文献类型：期刊文献

英文题名：Reinterpreting and reconciling: A qualitative study of out-of-home mobility among mild cognitively impaired older adults in urban China

作者：Chen, Lin[1];Yin, Qingqing[1];Mao, Xupeng[2];Kahana, Eva[3]

机构：[1]Fudan Univ, Dept Social Work, Shanghai, Peoples R China;[2]East China Univ Sci & Technol, Sch Social & Publ Adm, Dept Social Work, 130 Meilong Rd, Shanghai 200237, Peoples R China;[3]Case Western Reserve Univ, Dept Neurosci, Cleveland, OH USA

年份：2023

卷号：33

外文期刊名：JOURNAL OF TRANSPORT & HEALTH

收录：;WOS:【SSCI(收录号:WOS:001098657300001)】；

基金：This work was funded by the 2023 Shanghai Planning Office of Philosophy and Social Science (study title: Social work intervention on developing mobility -friendly community space for older adults) and the Youth Fund, National Social Science Fund of China (No. 22CSH004) .

语种：英文

外文关键词：Community -dwelling; Mild cognitive impairment; Older adults; Out -of -home mobility; Urban China

摘要：Introduction: Cognitive decline can diminish older adults' out-of-home mobility. The new mobilities paradigm offers a fresh lens to understand the relationality between mobility and aging, namely, how older adults experience and perceive mobility during the aging process. However, existing literature has paid little attention to cognitively impaired older adults--a group that tends to face additional challenges in out-of-home mobility. Thus, this study explored how older adults with mild cognitive impairment (MCI) perceive their daily out-of-home mobility in urban China. Methods: Informed by a phenomenological approach, this study recruited participants through a mix of purposive and convenience sampling of community-dwelling older adults with MCI in Zhengzhou, China (N = 34). They participated in face-to-face, in-depth interviews. We performed a thematic analysis on participants' experiences and perceptions of changing out-of-home mobility in relation to their cognitive declines. Results: Three themes emerged: recognizing changes in out-of-home mobility; adapting to changing out-of-home mobility; and reinterpreting and reconciling with out-of-home mobility. These themes highlighted participants' perceptions of the interdependence of their cognition, mobility, and aging. By reinterpreting out-of-home mobility from performance of tasks of daily living to walking exercise, participants reconciled with cognitive decline and restricted mobility. Conclusion: The present study identified three aspects of the evolving interdependence of mobilities: (a) mobility and cognition, (b) aging and mobility, and (c) mobility, cognition, and aging. Findings highlight the need for urban renewal projects in urban China and beyond to center community-dwelling older adults' needs related to changes in their cognition and mobility.