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老年人驾驶行为的减少与停止:成年子女的观点

Older adults' driving reduction and cessation: perspectives of adult children.

作者信息

Connell Cathleen M, Harmon Annie, Janevic Mary R, Kostyniuk Lidia P

机构信息

University of Michigan School of Public Health, Ann Arbor, MI, USA.

出版信息

J Appl Gerontol. 2013 Dec;32(8):975-96. doi: 10.1177/0733464812448962. Epub 2012 Jun 25.

Abstract

PURPOSE OF THE STUDY

Adult children are often directly affected by aging parents' decision to limit or stop driving. This qualitative study examined the process of driving reduction and cessation (DRC) from the perspective of adult children, with a focus on family communication.

DESIGN AND METHODS

Four focus group interviews were conducted with 37 adult children (29/37 female; mean age = 45.5) of older parents using a structured protocol. Transcripts were analyzed by two independent coders to identify major themes.

RESULTS

Themes represented three aspects of the DRC process: family communication and dynamics (i.e., discussion, negotiation, and planning; avoidance and side stepping; resignation and refusal), taking action to end a parent's driving career (i.e., engaging a third party; taking away the car), and post-cessation reflection (i.e., relief; social benefits; resentment and guilt).

IMPLICATIONS

Despite the potential benefits of planning for DRC, families are unsure about how best to approach this topic. Adult children worry about assuming responsibility for their parents' transportation needs and their parents' reactions to restricted mobility. Despite a reluctance to communicate openly about DRC, adult children and their parents share similar and significant concerns that merit increased attention.

摘要

研究目的

成年子女常常会直接受到年迈父母限制或停止驾驶决定的影响。这项定性研究从成年子女的角度审视了驾驶减少和停止(DRC)的过程,重点关注家庭沟通。

设计与方法

采用结构化方案,对37名老年父母的成年子女进行了4次焦点小组访谈(37名中有29名女性;平均年龄 = 45.5岁)。由两名独立编码员对访谈记录进行分析,以确定主要主题。

结果

主题代表了DRC过程的三个方面:家庭沟通与动态(即讨论、协商和规划;回避和避开;顺从和拒绝),采取行动结束父母的驾驶生涯(即引入第三方;拿走汽车),以及停止驾驶后的反思(即解脱;社会效益;怨恨和内疚)。

启示

尽管为DRC制定计划有潜在益处,但家庭不确定如何最好地处理这个话题。成年子女担心承担父母交通需求的责任以及父母对行动不便的反应。尽管不愿就DRC进行公开沟通,但成年子女及其父母有着相似且重大的担忧,值得更多关注。

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