Wendy B. Stav; Updated Systematic Review on Older Adult Community Mobility and Driver Licensing Policies. Am J Occup Ther 2014;68(6):681-689. doi: 10.5014/ajot.2014.011510.
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© 2019 American Occupational Therapy Association
An updated systematic review of literature related to the effects of driver licensing policies, community mobility programs, and driving cessation programs on older adult performance and participation was completed as a part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. The results revealed that relicensing policies instituted by states yield inconsistent results in terms of reducing traffic crashes, traffic violations, and traffic-related fatalities. The evidence related to community mobility and driving cessation programs has suggested that programming to support the transition from driving to other modes of mobility can be beneficial for older adults and their family members. In addition, community contexts that are supportive of pedestrian travel significantly increase this mode of mobility. This evidence-based review informs occupational therapy practice and suggests that increased therapeutic attention should be directed toward supportive transitions from driving and sustaining community mobility for optimal engagement and participation.
Community-based occupational engagement and quality of life of older adults when using transportation alternatives;
Changes in community-based occupational engagement after restrictive license renewal;
Use of community transportation programs in jurisdictions with restrictive license renewal;
Differences in occupational engagement between drivers with restricted licensure versus license revocation;
The influence of walkable communities on the health and community mobility of older adults;
The effect of transit training programs on occupational engagement after driving cessation; and
Comparison of occupational engagement across varying modes of transportation alternatives.
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