TY - JOUR
T1 - Interventions to maintain mobility
T2 - What works?
AU - Ross, Lesley A.
AU - Schmidt, Erica L.
AU - Ball, Karlene
N1 - Funding Information:
Portions of these results were presented at the Transportation Research Board of the National Academies’ International Conference on Emerging Issues in Safe and Sustainable Mobility for Older Persons , 2011. Drs. Ball and Ross are supported by the Edward R. Roybal Center for Translational Research on Aging and Mobility, NIA 2 P30 AG022838.This research was also supported from NIA grant number 1R13AG040949.
PY - 2013
Y1 - 2013
N2 - Mobility, in broad terms, includes everything from the ability to move within your immediate environment (e.g., get out of bed) to the ability to drive across the country. Mobility is essential to maintaining independence and wellbeing, particularly for older adults. This is highlighted by the large number of interventions developed for older adults with the goal of maintaining such mobility. The current paper reviews the state of the science with respect to mobility interventions. Inclusion criteria for the review were: (1) articles must have been peer-reviewed; (2) interventions were evaluated in a randomized controlled trial (RCT); (3) studies included a mobility outcome such as lifespace, driving, or walking ability; (4) studies included a sample of healthy community-dwelling older adults (e.g., not investigations of disease conditions); and (5) studies must have reported enough empirical data and detail such that results could potentially be replicated. Three main types of interventions were identified: cognitive training, educational interventions, and exercise interventions. A detailed summary and evaluation of each type of intervention, and the current evidence regarding its effectiveness in maintaining mobility, are discussed. Several interventions show clear evidence of effectiveness, and thus are prime areas for translation of results to the older population. Needs and issues for future intervention research are also detailed.
AB - Mobility, in broad terms, includes everything from the ability to move within your immediate environment (e.g., get out of bed) to the ability to drive across the country. Mobility is essential to maintaining independence and wellbeing, particularly for older adults. This is highlighted by the large number of interventions developed for older adults with the goal of maintaining such mobility. The current paper reviews the state of the science with respect to mobility interventions. Inclusion criteria for the review were: (1) articles must have been peer-reviewed; (2) interventions were evaluated in a randomized controlled trial (RCT); (3) studies included a mobility outcome such as lifespace, driving, or walking ability; (4) studies included a sample of healthy community-dwelling older adults (e.g., not investigations of disease conditions); and (5) studies must have reported enough empirical data and detail such that results could potentially be replicated. Three main types of interventions were identified: cognitive training, educational interventions, and exercise interventions. A detailed summary and evaluation of each type of intervention, and the current evidence regarding its effectiveness in maintaining mobility, are discussed. Several interventions show clear evidence of effectiveness, and thus are prime areas for translation of results to the older population. Needs and issues for future intervention research are also detailed.
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U2 - 10.1016/j.aap.2012.09.027
DO - 10.1016/j.aap.2012.09.027
M3 - Article
C2 - 23083492
AN - SCOPUS:84888303708
SN - 0001-4575
VL - 61
SP - 167
EP - 196
JO - Accident Analysis and Prevention
JF - Accident Analysis and Prevention
ER -