Tahir Sahar, Abdulrazak Bessam, Baillargeon Dany, Girard Catherine, Provencher Véronique
AMbient Intelligence Lab, Département Informatique, Faculty of Science, University of Sherbrooke, Sherbrooke, QC, Canada.
Research Center on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, QC, Canada.
JMIR Aging. 2023 May 16;6:e41938. doi: 10.2196/41938.
Aging is often accompanied by a decrease in physical and sensory capacities and financial resources, which makes travel and the use of public transport a big challenge for older adults. These mobility limitations may prevent them from going out for groceries, medical appointments, or entertainment, which increases the risk of social isolation. A key element in helping older adults to maintain healthy aging and social engagement is to foster autonomy, freedom, and active mobility. A transportation planning e-tool can provide older adults with information about transport and trip options. There are many transportation planning e-tools, but little is known about whether and how their characteristics and functionalities address older adults' needs and preferences.
This study aims to map existing transportation e-tools and identify gaps to be filled in order to match their functionalities with older adults' needs and preferences.
A scoping review of existing transportation planning e-tools was conducted based on the approach developed by Arksey and O'Malley. A search in the scientific literature (Academic Search Complete, MEDLINE, CINAHL, SocINDEX, and ERIC) as well as gray literature (TRID Database, Google Scholar, Proquest, Google Play, etc) was conducted in June 2020 and updated 3 times; in September 2021, December 2021, and May 2022. After the studies were selected, a comparative analysis was performed by 2 evaluators; an occupational therapy student and a computer science student. These e-tools were analyzed with respect to some characteristics (eg, tool's development status, target customers, and geographic coverage) as well as 10 functionalities (time autonomy, walkability, crowd avoidance, incline avoidance, weather consideration, dark avoidance, winter obstacles avoidance, amenities inclusion, taxi driver's information, and support affordance) that we defined based on older adults' needs and preferences (mainly Canadians). These needs were identified from a literature review and confirmed by workshops (focus groups).
The scientific and gray literature search yielded 463 sources, and 42 transportation e-tools were included. None of the e-tools reviewed addresses all 10 functionalities. More specifically, functionalities such as dark avoidance and support affordance were not addressed by any of the included e-tools.
Most of the e-tools currently available to plan trips do not address older adults' needs and preferences. The results of this scoping review helped fill this gap by identifying functionalities to include in transportation planning e-tools designed to promote active aging. The findings of this study highlight the need to use a multicriteria optimization algorithm to address older adults' mobility needs and preferences.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/33894.
衰老往往伴随着身体和感官能力以及经济资源的下降,这使得旅行和使用公共交通对老年人来说是一项巨大的挑战。这些行动能力限制可能会阻止他们外出购买食品杂货、就医或娱乐,从而增加社会隔离的风险。帮助老年人保持健康老龄化和社会参与的一个关键要素是促进自主性、自由和积极的行动能力。一个交通规划电子工具可以为老年人提供有关交通和出行选择的信息。有许多交通规划电子工具,但对于它们的特征和功能是否以及如何满足老年人的需求和偏好却知之甚少。
本研究旨在梳理现有的交通电子工具,并找出需要填补的空白,以便使其功能与老年人的需求和偏好相匹配。
基于阿克西和奥马利开发的方法,对现有的交通规划电子工具进行了范围综述。于2020年6月在科学文献(学术搜索完整版、医学期刊数据库、护理学与健康领域数据库、社会科学索引数据库和教育资源信息中心数据库)以及灰色文献(交通研究国际数据库、谷歌学术、普睿科思、谷歌应用商店等)中进行了检索,并更新了3次;分别在2021年9月、2021年12月和2022年5月。在选定研究后,由2名评估人员进行了比较分析;一名职业治疗专业学生和一名计算机科学专业学生。根据一些特征(如工具的开发状态、目标客户和地理覆盖范围)以及我们根据老年人(主要是加拿大人)的需求和偏好定义的10项功能(时间自主性、可步行性、避免人群、避免斜坡、考虑天气、避免黑暗、避免冬季障碍物、包含便利设施、出租车司机信息和支持可用性)对这些电子工具进行了分析。这些需求是通过文献综述确定的,并经研讨会(焦点小组)确认。
科学文献和灰色文献检索共得到463个来源,纳入了42个交通电子工具。所审查的电子工具均未涵盖所有10项功能。更具体地说,包括黑暗避免和支持可用性等功能未被任何纳入的电子工具涉及。
目前大多数用于规划行程的电子工具并未满足老年人的需求和偏好。本范围综述的结果通过确定旨在促进积极老龄化的交通规划电子工具应包含的功能,帮助填补了这一空白。本研究的结果强调需要使用多标准优化算法来满足老年人的出行需求和偏好。
国际注册报告标识符(IRRID):RR2-10.2196/33894。