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Basia Belza, PhD, RN, FAAN University of Washington User Tools and Technologies in Facilitating Community Wayfinding The CDC HAN is a thematic research network within CDC's Prevention Research Centers Program and is supported through the CDC's Healthy Aging Program.

Basia Belza, PhD, RN, FAAN University of Washington

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User Tools and Technologies in Facilitating Community Wayfinding. Basia Belza, PhD, RN, FAAN University of Washington. The CDC HAN is a thematic research network within CDC's Prevention Research Centers Program and is supported through the CDC's Healthy Aging Program. Disclosure: Basia Belza. - PowerPoint PPT Presentation

Text of Basia Belza, PhD, RN, FAAN University of Washington

Centers for Disease Control and Prevention Healthy Aging Research Network: 10 Years of Impact

Basia Belza, PhD, RN, FAANUniversity of Washington

User Tools and Technologies in Facilitating Community Wayfinding

The CDC HAN is a thematic research network within CDC's Prevention Research Centers Program and is supported through the CDC's Healthy Aging Program.1Disclosure: Basia BelzaThe following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:

No relationships to disclose


William A. SatarianoMarlon MausRebecca H. HunterDaniela B. FriedmanAnna VandenbergAngie DeokarLaura FarrenLucinda L. BryantMariko ToyojiNai-Ching ChiSean MullenIndia RoseYuki Durham3AbstractEnsuring effective community wayfinding (CWF) is critical for maintaining mobility among older adults. Reduced mobility, associated with either age or disability, is a public health burden. The purpose of this presentation is to discuss the role of user tools and technologies in facilitating CWF in older adults and people with mobility disabilities. Wayfinding tools and aids used by people to support mobility and/or navigation include but are not limited to smartphones, compasses, maps, and written directions. We report the results of a review and synthesis of the literature on user tools and technologies as related to CWF. In our review we include but are not limited to populations with sensory and/or cognitive impairments. We propose new research directions, including the need to better understand the use of tools in everyday settings and how tool-use relates to public health outcomes such as increased physical activity. We summarize opportunities and challenges of user tools and technologies, such as those associated with barriers and the equitable distribution of these technologies in underserved populations. Without a consideration of these barriers, CWF innovations, no matter how efficacious and effective, may only serve to aggravate health and functional disparities by race, ethnicity, and region in aging populations.

4PurposeDiscuss the role of user tools and technologies in facilitating community wayfinding in older adults and people with disabilities.

Photo credit: Ed Stollof5

Tools and Technology An Ecological View6

devices and systems to enhance the ability of individuals and populations to locate themselves and find their way safely through indoor and outdoor environments with ease, efficiency and effectiveness.

Wayfinding user tools and technologies are

7TypesUser-basedEnvironment-basedUser-environment interactiveWayfinding systems

Audible Signal, Ed Stollof

Easter Seals Project ACTION8What innovative WF technologies exist or are emerging to ensure that adults are better able to find their way through indoor and outdoor environments?

What are the implications of WF technology and dissemination for public health?

9Review Steps 10Primary Abstractionn = 106Secondary Abstractionn = 106Excluded485 + 23 = 508

-Published pre-2003-Non-English language-Basic science-Clinical focus-Pertaining to children-Evacuation systems-Systems that track people with dementia-Computer-focused-Mobility-focused tools-Product dev tech-Not related to CWF-Low techSelected for FinalReview/Analysisn = 83Our ProcessAbstractionReconciliationn = 106Records Identifiedand Prescreenedn = 59111

What areas of WF are addressed (n=83)?

*Percent of the total 12

What types of articles are used (n=83)?

Percent of the total 13

What was the setting (n=83)?

Percent of the total 14What types of technologies are addressed (n=83)?Percent of the total 15Does the technology address functional factors related to use (n=83)?Percent of the total 16ObservationsMost studies of adults with sensory deficits, e.g., vision impairment; few studies of older adults.

Most studies from information sciences and environmental psychology.

Most studies based on small samples.

Limited focus on issues of socioeconomic barriers to access and cultural impact of WF technology.

17New DirectionsUse of technologies in everyday settingsLink to public health outcomesAccessibility, demographic, socioeconomic, and cultural factorsCollaborations between WF technology developers and public health professionals

18Thank you for your interest!Contact: [email protected] presentation is the result of work conducted by the CDC Healthy Aging Research Network. The CDC Healthy Aging Research Network is a Prevention Research Centers program funded by the CDC Healthy Aging Program. This research was supported in part by cooperative agreements from CDC's Prevention Research Centers Program: U48-DP-001911, 001908, 001921, 001924, 001936, 001938, and 001944.The contents of this presentation are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.

Paul Revere's Ride Henry Wadsworth Longfellow Listen my children and you shall hearOf the midnight ride of Paul Revere,On the eighteenth of April, in Seventy-five;Hardly a man is now aliveWho remembers that famous day and year.He said to his friend, "If the British marchBy land or sea from the town to-night,Hang a lantern aloft in the belfry archOf the North Church tower as a signal light,--One if by land, and two if by sea;And I on the opposite shore will be,Ready to ride and spread the alarmThrough every Middlesex village and farm,For the country folk to be up and to arm."Then he said "Good-night!" and with muffled oarSilently rowed to the Charlestown shore,Just as the moon rose over the bay,Where swinging wide at her moorings layThe Somerset, British man-of-war;A phantom ship, with each mast and sparAcross the moon like a prison bar,And a huge black hulk, that was magnifiedBy its own reflection in the tide.Meanwhile, his friend through alley and streetWanders and watches, with eager ears,Till in the silence around him he hearsThe muster of men at the barrack door,The sound of arms, and the tramp of feet,And the measured tread of the grenadiers,Marching down to their boats on the shore.Then he climbed the tower of the Old North Church,By the wooden stairs, with stealthy tread,To the belfry chamber overhead,And startled the pigeons from their perchOn the sombre rafters, that round him madeMasses and moving shapes of shade,--By the trembling ladder, steep and tall,To the highest window in the wall,Where he paused to listen and look downA moment on the roofs of the townAnd the moonlight flowing over all.Beneath, in the churchyard, lay the dead,In their night encampment on the hill,Wrapped in silence so deep and stillThat he could hear, like a sentinel's tread,The watchful night-wind, as it wentCreeping along from tent to tent,And seeming to whisper, "All is well!"A moment only he feels the spellOf the place and the hour, and the secret dreadOf the lonely belfry and the dead;For suddenly all his thoughts are bentOn a shadowy something far away,Where the river widens to meet the bay,--A line of black that bends and floatsOn the rising tide like a bridge of boats.Meanwhile, impatient to mount and ride,Booted and spurred, with a heavy strideOn the opposite shore walked Paul Revere.Now he patted his horse's side,Now he gazed at the landscape far and near,Then, impetuous, stamped the earth,And turned and tightened his saddle girth;But mostly he watched with eager searchThe belfry tower of the Old North Church,As it rose above the graves on the hill,Lonely and spectral and sombre and still.And lo! as he looks, on the belfry's heightA glimmer, and then a gleam of light!He springs to the saddle, the bridle he turns,But lingers and gazes, till full on his sightA second lamp in the belfry burns.A hurry of hoofs in a village street,A shape in the moonlight, a bulk in the dark,And beneath, from the pebbles, in passing, a sparkStruck out by a steed flying fearless and fleet;That was all! And yet, through the gloom and the light,The fate of a nation was riding that night;And the spark struck out by that steed, in his flight,Kindled the land into flame with its heat.He has left the village and mounted the steep,And beneath him, tranquil and broad and deep,Is the Mystic, meeting the ocean tides;And under the alders that skirt its edge,Now soft on the sand, now loud on the ledge,Is heard the tramp of his steed as he rides.It was twelve by the village clockWhen he crossed the bridge into Medford town.He heard the crowing of the cock,And the barking of the farmer's dog,And felt the damp of the river fog,That rises after the sun goes down.It was one by the village clock,When he galloped into Lexington.He saw the gilded weathercockSwim in the moonlight as he passed,And the meeting-house windows, black and bare,Gaze at him with a spectral glare,As if they already stood aghastAt the bloody work they would look upon.It was two by the village clock,When he came to the bridge in Concord town.He heard the bleating of the flock,And the twitter of birds among the trees,And felt the breath of the morning breezeBlowing over the meadow brown.And one was safe and asleep in his bedWho at the bridge would be first to fall,Who that day would be lying dead,Pierced by a British musket ball.You know the rest. In the books you have readHow the British Regulars fired and fled,---How the farmers gave them ball for ball,> From behind each fence and farmyard wall,Chasing the redcoats down the lane,Then crossing the fields to emerge againUnder the trees at the turn of the road,And only pausing to fire and load.So through the night rode Paul Revere;And so through the night went his cry of alarmTo every Middlesex village and farm,---A cry of defiance, and not of fear,A voice in the darkness, a knock at the door,And a word that shall echo for evermore!For, borne on the night-wind of the Past,Through all our history, to the last,In the hour of darkness and peril and need,The people will waken and listen to hearThe hurrying hoof-beats of that steed,And the midnight message of Paul Revere.