文献类型：期刊文献

英文题名：Restricted yet expanded: A case study of mobility adaptations among older adults with mild cognitive impairment in Zhengzhou, China

作者：Yin, Qingqing[1];Chen, Lin[2];Mao, Xupeng[3];Kahana, Eva[4]

机构：[1]Univ Pittsburgh, Sch Social Work, Pittsburgh, PA USA;[2]Fudan Univ, Sch Social Dev & Publ Policy, Dept Social Work, 220 Handan Rd, Shanghai 200437, Peoples R China;[3]East China Univ Sci & Technol, Sch Social & Publ Adm, Dept Social Work, Shanghai, Peoples R China;[4]Case Western Reserve Univ, Dept Sociol, Cleveland, OH USA

年份：2025

卷号：41

外文期刊名：JOURNAL OF TRANSPORT & HEALTH

收录：;WOS:【SSCI(收录号:WOS:001406859700001)】；

基金：The author (s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Shanghai Planning Office of Philosophy and Social Science [#2023BSH004] .

语种：英文

外文关键词：Community-dwelling; Mild cognitive impairment; Mobility adaptation; Older adult; Physical environment; Social connection

摘要：Introduction: Cognitive impairment is likely to restrict older adults' mobility. Most existing evidence has examined the declining mobility of older adults with mild cognitive impairment (MCI) and proposed ways to improve neighborhood environments to support this vulnerable group. Yet these older adults' nuanced experiences and perceptions of adapting to changing mobility remain understudied. Integrating community gerontology and the preventive and corrective proactivity model, this study explores how older adults with MCI adapt to their changing mobility in their neighborhood environment. Methods: Through snowball sampling, we took a phenomenological approach and conducted indepth interviews with community-dwelling older adults with MCI in Zhengzhou, China (N = 34). We performed a thematic analysis of participants' experiences of mobility changes, their adaptions to these mobility changes, and their interactions with neighborhood environments. Results: Three themes emerged: experiencing mobility changes; ambivalent family responses to mobility changes; and continual interactions with the neighborhood environment. Participants recognized cognitive decline and mobility changes while trying to sustain their existing mobility, which was protected by their neighborhood-based social networks and mutual support. Their restricted mobility in the physical environment was bolstered and even expanded by their neighborhood social environment. Conclusion: We identified three dynamics of participants' mobility adaptation: within individual participants' own functioning; with family members; and within their neighborhood environment. These interactions enhanced participants' adaptive efforts to maintain their mobility by integrating supports from family members and neighborhood networks, highlighting the importance of developing neighborhood physical and social features to support older adults' changing cognitive and mobility functioning.