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The Gerontologist 47:578-590 (2007)
© 2007 The Gerontological Society of America

Transportation and Aging: A Research Agenda for Advancing Safe Mobility

Anne E. Dickerson, PhD, OTR/L, FAOTA1, Lisa J. Molnar, MHS2, David W. Eby, PhD2, Geri Adler, PhD, MSW3, Michel Bédard, PhD4, Marla Berg-Weger, PhD, ACSW, LCSW5, Sherrilene Classen, PhD, MPH, OTR6, Daniel Foley, MS7, Amy Horowitz, DSW/P8, Helen Kerschner, PhD9, Oliver Page, PhD10, Nina M. Silverstein, PhD11, Loren Staplin, PhD12 and Leonard Trujillo, PhD, OTR/L1

Correspondence: Address correspondence to Anne E. Dickerson, PhD, OTR/L, FAOTA, Professor and Chair, Department of Occupational Therapy, East Carolina University, Health Sciences Building Room 3305, Greenville NC, 27858. E-mail: dickersona{at}ecu.edu

Purpose: We review what we currently know about older driver safety and mobility, and we highlight important research needs in a number of key areas that hold promise for achieving the safety and mobility goals for the aging baby boomers and future generations of older drivers. Design and Methods:Through the use of a framework for transportation and safe mobility, we describe key areas of screening and assessment, remediation and rehabilitation, vehicle design and modification, technological advancements, roadway design, transitioning to nondriving, and alternative transportation to meet the goals of crash prevention and mobility maintenance for older adults.  Results: Four cross-cutting themes emerged from this review: safe transportation for older adults is important; older adults have a variety of needs, abilities, and resources; research to help meet the transportation needs of older adults may be of benefit to persons with disabilities; and transportation issues concerning older adults are multifaceted. Implications: Safe mobility is essential to continued engagement in civic, social, and community life, and to the human interactions necessary for health, well-being, and quality of life. When safe driving is no longer possible for older adults, safe and practicable alternative transportation must be available. Furthermore, older adults are individuals; they have specific needs, abilities, and resources. Not all older adults will have difficulty meeting their transportation needs and no single transportation solution will work for all people. Research and countermeasures intended to help meet the transportation needs of older adults will likely also benefit younger users of the transportation system, particularly those with disabilities. The issues surrounding the maintenance of safe transportation for older adults will require an interdisciplinary research approach if we are to make significant progress in the next decade as the baby boomers begin to reach age 70.

Key Words: Transportation • Aging • Mobility • Driving • Assessment • Rehabilitation






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