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Mental health facility visits before and after the outbreak of COVID-19: The role of walkable built environment COVID-19爆发前后精神卫生机构访问:可步行建筑环境的作用
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-25 DOI: 10.1016/j.jth.2025.102037
Chaeyeon Han , Bon Woo Koo , Uijeong Hwang
{"title":"Mental health facility visits before and after the outbreak of COVID-19: The role of walkable built environment","authors":"Chaeyeon Han ,&nbsp;Bon Woo Koo ,&nbsp;Uijeong Hwang","doi":"10.1016/j.jth.2025.102037","DOIUrl":"10.1016/j.jth.2025.102037","url":null,"abstract":"<div><h3>Introduction</h3><div>Before the COVID-19 pandemic, walkability was linked to improved mental health. However, walkable areas can be more vulnerable to outbreaks of infectious diseases due to increased interaction and proximity between individuals, potentially leading to adverse effects on mental health. Whether walkability maintains its positive association with better mental health during the pandemic remains unclear, especially given mixed findings on whether walkability increases COVID-19 cases.</div></div><div><h3>Methods</h3><div>This study integrates Walk Score®, mental health facility visit frequencies from mobile phone GPS trajectories, and COVID-19 case rates to explore how the relationship between walkability and mental health evolves across three periods: before the pandemic, during its early stages, and in the later stages. Additionally, it examines the role of COVID-19 case rates in this dynamic using mediation analysis.</div></div><div><h3>Results</h3><div>Our findings indicate that Walk Score® consistently associates with reduced frequency of mental health facility visits at all three time points, despite a reversal in the relationship between walkability and COVID-19 case rates from the early to later stages of the pandemic. Mediation analysis revealed that walkability has only direct effects on mental health in the early stages of the pandemic when walkability was found to be correlated with increased COVID-19 case rate. However, both indirect and direct effects were observed when walkability was associated with reduced COVID-19 case rate in the later stages.</div></div><div><h3>Conclusions</h3><div>The study demonstrates that walkable environments consistently offer mental health benefits throughout different pandemic stages. These findings underscore the importance of integrating walkability into urban planning strategies.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102037"},"PeriodicalIF":3.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An investigation of 15-minute neighbourhoods in Surrey, British Columbia: A community-informed social equity analysis for a fast-growing, diverse, Canadian city 对不列颠哥伦比亚省萨里市15分钟社区的调查:一个快速发展、多样化的加拿大城市的社区信息社会公平分析
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-22 DOI: 10.1016/j.jth.2025.102021
Aayush Sharma, Aman Chandi, Meghan Winters
{"title":"An investigation of 15-minute neighbourhoods in Surrey, British Columbia: A community-informed social equity analysis for a fast-growing, diverse, Canadian city","authors":"Aayush Sharma,&nbsp;Aman Chandi,&nbsp;Meghan Winters","doi":"10.1016/j.jth.2025.102021","DOIUrl":"10.1016/j.jth.2025.102021","url":null,"abstract":"<div><h3>Introduction</h3><div>Auto-centric urban design drives health and environmental issues. Proximity-based concepts like “15-minute neighbourhoods” can reduce these harms. Most studies on 15-minute neighbourhoods have been in European centres, and few have incorporated community views. Set in a fast-growing city, this study developed a community-informed definition of 15-minute neighbourhoods and explored social equity in accessibility to amenities.</div></div><div><h3>Methods</h3><div>Based in Surrey, British Columbia, Canada (population 580,000), this mixed-methods study involved mapping and community engagement. We created preliminary maps of 15-minute neighbourhoods by using open data for 6 amenity types (community centres, educational facilities, grocery stores, health facilities, parks, and public transit) and mapping spatial access by walking/cycling for every dissemination area using ArcGIS and r5r. We then hosted focus groups with equity-deserving residents (n = 102) to understand if these preliminary maps aligned with their experiences and gather input on what was missing and what concerns they had. We drew on participants’ input to create a community-informed definition and refined maps. With census data (2021), we conducted a social equity analysis by calculating the percentage of residents living in 15-minute neighbourhoods and assessing access for equity-deserving populations.</div></div><div><h3>Results</h3><div>Overall, 52% of Surrey residents lived in areas considered 15-minute neighbourhoods. Participants felt maps missed some amenities (e.g., places of worship) and that beyond amenities, supportive infrastructure, safety, and terrain were vital. We produced bivariate maps, including microscale design features, highlighting areas with many amenities but little supportive infrastructure. The social equity analysis did not highlight inequities in spatial access; rather, areas with more children/youth living in one-parent households, Indigenous peoples, low income residents, and recent immigrants were more likely to be 15-minute neighbourhoods.</div></div><div><h3>Conclusions</h3><div>Community voices added insights into factors beyond amenities that matter. As proximity-based planning proceeds, care is needed to ensure that future city design meets the needs of all residents.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102021"},"PeriodicalIF":3.2,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Driving status, avoidance, and visual impairment among older adults in the United States 美国老年人的驾驶状态、回避和视力损害
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-20 DOI: 10.1016/j.jth.2025.102036
Shu Xu , Philippa J. Clarke , Lindsey B. De Lott , Mickey Nguyen , Joshua R. Ehrlich
{"title":"Driving status, avoidance, and visual impairment among older adults in the United States","authors":"Shu Xu ,&nbsp;Philippa J. Clarke ,&nbsp;Lindsey B. De Lott ,&nbsp;Mickey Nguyen ,&nbsp;Joshua R. Ehrlich","doi":"10.1016/j.jth.2025.102036","DOIUrl":"10.1016/j.jth.2025.102036","url":null,"abstract":"<div><h3>Background</h3><div>Late-life visual impairment (VI) increases driving difficulty and affects driving outcomes, such as driving cessation and avoidance. Existing studies are limited by small sample sizes and a lack of objective VI measures in older drivers on a national scale.</div></div><div><h3>Methods</h3><div>Using nationally representative data from the 2022 National Health and Aging Trends Study, we examined associations between objectively measured VI, driving cessation, and avoidance among U.S. adults aged ≥65 (n = 4980). VI was defined using measures of binocular distance visual acuity and contrast sensitivity (CS). Driving cessation was defined as no longer driving in the prior month, and driving avoidance included avoiding driving at night, alone, and on highways.</div></div><div><h3>Results</h3><div>Weighted sample characteristics showed that 9.4 % of older adults had distance VI (DVI) and 9.2 % had CS impairment (CSI). Nearly half of older adults with VI avoided driving at night, about 1 in 7 avoided driving alone, and more than 1 in 4 avoided driving on highways. Compared to those without any VI, older adults with any type of VI were more likely to report driving cessation (OR = 2.31F, 95 %CI = 1.62–3.29) and to avoid driving at night(OR = 1.63, 95 %CI = 1.15–2.32), on highways(OR = 1.41, 95 %CI = 1.02–2.05), and alone(OR = 1.76, 95 %CI = 1.07–2.89). DVI and CSI were each significantly associated with all outcomes, with stronger associations for more severe DVI. For each outcome, the joint association of combined DVI and CSI was stronger than for a single VI.</div></div><div><h3>Discussion</h3><div>Preventing VI and deploying interventions to restore vision are necessary to promote independence in late life by keeping older adults driving safely.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102036"},"PeriodicalIF":3.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electric scooters and physical activity: A scoping review 电动滑板车和体育活动:范围审查
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-20 DOI: 10.1016/j.jth.2025.102033
Mario Jordi-Sánchez, María Cabillas-Romero, Cristina Gálvez-García
{"title":"Electric scooters and physical activity: A scoping review","authors":"Mario Jordi-Sánchez,&nbsp;María Cabillas-Romero,&nbsp;Cristina Gálvez-García","doi":"10.1016/j.jth.2025.102033","DOIUrl":"10.1016/j.jth.2025.102033","url":null,"abstract":"<div><h3>Introduction</h3><div>The present article focuses on a prime example of electric micromobility, the electric scooter, and its relationship with physical activity.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the Scopus, Wos, PubMed and TRID databases.</div></div><div><h3>Results</h3><div>The use of electric scooters seemed to be associated with lower levels of physical activity, although the analyses and methods employed require further exploration.</div></div><div><h3>Conclusions</h3><div>Future lines of research are proposed based on these results, contributing to building awareness of this relevant field of study. Notable among the topics to be developed are the broadening of methodological approaches by including more powerful qualitative research techniques. They would allow in-depth studies to examine the perceptions and evaluations of electric scooter users, contributing to a deeper understanding of their relationship with users’ physical activity habits.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102033"},"PeriodicalIF":3.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The assessment of cognitive function and medical fitness to drive in older adults: A qualitative study with general practitioners 老年人驾驶认知功能和医学适应性的评估:一项全科医生的定性研究
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-17 DOI: 10.1016/j.jth.2025.102020
Stefanidis K.B , Summers M.J. , Clark M.
{"title":"The assessment of cognitive function and medical fitness to drive in older adults: A qualitative study with general practitioners","authors":"Stefanidis K.B ,&nbsp;Summers M.J. ,&nbsp;Clark M.","doi":"10.1016/j.jth.2025.102020","DOIUrl":"10.1016/j.jth.2025.102020","url":null,"abstract":"<div><h3>Introduction</h3><div>The increasing ageing population has led to a pressing need to develop standardised measures and guidelines for assessing cognitive fitness to drive. With the onus of annual medical assessments for driving falling on general medical practitioners (GPs) in Australia, there is a need to explore their experiences and opinions regarding such assessments. This qualitative study explored the perceptions, opinions and experiences of GPs regarding the assessment of older drivers, with a particular emphasis on the assessment of cognitive function.</div></div><div><h3>Methods</h3><div>Six registered GPs within Australia participated in an anonymous telephone interview. Following a constructivist grounded theory approach, themes were generated using gerunds.</div></div><div><h3>Results</h3><div>A total of 5 themes were developed from the data: (1) pre-empting: planting the seed and softening the blow, (2) maintaining the doctor-patient relationship and deflecting pressure, (3) satisficing: doing the best we can with imperfect knowledge whilst balancing competing demands, (4) learning from experience versus formal training and (5) seeking standardised procedures and policy guidance.</div></div><div><h3>Conclusions</h3><div>The findings highlight that medical assessments for driving are complex and challenging for GPs, particularly in terms of screening for cognitive fitness to drive. The need for evidence-based approaches for assessing cognitive fitness to drive, standardised procedures and formal training for cognitive assessments, were emphasised.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102020"},"PeriodicalIF":3.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding leisure walking behaviour among recently retired older adults in Tehran: Gender-specific influences and regional implications 了解德黑兰最近退休的老年人的休闲步行行为:性别影响和地区影响
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-17 DOI: 10.1016/j.jth.2025.102032
Amirhossein Abdi , Steve O'Hern
{"title":"Understanding leisure walking behaviour among recently retired older adults in Tehran: Gender-specific influences and regional implications","authors":"Amirhossein Abdi ,&nbsp;Steve O'Hern","doi":"10.1016/j.jth.2025.102032","DOIUrl":"10.1016/j.jth.2025.102032","url":null,"abstract":"<div><h3>Introduction</h3><div>The pace of population ageing is increasing worldwide. Ageing is often associated with declining mobility and a potential decrease in one's quality of life. However, walking can play a vital role in maintaining physical and mental well-being as individuals age.</div><div>Immediately after retirement, older adults, now with more free time, can shape their post-retirement habits. Nurturing a habit of regular walking can effectively reduce both physical and mental health risks in the long term, thereby alleviating some burden on healthcare systems.</div></div><div><h3>Methods</h3><div>This study explores the influential factors affecting leisure walking frequency among older adults. We conducted a survey of individuals who are within the first years of retirement in Tehran Province, the capital city of Iran. In total, 3692 complete responses were received, including 2064 males and 1628 females. Participants were surveyed about their weekly leisure walking frequency and provided information on demographics, socioeconomic attributes, lifestyle, personal preferences, and perceived environmental factors, with additional environmental features extracted using OpenStreetMap. A Random Thresholds Random Parameters Hierarchical Ordered Probit (RTRP-HOPIT) model was constructed to examine walking frequency, with a particular focus on gender-specific models.</div></div><div><h3>Results</h3><div>Analysis revealed that common influencing factors for leisure walking among both genders included pet ownership, vehicle ownership, marital status, education level, social support for walking, exercising as a favourite hobby, presence of slopes or steps within the neighbourhood, distance to green spaces, and the number of green spaces nearby, as well as the prevalence of major roads and intersections. For male retirees, being divorced or widowed emerged as the most influential factor contributing to low walking levels. For females, proximity to shopping areas had the highest impact on walking levels.</div></div><div><h3>Conclusion</h3><div>The research provides unique insight into how leisure walking can be promoted amongst older adults in low- and middle-income countries, and the findings can be utilised to encourage increased physical activity and better health both within the study region of Tehran and more broadly in other low- and middle-income countries that are experiencing an ageing population.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102032"},"PeriodicalIF":3.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing safe walking in an ageing society: Insights into injury severity of older pedestrian traffic crashes in urban environments 在老龄化社会中加强安全步行:对城市环境中老年行人交通碰撞伤害严重程度的见解
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-15 DOI: 10.1016/j.jth.2025.102022
Daniel Gálvez-Pérez , Begoña Guirao , Armando Ortuño
{"title":"Enhancing safe walking in an ageing society: Insights into injury severity of older pedestrian traffic crashes in urban environments","authors":"Daniel Gálvez-Pérez ,&nbsp;Begoña Guirao ,&nbsp;Armando Ortuño","doi":"10.1016/j.jth.2025.102022","DOIUrl":"10.1016/j.jth.2025.102022","url":null,"abstract":"<div><h3>Introduction</h3><div>Active mobility, particularly walking, is fundamental for older adults, offering significant health benefits. However, this group of pedestrians is especially vulnerable to traffic collisions, as they represent most pedestrian deaths. The perception of traffic crash risk might alter the walking activity among them. This research aimed to explore how to enhance walking among older adults from the road safety perspective. To achieve this aim, this study analyzes the factors influencing the injury severity of older pedestrians involved in vehicle collisions while comparing two methodologies for classifying traffic crash severity.</div></div><div><h3>Methods</h3><div>Crash-specific features of single vehicle-pedestrian collisions on all urban roads in Spain from 2016 to 2019 were studied along with information from the municipality where each collision occurred. Logistic regression and random forest were used to classify the crashes in terms of the injury level of the pedestrian. These models were trained for older and non-older pedestrian collision samples using resampling techniques.</div></div><div><h3>Results</h3><div>The models showed common and different factors affecting older and non-older pedestrian injury severities. All pedestrian injury severity is likely to be more severe with a higher pedestrian age, artificial lighting, and truck as the vehicle, and is likely to be less severe with a population size of over 500 thousand inhabitants, and if the vehicle is a bicycle. Additionally, older pedestrian crashes are likely to be more severe in dawn and dusk lighting, with bus as vehicle, and with higher value of road intersections per km, and less severe during afternoon time, and if the population size is from 50 to 100 thousand.</div></div><div><h3>Conclusions</h3><div>Although in larger cities more crashes are registered in absolute values, smaller towns expect more severe pedestrian traffic crashes. Policy-makers should implement countermeasures to promote walking activity and mitigate injury severity of older pedestrians, as these are not expected to deteriorate the road safety of the rest of pedestrians. These countermeasures include proper artificial lighting, even during dawn and dusk hours, and special signaling devices, especially in aged areas.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102022"},"PeriodicalIF":3.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A guided photovoice approach to explore experts with disabilities’ lived experiences of accessibility and usability while engaging in active transportation in a rural Canadian community 在加拿大一个农村社区,通过引导的照片语音方法,探索残疾专家在参与主动交通时的可达性和可用性的生活体验
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-13 DOI: 10.1016/j.jth.2025.101994
Callie Scott , Amanda Faith Casey , Mikiko Terashima
{"title":"A guided photovoice approach to explore experts with disabilities’ lived experiences of accessibility and usability while engaging in active transportation in a rural Canadian community","authors":"Callie Scott ,&nbsp;Amanda Faith Casey ,&nbsp;Mikiko Terashima","doi":"10.1016/j.jth.2025.101994","DOIUrl":"10.1016/j.jth.2025.101994","url":null,"abstract":"<div><h3>Introduction</h3><div>Individuals with disabilities residing in rural regions, such as Nova Scotia, face greater barriers to accessibility including reduced opportunities to access and use of essential community services, modes of transportation, and spaces.</div></div><div><h3>Methods</h3><div>This study employed a qualitative, guided photovoice approach to understand the perceived barriers and facilitators to active transport based on the lived experiences of 12 experts with a range of disabilities (intellectual, physical, and visual) from a single rural community in Nova Scotia, Canada.</div></div><div><h3>Results</h3><div>Five themes emerged through thematic and comparative analysis of 144 captured photographs and related comments: 1. Accessibility and Usability of the Built Environment 2. Feelings of Safety, 3. Wayfinding, 4. Inclusive Community Spaces, and 5. Beautification.</div></div><div><h3>Conclusions</h3><div>Findings reinforced the need for future research and public policy initiatives to include the voice of experts with disability, and their site-specific knowledge of what makes a rural community inclusive, accessible and useable for people of all ability levels.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 101994"},"PeriodicalIF":3.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Under the influence of parents: A longitudinal study of children's walking 在父母的影响下:儿童步行的纵向研究
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-13 DOI: 10.1016/j.jth.2025.102016
Kyu Ri Kim, Jennifer Dill
{"title":"Under the influence of parents: A longitudinal study of children's walking","authors":"Kyu Ri Kim,&nbsp;Jennifer Dill","doi":"10.1016/j.jth.2025.102016","DOIUrl":"10.1016/j.jth.2025.102016","url":null,"abstract":"<div><h3>Introduction</h3><div>As daily physical activities, including active transportation, improve children's health, studying predictors of children's walking for all purposes rather than just walking to and from school is necessary. Relationships between the behavior, perceptions, and attitudes of children and their parents (or guardians) about walking are important because children's decisions about travel are not made independently of the influence of their parents or guardians. In addition, findings from cross-sectional studies may not be sufficient to explain children's walking since their relationship is persistent. Therefore, we examined the longitudinal relationship between children's and parents' perceptions and walking behavior.</div></div><div><h3>Methods</h3><div>We used two-wave panel data of 182 children aged 4–16 and their parents in Portland, Oregon, USA. We estimated a cross-lagged panel model (CLPM) to analyze the continuous relationships between children's and parent's perceptions and walking behaviors. Data were collected through surveys, accelerometers, and GPS units.</div></div><div><h3>Results</h3><div>We found that when parents walked more, their children also walked more in both periods. Parents' positive safety perceptions about their children's walking environment in terms of strangers and traffic significantly increased children's walking time. Children's safety perceptions (only in the second period) and time-related perceived behavioral control (in both periods) affected their attitude toward walking but not walking time.</div></div><div><h3>Conclusion</h3><div>Our study reveals meaningful relationships between the attitudes and behaviors of parents' and children's walking based on repeated observations over two years. Given our results, neighborhoods that are good for parents to walk in positively affect children's walking. Parental walking needs to precede to encourage continuous children's walking.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102016"},"PeriodicalIF":3.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrating user perceptions of socio-emotional aspects in wheelchair design: A pilot study using Kansei Engineering 在轮椅设计中整合使用者对社会情感方面的认知:一项使用感性工学的初步研究
IF 3.2 3区 工程技术
Journal of Transport & Health Pub Date : 2025-03-10 DOI: 10.1016/j.jth.2025.102002
Mohsen Rasoulivalajoozi , Morteza Farhoudi
{"title":"Integrating user perceptions of socio-emotional aspects in wheelchair design: A pilot study using Kansei Engineering","authors":"Mohsen Rasoulivalajoozi ,&nbsp;Morteza Farhoudi","doi":"10.1016/j.jth.2025.102002","DOIUrl":"10.1016/j.jth.2025.102002","url":null,"abstract":"<div><h3>Introduction</h3><div>Comfort in wheelchair use is influenced not only by ergonomic factors but also by socio-emotional aspects that shape the user's experience. This study aims to explore how socio-emotional factors can be integrated into the representational aspects of wheelchairs.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 37 wheelchair users using Kansei Engineering methods. Participants provided data on semantic and product spaces through a questionnaire covering demographics, aesthetic importance, symbolic importance, and social communication challenges. They also rated four distinct wheelchairs using Kansei words (KWs). Then, Quality Function Deployment (QFD) linked users' insights to specific wheelchair properties.</div></div><div><h3>Results</h3><div>Aesthetic (76%) and Symbolic (56%) importance, as well as age, were significantly associated with social communication challenges (57%) (p &lt; 0.05). Age was significantly associated with both Aesthetic and Symbolic importance, while gender was only linked to Aesthetic importance (p &lt; 0.05). Descriptive analysis indicated that advanced manual and powered wheelchair designs scored higher than conventional ones. Accordingly, three key components were identified for both categories, with the highest loadings of KW in each. QFD results prioritized adjustable frame design, with 8.61% for manual and 10.44% for powered models, as key to enhancing socio-emotional aspects.</div></div><div><h3>Conclusions</h3><div>Beyond analyzing the dynamics of aesthetics, symbolism, and social challenges, this study uncovers users' perceptions of wheelchair design characteristics. It proposes principal components to guide designers and includes computational analysis to connect these insights with wheelchair properties, aspects often overlooked in assistive device literature. However, redesign effectiveness also hinges on understanding social factors like stereotypes, and wheelchair-related metaphors.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"42 ","pages":"Article 102002"},"PeriodicalIF":3.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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