Predictors of Readiness for Mobility Transition in Older Drivers.

Predictors of Readiness for Mobility Transition in Older Drivers.
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DOI:
10.1080/01634372.2018.1433260
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发表时间:
2018-03
影响因子:
3.2
通讯作者:
Betz ME
Betz ME
中科院分区:
医学4区
文献类型:
--
作者:
Kandasamy D;Harmon AC;Meuser TM;Carr DB;Betz ME

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检查对流动性过渡的态度准备情况(例如,驾驶退休)在一个健康的老年驾驶员样本。301名老年人(≥65岁),他们没有认知障碍,目前正在开车,从三个内科诊所招募,完成了简短的移动过渡准备评估,这是一个先前验证的工具。根据人口统计学和其他参与者特征比较总分。中位年龄为72岁(范围:65-93岁)。一半是男性(53%),大多数是白色(89%)。根据流动性过渡准备评估总分,18%的人在态度上没有为流动性过渡做好准备,63%的人做好了中间准备,19%的人做好了准备。过去一年住院的参与者要么在态度上做好了流动性转变的准备(20%比14%没有住院),要么根本没有准备好(30%比17%)。其他特征与总分无显著相关。突发的生活事件,如住院治疗,可能会引起两极分化的反应,对流动性过渡的看法和应对。基于驾驶停止准备的个性化沟通可能有助于临床医生正确处理这些不同的观点。在未来,ARMT可以在干预中使用,以考虑其作为流动性过渡咨询工具的有效性。
To examine attitudinal readiness for mobility transition (e.g., driving retirement) in a healthy older driver sample. 301 older (≥65 years) adults who were not cognitively impaired and were currently driving, recruited from three internal medicine clinics, completed the short-form Assessment of Readiness for Mobility Transition, a previously-validated tool. Total scores were compared by demographic and other participant characteristics. Median age was 72 (range: 65–93). Half were male (53%) and most were White (89%). According to the Assessment of Readiness for Mobility Transition total scores, 18% were not attitudinally ready for mobility transition, 63% were intermediately ready, and 19% were very ready. Participants who were hospitalized in the past year were either very attitudinally ready for mobility transition (20% vs 14% without hospitalizations) or not ready at all (30% vs 17%). Other characteristics were not related significantly to total score. Sudden life events, like hospitalization, may elicit polarized reactions about views toward and coping with mobility transition. Individualizing communication based on driving cessation readiness may help clinicians to properly address such differing views. In the future, ARMT could be utilized in an intervention to consider its effectiveness as an instrument of mobility transition counseling.
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