basia belza, phd, rn, faan university of washington user tools and technologies in facilitating...
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Basia Belza, PhD, RN, FAANUniversity of Washington
User Tools and Technologies in Facilitating Community Wayfinding
The CDC HAN is a thematic research network within CDC's Prevention Research Centers Program and is supported through the CDC's Healthy Aging Program.
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Disclosure: Basia Belza
The following personal financial relationships with commercial interests relevant to this
presentation existed during the past 12 months:
No relationships to disclose
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William A. SatarianoMarlon Maus
Rebecca H. HunterDaniela B. Friedman
Anna VandenbergAngie Deokar
Laura FarrenLucinda L. Bryant
Mariko ToyojiNai-Ching ChiSean MullenIndia Rose
Yuki Durham
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Abstract
Ensuring effective community wayfinding (CWF) is critical for maintaining mobility among older adults. Reduced mobility, associated with either age or disability, is a public health burden. The purpose of this presentation is to discuss the role of user tools and technologies in facilitating CWF in older adults and people with mobility disabilities. Wayfinding tools and aids used by people to support mobility and/or navigation include but are not limited to smartphones, compasses, maps, and written directions. We report the results of a review and synthesis of the literature on user tools and technologies as related to CWF. In our review we include but are not limited to populations with sensory and/or cognitive impairments. We propose new research directions, including the need to better understand the use of tools in everyday settings and how tool-use relates to public health outcomes such as increased physical activity. We summarize opportunities and challenges of user tools and technologies, such as those associated with barriers and the equitable distribution of these technologies in underserved populations. Without a consideration of these barriers, CWF innovations, no matter how efficacious and effective, may only serve to aggravate health and functional disparities by race, ethnicity, and region in aging populations.
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Purpose
Discuss the role of user tools and technologies in facilitating community wayfinding in older adults and people with disabilities.
Photo credit: Ed Stollof
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Tools and Technology – An Ecological View
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…devices and systems to enhance the ability of individuals and populations to locate themselves and find their way safely through indoor and outdoor environments with ease, efficiency and effectiveness.
Wayfinding user tools and technologies are…
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Types
1. User-based2. Environment-based3. User-environment interactive4. Wayfinding systems
Audible Signal, Ed Stollof Easter Seals Project ACTION
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1. What innovative WF technologies exist or are emerging to ensure that adults are better able to find their way through indoor and outdoor environments?
2. What are the implications of WF technology and dissemination for public health?
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Review Steps
Plan Develop a process and abstraction forms and a reviewer guideTrain team membersIdentify search strategies and inclusion and exclusion criteria
Search & Appraise
Run the searchComplete primary and secondary abstractionsReconcile reviews
Synthesize & Share
Extract findingsSummarize learningsDisseminate
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Primary Abstraction
n = 106
Secondary Abstraction
n = 106
Excluded
485 + 23 = 508
-Published pre-2003-Non-English language
-Basic science-Clinical focus
-Pertaining to children-Evacuation systems-Systems that track
people with dementia-Computer-focused
-Mobility-focused tools-Product dev tech
-Not related to CWF-Low tech
Selected for FinalReview/Analysis
n = 83
Our Process
AbstractionReconciliation
n = 106
Records Identifiedand Prescreened
n = 591
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What areas of WF are addressed (n=83)?
*Percent of the total
Navigation
Orientation
Route Planning
Closure
Path Integration
Other
0 10 20 30 40 50 60 70 80 90 100
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What types of articles are used (n=83)?
Perc
ent o
f the
tota
l
Empiric
alOther
Quasi-Ex
perimen
tal
Experi
mental
RCT0
20
40
60
80
100
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What was the setting (n=83)?Pe
rcen
t of t
he to
tal
Outdoor Indoor Virtual0
102030405060708090
100
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What types of technologies are addressed (n=83)?
Perc
ent o
f the
tota
l
User-base
d
User-En
vironmen
t
Way
finding Syst
ems
Envir
onment-b
ased
0
20
40
60
80
100
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Does the technology address functional factors related to use (n=83)?
Perc
ent o
f the
tota
l
Vision Cognition Hearing Dexterity Gait or Balance
0102030405060708090
100
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Observations
1. Most studies of adults with sensory deficits, e.g., vision impairment; few studies of older adults.
2. Most studies from information sciences and environmental psychology.
3. Most studies based on small samples.
4. Limited focus on issues of socioeconomic barriers to access and cultural impact of WF technology.
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New Directions
1. Use of technologies in everyday settings2. Link to public health outcomes3. Accessibility, demographic, socioeconomic,
and cultural factors4. Collaborations between WF technology
developers and public health professionals
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Thank you for your interest!Contact: [email protected]
This presentation is the result of work conducted by the CDC Healthy Aging Research Network. The CDC Healthy Aging Research Network is a Prevention Research Centers program funded by the CDC Healthy Aging Program. This research was supported in part by cooperative agreements from CDC's Prevention Research Centers Program: U48-DP-001911, 001908, 001921, 001924, 001936, 001938, and 001944. The contents of this presentation are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.