管这些研究的干预结果各不相同，但其中 24 项研究报告称至少在以下一项方面有所改善：行人及一般导航技能、行人安全、地标识别、路线知识和公共交通技能。我们的研究结果表明，行人及公共交通干预措施有可能改善残疾儿童和青年的参与度和生活质量。需要更严格、更具理论依据的干预措施，并使用标准化的测量方法，以提高残疾青年的行人及交通培训技能。康复意义 出行培训干预措施有可能有效支持残疾青年学习行人及公共交通导航技能。临床医生和教育工作者应鼓励残疾青年参加出行培训计划，以增强他们的独立技能和参与社区活动的能力。临床医生、教育工作者和项目管理人员可以帮助为出行培训计划构建相关内容，并为青年与计划建立联系。
