Department of Occupational Therapy Program Faculty Articles

Title

Barriers to developing and sustaining driving and community mobility programs

ISBN or ISSN

1943-7676

Publication Title

American Journal of Occupational Therapy

Volume

65

Issue

4

Publication Date / Copyright Date

7-2011

First Page

e38

Last Page

e45

DOI Number

10.5014/ajot.2011.002097

Abstract

ABSTRACT OBJECTIVE. To begin to address the shortage of driving rehabilitation and community mobility programs to meet the community mobility needs of older adults and clients with rehabilitative needs, we sought to identify the key barriers to developing and sustaining such programs.
METHOD. We used a survey design to solicit input from a nationally representative sample of occupational therapy practitioners, rehabilitation managers, and health care administrators.
RESULTS. The 2,869 completed surveys revealed widespread and largely contextual barriers related to fiscal support, infrastructure, physical environment, and institutional culture. The barriers were highly correlated with each other and did not differ across regions, practitioner experience levels, or facility types.
CONCLUSION. This study was an important preliminary step in constructing a resource toolkit with strategies to overcome the identified barriers to developing and sustaining driving and community mobility programs that meet the needs of older adults and clients with rehabilitative needs. This toolkit, which is available on the American Occupational Therapy Association’s Web site, is a necessary resource for use in all practice settings to meet the driving and community mobility needs of this population in support of engagement in community-based occupations.

Disciplines

Occupational Therapy

Keywords

community mobility, driving programs, senior citizens

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Peer Reviewed

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