Facilitators for travelling with local public transport among people with mild cognitive limitations after stroke

Abstract

Introduction: Previous research of how people with stroke manage public transport has mainly focused on barriers due to physical limitations whereas the influence of cognitive limitations is scarce. There is also a lack of knowledge of facilitators that can help to overcome these barriers. The aim of this study was to describe facilitators for travelling with public transport, e.g. local buses, among people with mild cognitive limitations after stroke.

Methods: A multiple case study research design was used, where quantitative and qualitative data were utilized, and analysed according to a mixed methods design.

Findings: The case descriptions reveal how people with mild cognitive limitations after stroke manage their trips but constantly have to be prepared to solve problems to unexpected events. Personal characteristics and other individual strategies together with support and solutions from society were important facilitators for travelling with bus.

Discussion: This study takes a new approach by specifically describing facilitators for travelling with public transport among people with mild cognitive limitations after stroke. To facilitate participation in society for this particular traveller group, occupational therapists have an important role when new technology and interventions that target bus travels, and other modes of transport are developed.

Keywords:

• Cerebrovascular accident
• cognition
• mixed-methods
• transportation
• case study

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Corrigendum

Acknowledgements

The authors thank the participants, and the PhD students for performing the data collection, and The Swedish Transport Administration and Vinnova who funded the data collection. This study was prepared within the Centre for Ageing and Supportive Environments [CASE] at Lund University, financed by the Swedish Council for Working Life and Social Research.

Disclosure statement

The authors report no conflict of interest.