Bus use and older people: A literature review applying the Person–Environment–Occupation model in macro practice

The same reasons that prompt older people to give up driving can also result in difficulties with accessing public transport. Difficulties using public transport can limit older people's participation in society, thereby impacting negatively on their health. Focusing on public buses, this review explicates the link between bus usability and the health of older people and frames existing evidence on bus usability issues. The Person–Environment–Occupation (PEO) model offers a framework by which bus usability can be assessed. A combination of person-centred, environmental, and occupation-related factors, including bus design, service provision and performance, information, and the attitudes of staff and the community, impact on older people's ability to catch buses. More systematic research needs to take place in order to develop a comprehensive understanding of bus usability. Occupational therapy has a key role to play in conceptualizing, implementing, and evaluating improvements in bus usability for older people.

[1]  H Hake.  From the desk of the editor.... , 1967, The Iowa dental journal.

[2]  Agneta Ståhl.  Changing Mobility Patterns and the Aging Population in Sweden. , 1987 .

[3]  Agneta Ståhl,et al.  IMPLEMENTATION OF SERVICE ROUTES IN THE UNITED STATES , 1992 .

[4]  M D Keall,et al.  Pedestrian exposure to risk of road accident in New Zealand. , 1995, Accident; analysis and prevention.

[5]  Alan Woodside,et al.  The vital role of street design and management in reducing barriers to older peoples' mobility , 1996 .

[6]  Patricia Rigby,et al.  The Person-Environment-Occupation Model: A Transactive Approach to Occupational Performance , 1996 .

[7]  T. Yoshimoto,et al.  [Negative effect of perceived transportation problems on social activities of elderly people living in a small town far from the nearest train station]. , 1996, Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics.

[8]  L Spazzafumo,et al.  Outdoor mobility and social relationships of elderly people. , 1997, Archives of gerontology and geriatrics.

[9]  Cgb Mitchell,et al.  THE POTENTIAL OF INTELLIGENT TRANSPORTATION SYSTEMS TO INCREASE ACCESSIBILITY TO TRANSPORT FOR ELDERLY AND DISABLED PEOPLE , 1997 .

[10]  Brian N. Fildes,et al.  SAFETY OF OLDER DRIVERS: STRATEGY FOR FUTURE RESEARCH AND ACTION INITIATIVES , 1997 .

[11]  S Ling Suen,et al.  Urban Travel, Intelligent Transportation Systems, and the Safety of Elderly and Disabled Travelers , 1998 .

[12]  Arthur D. Fisk,et al.  Functional Limitations to Daily Living Tasks in the Aged: A Focus Group Analysis , 1998, Hum. Factors.

[13]  E. Yerxa.  Health and the human spirit for occupation. , 1998, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[14]  Mart Tacken,et al.  Mobility of the elderly in time and space in the Netherlands: An analysis of the Dutch National Travel Survey , 1998 .

[15]  Susanne Iwarsson,et al.  The Housing Enabler: An Objective Tool for Assessing Accessibility , 1999 .

[16]  P. Halpern,et al.  [Injuries due to falls in urban buses: 100 consecutive cases]. , 1999, Harefuah.

[17]  Msw Barbara Kasper Ma,et al.  An Undergraduate Macro Practice Learning Guarantee , 1999 .

[18]  M. Law,et al.  Application of the Person-Environment-Occupation Model: A practical Tool , 1999, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[19]  L. Waite,et al.  Transportation Needs of Community‐living Older People in Sydney , 1999 .

[20]  Agneta Ståhl,et al.  Traffic Engineering and Occupational Therapy: A Collaborative Approach for Future Directions , 1999 .

[21]  Michael Kirby,et al.  Older Drivers, Driving Practices and Health Issues , 2000 .

[22]  N. Glasgow,et al.  OLDER AMERICANS' PATTERNS OF DRIVING AND USING OTHER TRANSPORTATION , 2000 .

[23]  N. Glasgow,et al.  Older Nonmetropolitan Residents' Evaluations of Their Transportation Arrangements , 2000 .

[24]  D. H Metz,et al.  Mobility of older people and their quality of life , 2000 .

[25]  E V Gama,et al.  Association of individual activities of daily living with self-rated health in older people. , 2000, Age and ageing.

[26]  Karen Lucas,et al.  Transport, the Environment and Social Exclusion , 2001 .

[27]  J Coughlin,et al.  TRANSPORTATION AND OLDER PERSONS: PERCEPTIONS AND PREFERENCES. A REPORT ON FOCUS GROUPS , 2001 .

[28]  Kevin Andrews,et al.  National strategy for an ageing Australia: an older Australia, challenges and opportunities for all , 2001 .

[29]  Gunilla Carlsson.  Catching the Bus in Old Age - Methodological Aspects of Accessibility Assessments in Public Transport , 2002 .

[30]  Jacky Westmoreland,et al.  Transport safety for older people: A study of their experiences, perceptions and management needs , 2002, Injury control and safety promotion.

[31]  Agneta Ståhl,et al.  Theoretical understanding and methodological challenges in accessibility assessments, focusing the environmental component: an example from travel chains in urban public bus transport. , 2002, Disability and rehabilitation.

[32]  Mary Gilhooly,et al.  Transport and ageing: Extending quality of life for older people via public and private transport , 2002 .

[33]  S. Iwarsson,et al.  Accessible transportation – novel occupational therapy perspectives. , 2003 .

[34]  David Metz,et al.  Transport policy for an ageing population , 2003 .

[35]  A. Bowling,et al.  Quality of life for the elderly: the transport dimension , 2004 .

[36]  Gunilla Carlsson,et al.  Travelling by urban public transport: exploration of usability problems in a travel chain perspective , 2004 .

[37]  J. Gladman,et al.  Using an interview study of transport use by people who have had a stroke to inform rehabilitation , 2004, Clinical rehabilitation.

[38]  A. Atwal,et al.  Occupational Therapists as Primary Health Promoters: Opportunities and Barriers , 2004 .

[39]  Jacki Liddle,et al.  Older Road Users: From Driving Cessation to Safe Transportation , 2004 .

[40]  C. Goodman.  Quality of life from the perspectives of older people , 2004 .

[41]  C. Ring,et al.  Factors influencing influenza vaccination uptake in an elderly, community-based sample. , 2005, Vaccine.

[42]  A. Cieza,et al.  Exploration of the link between conceptual occupational therapy models and the International Classification of Functioning, Disability and Health , 2005 .

[43]  Sandra Rosenbloom,et al.  THE MOBILITY NEEDS OF OLDER AMERICANS: IMPLICATIONS FOR TRANSPORTATION REAUTHORIZATION , 2005 .

[44]  J. Davey,et al.  Older people and transport: coping without a car , 2006, Ageing and Society.

[45]  Maggie Winchcombe.  Assistive Technology — Time to Let Go? , 2006 .

[46]  Darren M. Scott,et al.  Transport Policy in Aging Societies: An International Comparison and Implications for Canada , 2007 .

[47]  M. Baum.  Centennial challenges, millennium opportunities. , 2006, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[48]  Michael Christopher,et al.  Pedestrian Mobility and Safety: A Key to Independence for Older People , 2006 .

[49]  A. Cieza,et al.  Exploration of the link between conceptual occupational models and the International Classification of Functioning, Disability and Health: Answers to the comments from Norway , 2006 .

[50]  Stephen Ison,et al.  Evaluation study of demand responsive transport services in Wiltshire. Final report. , 2006 .

[51]  S. Shaheen,et al.  Video Transit Training for Older Travelers: A Case Study of the Rossmoor Senior Adult Community, California, MTI Report 06-04 , 2007 .

[52]  Cdcc,et al.  The Madrid International plan of action on ageing , 2007 .

[53]  Jacki Liddle,et al.  What older people do: Time use and exploring the link between role participation and life satisfaction in people aged 65 years and over , 2007 .

[54]  C. Wolfson,et al.  Gender and Transportation Access among Community-Dwelling Seniors , 2007, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[55]  Luis Ferreira,et al.  Evaluating Flexible Transport Solutions , 2007 .

[56]  S. Shaheen,et al.  Video Transit Training for Older Travelers: A Case Study of the Rossmoor Senior Adult Community, California - eScholarship , 2008 .