@article{d40816a0201a47faaa92a3a107ff7e15,
title = "Utilization of driving and other transportation rehabilitation in the National Health and Aging Trends Study",
abstract = "Background: As people age, their mobility begins to decrease. In an effort to maintain mobility, this population can seek out rehabilitation services with the goal of improving their driving. However, it is unclear who has sought out rehabilitation for this purpose. Objective: To better understand, identify, and describe the characteristics of older adults who utilize rehabilitation with the purpose of improved driving. Methods: Data was analyzed from the fifth round of the National Health and Aging Trends study (NHATS), which is made up of Medicare beneficiaries over the age of 65 that are community-dwelling. Rehabilitation utilization specifically for improved driving and other transportation was analyzed. Adjusted weighted logistic regression was conducted to better understand and identify the characteristics of the study population that received rehabilitation services for the purpose of improved driving ability. Results: Nineteen percent (N = 1,335) of this cohort received rehabilitation in the past year. Of those, 10% (N = 128) received rehabilitation to specifically improve driving and 2% (N = 25) did so to improve other transportation. Older adults who were single, separated, or never married were less likely to use rehabilitation for improving driving ability, compared to older adults who were married (OR: 0.29; 95% CI: 0.11–0.80). Conclusion: Older adults who are married were more likely to report they wanted to improve their driving ability with rehabilitation. The role of rehabilitation services to improve driving among older adults will play a key role in the coming years as older adults strive to maintain their independence.",
keywords = "Aged, Automobile driving, Rehabilitation",
author = "Masterson, {Erin E.} and Moreland, {Briana L.} and Strogatz, {David S.} and Kasper, {Judith D.} and Mielenz, {Thelma J.}",
note = "Funding Information: This study presents results from secondary analysis of the NHATS dataset, which is deidentified and made available through registration with NHATS. The authors did not collect data or obtain consent from the participants. NHATS is sponsored by the National Institute on Aging and conducted by the Johns Hopkins Bloomberg School of Public Health.This work was supported by the AAA Foundation for Traffic Safety's Longitudinal Research on Aging Drivers (LongROAD) Project. This research was supported in part by Grant 1 R49 CE002096-01 from the National Center for Injury Prevention and Control, Centers for Disease Control and Prevention to the Center for Injury Epidemiology and Prevention at Columbia University. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health and Centers for Disease Control and Prevention. It was also supported in part by the National Health and Aging Trends Study (NHATS) which is sponsored by the United States Department of Health and Human Services, National Institutes of Health, National Institute on Aging (Grant Number NIA U01AG032947) through a cooperative agreement with the Johns Hopkins Bloomberg School of Public Health. Funding Information: This work was supported by the AAA Foundation for Traffic Safety{\textquoteright}s Longitudinal Research on Aging Drivers (LongROAD) Project. This research was supported in part by Grant 1 R49 CE002096-01 from the National Center for Injury Prevention and Control , Centers for Disease Control and Prevention to the Center for Injury Epidemiology and Prevention at Columbia University. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health and Centers for Disease Control and Prevention. It was also supported in part by the National Health and Aging Trends Study (NHATS) which is sponsored by the United States Department of Health and Human Services, National Institutes of Health, National Institute on Aging (Grant Number NIA U01AG032947 ) through a cooperative agreement with the Johns Hopkins Bloomberg School of Public Health. Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",
year = "2020",
month = jul,
doi = "10.1016/j.dhjo.2020.100911",
language = "English (US)",
volume = "13",
journal = "Disability and Health Journal",
issn = "1936-6574",
publisher = "Elsevier Inc.",
number = "3",
}