North American Conference on elderly mobility : noteworthy practices guide.
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Summary
This document serves as a noteworthy practices guide derived from the North American Conference on Elderly Mobility (NACEM), held in May 2014. Sponsored by the Federal Highway Administration (FHWA), the guide addresses the critical need to adapt transportation systems for an aging population, aiming to maintain independence and reduce crash risks for older adults who are particularly vulnerable to injury. The publication compiles national and international strategies across five primary tracks: infrastructure and vehicles, driver screening and assessment, driver education and training, alternative transportation, and housing and land use. In the infrastructure and vehicles sector, the guide highlights the FHWA’s updated *Handbook for Designing Roadways for the Aging Population*, which categorizes treatments into "proven" and "promising" practices. Proven intersection treatments include installing 12-inch signal heads, yellow retroreflective borders on backplates, and countdown pedestrian signals. The Michigan Department of Transportation (MDOT) implemented a 7.4-mile showcase roadway demonstrating these upgrades, such as Clearview™ fonts, fluorescent yellow sheeting, and LED lenses, which were subsequently adopted into MDOT standards. Other infrastructure examples include adaptive LED lighting in New Zealand to improve nighttime visibility and the Alberta Traffic Safety Guide, which provides systemic strategies like curve delineation and channelization to accommodate older drivers. Regarding driver screening and assessment, the guide details collaborative efforts between law enforcement and public health organizations. In California, the Driver Orientation Screen for Cognitive Impairment (DOSCI) tool was developed to help officers identify cognitive impairment during traffic stops; over 2,500 officers have been trained, with high reported utility. Maryland employs a multi-tiered system involving a Functional Capacity Screening Test (FCT) and a Medical Advisory Board (MAB) to assess medical fitness for driving, reviewing conditions such as dementia, stroke, and vision loss to determine license privileges. The driver education and training section outlines initiatives like Florida’s Aging Road User Strategic Safety Plan and Michigan’s guide for aging drivers and their families. It also features CarFit, a program ensuring proper vehicle fit for older drivers, and the use of Driving Rehab Specialists to help seniors maintain driving skills. The guide further covers alternative transportation solutions, including mobility management coordination in Wisconsin and transit training programs for seniors, as well as housing and land use strategies like emergency preparedness planning and "Village" communities that provide transportation options. These practices are presented as replicable models to enhance safety and mobility for older adults nationwide.
Key finding
The guide aggregates and presents existing best practices and case studies rather than reporting new empirical research results.
Methodology
review
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| Stage | Outcome | Tool | Model | Prompt | Attempts | Completed |
|---|---|---|---|---|---|---|
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Summary generated by qwen3.6-27b-prismaquant on 2026-06-10; verification: verified.
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- Applied Guidance: countermeasure evaluation