Exploring the propensity to travel by demand responsive transport in the rural area of Lincolnshire in England

Local transport systems in rural areas worldwide are facing significant challenges. In particular, increased car ownership and usage as well as broader socio-economic trends such as ageing populations and cuts in public spending are combining to threaten the bus – the traditional means by which people without cars have accessed the services that they need. Consequently, Demand Responsive Transport (DRT) systems have emerged in a bid to combine the benefits of bus-based and taxi-based services, to deliver a relatively cheap yet comprehensive level of public transport in low demand environments. Unfortunately, while attractive in principle, several barriers conspire to limit the effectiveness of such services in practice. This paper therefore investigates how individual level factors influence the use of DRT systems in rural Lincolnshire in England by applying an ordered logit model to a survey of DRT users in the county. The analysis shows that those who are disabled, travelling for work, or live in less densely populated areas are likely to travel more frequently by DRT. Men are found to travel less frequently than women when they are below pension age. However there are no significant gender differences once they reach retirement age. This highlights an emerging market potential from the retired male market segment. The implications for policy include recommendations that DRT systems should be designed to cater for such market segments through both traditional channels and through further engagement with employers

The 'Choice and Autonomy Framework' : implications for occupational therapy practice

Introduction This paper presents findings from a PhD study exploring autonomy of adults with physical disability. The plethora of descriptions of autonomy in psychological, occupational therapy and rehabilitation literature (e.g. Ryan and Deci 2000, Rogers 1982, Cardol et al 2002) detracts from the centrality of autonomy and results in difficulty incorporating it into occupational therapy practice. This paper presents a framework providing an integrated, clinically useful approach to autonomy. Methods Sixteen people were recruited, based on age, gender, impairment and living circumstances (community/residential settings). All have significant physical disability, use a wheelchair and require personal assistance for some/all self-care activities. Qualitative methods were used for data collection, including life-history narrative, diary information and extensive interview. An integrated method of analysis was used, including content analysis and bracketing. Results The ‘Choice and Autonomy Framework’ consists of five strands, including: • the meaning of autonomy • whether or not autonomy is a goal or value • the experience of autonomy • personality factors that impact autonomy • environmental features that enhance or negate autonomy. This paper will describe each strand, as derived from the research. The results suggest that, contrary to common wisdom (Hmel and Pincus 2002), autonomy is not necessarily a universal goal for people with physical disability; an understanding of the person’s own perspective will enhance person-centred practice and enable therapists to further recognise individuality of clients. It will argue that the concept of autonomy needs to be further understood and incorporated into occupational therapy practice