Factors that influence the acceptance of future shared automated vehicles – A focus group study with United Kingdom drivers

The development of Shared Automated Vehicles (SAVs) is well underway to provide mobility as a service (MaaS) and bring benefits such as reduced traffic congestion, reduced reliance on privately owned vehicles and increased independence to non-drivers. To realise the benefits of SAVs, adoption by private vehicle users is crucial. Previous research has shown this subset of users as the least likely to adopt SAVs, and it is not well understood what factors are important to achieve such adoption. The purpose of this study is to obtain an in-depth understanding of attitudes, perceptions and preferences that influence the acceptance of future SAVs for drivers. This paper presents the results from an online asynchronous focus group study with 21 British drivers as participants. From the analysis, Service Quality, Trust and Price Value emerged as the three most prominent factors to understand user acceptance of SAVs. These three main factors may be of prime importance for convincing naïve private car owners to accept high-speed SAVs. Productive use of travel time has been frequently mentioned in previous research as a benefit of vehicle automation but was scarcely mentioned by participants in this study. Shared Space Quality in introduced as an indicator for Service Quality, together with Security and Trusting Co-passengers as two indicators of Trust. Based on the findings, this paper concludes with a conceptual SAV technology acceptance model is introduced, with the results added as extended model predictors to the Unified Theory of Acceptance and Use of Technology (UTAUT2).     

Takeover performance of older drivers in automated driving: A review

IntroductionThe introduction of automated vehicles to the road environment brings new challenges for older drivers. Level 3 of conditional automation requires drivers to take over control of their vehicle whenever the automated system reaches its limits. Even though autonomous vehicles may be of great benefit to older drivers in terms of safely maintaining their mobility, a better understanding of their takeover performance remains crucial. The objective of this review of the literature is to shed more light on the effects that aging has on takeover performance during automated driving.MethodsThree database searches were conducted: PsychINFO, Web Of Sciences, and TRID. Studies from the last decade which included groups of older drivers were reviewed.ResultsAfter checking through abstracts and texts of articles, 9 articles, 4 proceedings papers, and 1 technical report were included in this review. All studies included a driving simulator that refers to level 3 of automation (which requires supervision by the driver). Five out of fourteen studies showed that older adults had poorer takeover performance (in terms of takeover time and takeover quality) than younger adults. However, several factors, such as the type of non-driving related task (NDRT), were seen to influence takeover performance in older adults. Speed, type and duration of notification interval, distribution and duration of driving modes, and number of takeovers were all also factors of influence.ConclusionThis review synthesizes the results of 14 articles which investigate the effects of age-related changes on takeover performance. Various external factors as NDRTs, speed, type and duration of notification to take over, duration of the automated phase, distribution of the automated/manual phases may affect takeover performance in older adults. Even if the majority of articles showed that older adults are globally slower at taking over a vehicle than younger adults, findings concerning take over quality yield divergent results. It's probably due to age related cognitive changes, particularly in executive functions or to a great heterogeneity in this population. This literature review highlights the need to develop new research on the impact of aging on takeover performance.     

“The threat is in the head,not in the legs”: Activating negative age stereotypes generates extra cognitive load during walking

ObjectiveActivating negative age stereotypes has been consistently shown to impair cognitive performance in older adults, but not motor performance, especially on mobility tasks. We tested the hypothesis that older adults may still experience stereotype threat, even if mobility performance is not affected. To do so, we examined whether inducing negative stereotypes may increase cognitive load during a walking task.MethodThis question was investigated in a dual-task paradigm: older adults performed simultaneously a walking task and a Stroop task, in stereotype and control conditions.ResultsResults showed that the stereotype induction did not affect walking parameters but decreased performance on the Stroop task, indicating that this induction increased cognitive load during walking.DiscussionThese results suggest that negative age stereotypes may be damaging even if walking parameters are not affected, by altering older adults' attention to their walking environment. We conclude by highlighting theoretical and practical implications.     

Should older people be considered a homogeneous group when interacting with level 3 automated vehicles?

Exploring the future mobility of older people is imperative for maintaining wellbeing and quality of life in an ageing society. The forthcoming level 3 automated vehicle may potentially benefit older people. In a level 3 automated vehicle, the driver can be completely disengaged from driving while, under some circumstances, being expected to take over the control occasionally. Existing research into older people and level 3 automated vehicles considers older people to be a homogeneous group, but it is not clear if different sub-groups of old people have different performance and perceptions when interacting with automated vehicles. To fill this research gap, a driving simulator investigation was conducted. We adopted a between-subjects experimental design with subgroup of old age as the independent variable. The differences in performance, behaviour, and perception towards level 3 automated vehicles between the younger old group (60–69 years old) and older old group (70 years old and over) was investigated. 15 subjects from the younger old group (mean age = 64.87 years, SD = 3.46 years) and 24 from the older old group (mean age = 75.13 years, SD = 3.35 years) participated in the study. The findings indicate that older people should not be regarded as a homogeneous group when interacting with automated vehicle. Compared to the younger old people, the older old people took over the control of the vehicle more slowly, and their takeover was less stable and more critical. However, both groups exhibited positive perceptions towards level 3 automation, and the of older old people’s perceptions were significantly more positive. This study demonstrated the importance of recognising older people as a heterogeneous group in terms of their performance, capabilities, needs and requirements when interacting with automated vehicles. This may have implications in the design of such systems and also understanding the market for autonomous mobility.     

Contextual Design for driving: Developing a trip-planning tool for older adults

Independent living depends on mobility, and mobility depends on driving, particularly for people 65 years and older. The longer older adults can safely drive, the longer they can independently run errands, shop, exercise, and maintain social networks. Age-related decline of perceptual, motor, and cognitive abilities can undermine the mobility and driving safety of older drivers. Data from driving simulators, on-road tests, surveys, and crash reports describe the driving safety and mobility challenges of older adults, but these methods offer a limited view of these challenges and fail to indicate design solutions. Contextual Design—a combination of Contextual Inquiry interviews, model building, and affinity diagrams—offers a complementary approach to uncover challenges that older adult drivers’ experience. For two weeks, 39 drivers age 65 and above, had their vehicles instrumented to collect driving and video data. Applying Contextual Design to these data showed that older drivers in urban and rural settings faced different mobility challenges and adopted various strategies to mitigate risk: older drivers often involved their spouse or passenger in the driving task, avoided certain driving maneuvers such as left turns, avoided unfamiliar or poorly lit roads at night, and planned trips to avoid risky driving situations. Ridesharing and trip planning emerged as important strategies to improve the safety and mobility of older drivers. Ridesharing could serve as a potential solution to prolong mobility; however, factors such as wait time, scheduling conflicts, costs, and trust were concerns for older drivers. A paper prototype was developed to validate the driving challenges faced by older drivers, and guide the development of a customized web-based trip-planning tool. The trip-planning tool could help older drivers make safer route choices by offering routes with fewer driving challenges, thereby enhancing their driving safety, mobility, and independence.     

Longitudinal Study on the Relationships between Organizational Factors and Autonomous and Controlled Motivation among Older Japanese Bridge Employees1

Longitudinal relationships between organizational factors and autonomous and controlled motivation among older Japanese bridge employees were investigated. The study sample consisted of 331 older people working in bridge employment at the same organizations where they worked before retirement (M_age = 63.45 years, SD = 3.28 years). Data were taken at two time points 10 months apart. Multiple regression analysis indicated that organizational justice predicted autonomous motivation at Time 2, after controlling for demographic variables and autonomous motivation at Time 1, whereas organizational justice did not predict controlled motivation. Moreover, support from coworkers positively predicted autonomous motivation and negatively predicted controlled motivation at Time 2. These results indicate that optimal organizational environments might promote autonomous motivation and reduce controlled motivation among older workers. It is suggested that organizations develop environments where older workers can receive fair evaluations from their superiors and close relationships with their coworkers.     

An own-age bias in age estimation of faces

IntroductionAge estimation performances may be influenced by group biases.ObjectiveThis study investigated whether we are more accurate at estimating the age of people from one's own-age than the age of younger or older people.MethodChildren, young and older adults’ performances at estimating both in-group and out-group faces were compared.ResultsA significant “Age of participants” × “Age of face stimuli” interaction was revealed. Moreover, the age of children's faces was more accurately estimated than the age of young and older adults’ faces by the three groups of participants.ConclusionThe present results revealed the occurrence of an own-age bias for children, young and older adults in age estimation. Several explanations to this own-age effect are discussed.     

Taking a Capabilities Approach to Evaluating Supportive Environments for Older People

The ageing of our population means that most places have to see themselves as retirement communities. A pressing question is therefore how environments are supporting quality of life for older people. This paper suggests that a capabilities approach could be a valuable tool. Firstly, it can explicitly address issues of inequality and diversity (Sen, Inequality re-examined. Oxford: Oxford University Press, 1992; Nussbaum, Women and human development: The capabilities approach. Cambridge: Cambridge University Press, 2000; Robeyns, Feminist Economics 9/2–3:61–92, 2003). Secondly, because the capabilities approach acknowledges agency, it can be used to ensure that older people themselves name the criteria that are important. The resulting framework can be used by older people and policy makers to map the responsiveness of their place to later life concerns. It offers, therefore, a means of shifting attitudes from one of deficit and dependency to independence and well being. In producing capabilities criteria, this paper looks to the views of older people as expressed in recently published work in the UK. The paper discusses in turn the domains cited by older people: health, adequate income, mobility, safe neighbourhood, the comfortable and secure home, social relations and support illustrating how these key quality of life factors are often compromised by poor policy provision.     

Executive Functioning and Gambling: Performance on the Trail Making Test is Associated with Gambling Problems in Older Adult Gamblers

ABSTRACT

Rates of gambling problems in older adults have risen with increased accessibility of gambling venues. One possible contributor to problem gambling among older adults is decreased self-control brought about by diminished executive functioning. Consistent with this possibility, Study 1 revealed that older adults recruited from gambling venues reported greater gambling problems if they also experienced deficits in executive functioning, measured via the Trail Making Test. Study 2 replicated this finding and demonstrated that problem gambling is associated with increased depression among older adults, mediated by increased financial distress. These studies provide support for the hypothesis that older adult gamblers who have executive functioning problems are also likely to have gambling problems.     

Investigating the psychosocial determinants of physical activity in older adults: A qualitative approach

Objective: Despite the benefits of physical activity (PA), only one-third of older adults meet the recommended levels. The present study focused on psychosocial determinants of PA following retirement. Social cognitive theory (SCT) was used to better understand pre- and post-retirement adults’ thoughts about PA, the reasons why some individuals are more active than others, and how PA is incorporated into daily life after retirement.

Design: Seven focus groups of older adults (N = 37, M = 64, SD = 5.20; males = 20) representing a range of PA levels and retirement length participated in one of seven focus groups.

Results: Aligned with SCT, self-efficacy beliefs along with perceptions about barriers and benefits of PA were among the major determinants of PA. Findings highlighted the importance of social support, positive outcome expectations and self-regulatory strategies as motivators. The lack of structure in retirement was a hindrance to incorporating PA into daily routine but, when incorporated, PA provided a sense of purpose in the lives of retired individuals.

Conclusion: It is important to understand the meaning of retirement as a life transition and how it affects beliefs about PA to inform SCT-based health promotion interventions targeting individuals in retirement age.     

Judgments of blame and forgiveness: A comparison of young adults,older adults,and older adults with dementia

IntroductionAlzheimer's disease may modify moral judgment.ObjectiveIn two studies, we assessed the impact of dementia on blame and forgiveness. Study 1 compared the ways in which young adults, older adults, and older adults with dementia cognitively integrated two factors. Study 2 assessed the number of different factors that older adults with dementia were able to integrate during these moral judgments.MethodThe participants recorded their moral judgements in a blame task and in a forgiveness task. In study 1, the two questionnaires contained scenarios built from the combination of two factors. In study 2, the participants were confronted with the same tasks under three different conditions with scenarios that combined three, four or five factors.ResultsThe data from study 1 showed that the older adults with dementia did not combine the two factors in the same way as young adults did: the combination depended on the type of moral judgment. Study 2 revealed differences in moral judgment between older adults with dementia and adults without dementia in all tasks (i.e. with three, four or five factors combined).ConclusionDementia has an impact on moral judgments. Moral judgment among people with dementia is both task- and condition-dependant.     

Age similarities in matching pro- and contra-hedonic emotional strategies to everyday scenarios

ABSTRACT

Older adults are motivated to maximize positive affect in the present. Young adults will purposely feel negative and high arousal emotions in order to achieve a goal. However, this type of contra-hedonic emotional alignment has not been extensively studied with older adults. We expected older adults are less likely than young adults to select high arousal and negative emotions within specific scenarios where those states could be useful. In two studies, participants selected the emotion they preferred in hypothetical problems that varied on the arousal and valence best suited for goal achievement. Young and older adults were equally likely to endorse affective strategies that matched both pro and contra-hedonic scenarios. While older adults may be generally motivated to avoid negative and high-arousing emotions, they are just as likely as young adults to indicate that these states could be helpful in certain situations.     

Chapter 9: A Christian Education for the Spiritual Growth of Senior Adults

SUMMARY

Spiritual maturity among older adults is not automatic. The achievement of this most significant and worthy goal is, in part, an individual's choice. However, it is assisted by the deliberate efforts of Christian education, as a church seeks to meet the needs of seniors by appealing to their life concerns. How this is done may vary, but the needs and interests of senior adults dictate that it must be done. This article provides an overview of older adults' needs as they relate to spiritual development, and then offers some general suggestions a church might consider for guiding them toward spiritual maturity.     

Spiritual Care: Recognizing Spiritual Needs of Older Adults

SUMMARY

This paper explores aspects of spiritual needs and assessment, while emphasizing the importance of aged care providers being spiritually self-aware. The context of this exploration is meaning in life, spirituality and quality of life as experienced by older adults. Depression and dementia are frequently seen among older adults in residential aged care with resultant lowered quality of life. Pastoral and spiritual care may be used effectively to help alleviate depression and support older people who have dementia. However, to be able to provide appropriate spiritual care, spiritual needs should be assessed. Ways of assessing spiritual needs are suggested.     

Performance of an Adapted Version of the Timed Up-and-Go Test in People with Cognitive Impairments

In clinical practice, older people with cognitive impairment may have difficulties to understand the instructions of the Timed Up-and-Go (TUGT) test and present a bad performance. The purpose of this study was to identify differences in the TUGT performance, in an adapted version, between older adults with preserved cognition (PC), mild cognitive impairment (MCI) and Alzheimer's disease (AD), and to identify the association between the adapted TUGT performance and cognition among groups. A cross-sectional study was conducted with 118 community-dwelling older adults divided in three groups: PC (n?=?40), MCI (n?=?40) and AD (n?=?38). The evaluation was composed by the adapted TUGT and cognitive assessment (Addenbrooke's Cognitive Examination and Frontal Assessment Battery). Only the cadence of TUGT presented significant difference between groups, specifically between AD versus MCI and PC groups. The main correlations were found between time of TUGT with fluency domain and global cognitive function, especially in the AD Group. The findings contribute to the understanding of how cognition interferes on functional mobility in older people with MCI and AD. The adapted TUGT is easy to perform in clinical practice and can be useful when assessing mobility in people with cognitive impairment.     

Chapter 7: The Dilemma of Aging

SUMMARY

Intergenerational programming has received much attention and has been heralded as beneficial for both children and older adults. However, little has been reported in the literature concerning adult reactions to and benefits of intergenerational activities. A report on the first two years of an ongoing intergenerational project involving a preschool and a retirement community is presented. Four adults who participated regularly were interviewed in depth and findings are reported. All categories from the interviews represented aspects of Erikson's Generativity stage, and indicated that spirituality was enhanced through intergenerational contacts. Opportunities to interact with young children engendered a sense of relatedness to others and hope for the future for the older adult interviewees. Implications of this program that strengthened links to younger generations, and fostered positive affect, well-being, and spirituality in the aging process are discussed.     

The influence of aging on the spatial and temporal variables of gait during usual and fast speeds in older adults aged 60 to 102 years

BackgroundWith increases in life expectancy, it is important to understand the influence of aging on gait, given that this activity is related to the independence of older adults and may help in the development of health strategies that encourage successful aging in all phases of this process.Research questionTo compare gait parameters with usual and fast speeds for independent and autonomous older adults throughout the aging process (60 to 102 years old), and also to identify which of the gait variables are best for identifying differences across the different age groups.MethodsTwo hundred older adults aged between 60 and 102 years were evaluated. The sample was divided into 3 age groups: 60 to 79 years, 80 to 89 years and 90 years and over. The analyzed gait variables were: speed (meters/s), cadence (steps/min), stride time (seconds), step length (centimeters), double support (percentage of the gait cycle), swing (percentage of the gait cycle), step length variability (CoV%) and stride time variability (CoV%).ResultsGroup comparison regarding usual gait and fast gait revealed a significant difference in all gait variables. In addition, it can be seen that variables such as gait speed and step length showed greater effect sizes in intergroup comparison (usual gait: 0.48 and 0.47; fast gait: 0.36 and 0.40; respectively), possibly showing that these variables can better detect the changes observed with increasing age.ConclusionThere are differences in the gait performance of older adults from different age groups for usual and fast gait speeds, which is more evident regarding gait speed and step length variables. We recommend the use of usual gait for the identification of the effects of aging because, besides showing a higher effect size values it is more comfortable and requires less effort from older subjects.     

Adjusting to Retirement: Considerations for Counselors

The purpose of this article is to examine retirement while focusing on issues older adults face in adjusting to retirement and to suggest implications for counseling people who are making this transition.     

From self-reliers to expert-dependents: identifying classes based on health-related need for autonomy and need for external control among mobile users

ABSTRACT

Mobile health apps are seen as promising tools to support autonomous consumers in their quest for better health. However, individual differences in the need for autonomy and need for external control may impact the degree to which individuals perceive mobile health apps to be useful in their daily life. Using data from a representative sample of the Dutch population (N = 1,027), we applied latent class analysis to identify subtypes among mobile users based on their need for autonomy and need for external control, and to examine differences among these subtypes. We identified four subgroups: the self-reliers, confirmation-seekers, expert-dependents, and indifferents. Next to demographic differences, self-reliers and confirmation-seekers were generally more e-health literate and expressed more privacy concerns than the expert-dependents and indifferents. Our findings demonstrate that subgroups of people express different degrees of health-related need for autonomy and need for external control, which should be taken into account in online and mobile health communication efforts.     

Spiritual and Religious Implications of Aging with HIV: A Conceptual and Methodological Review

ABSTRACT

Spirituality and religious practices can buffer people from stressful life circumstances and promote positive biopsychosocial outcomes. The beneficial effects of spirituality and religious practices have been documented in aging and HIV. Unfortunately, little is known about spirituality and religious practices in older adults with HIV. As the number of older adults with HIV increases, with an estimated 91,000 adults over 50 being diagnosed with this disease in the United States, spirituality and religious practices may help HIV-positive people to age successfully. Crisis competence and spiritual trajectories are ways of conceptualizing spiritual development when confronting aging with a life-changing event such as a being diagnosed with HIV. Methodological issues in studying spirituality in adults aging with HIV are identified including defining spirituality and religiosity, heterogeneity of the population, timing of diagnosis, mode of transmission, sexual orientation, religious and cultural stigma, and hardiness. Implications for possible interventions are also posited.