Aging in place among older adults with histories of traumatic experiences: A scoping review

2021 ◽  
Author(s):  
Ramona A Danielson ◽  
Susan Ray-Degges
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Aging In Place ◽  
Traumatic Experience ◽  
Traumatic Experiences ◽  
Trauma History ◽  
Permanent Supportive Housing ◽  
Trauma Informed ◽  
Aging Adults ◽  
Design And Methods

Abstract Background and Objectives Adverse childhood and adult experiences can have far-reaching impacts, and when coupled with typical aging-related changes, may impede achievement of a suitable person-environment fit for aging adults. The objective of our study was to determine if extant literature connects older adults with trauma history to successfully aging in place. Research Design and Methods We proposed a conceptual model regarding trauma history, adaptive capacity of aging adults, and trauma-informed supports for aging in place. We conducted a scoping review using six databases [key words older adult(s), aging in place, housing, trauma], with a full review of 32 articles. Results Insights included: 1) Aging in place does not have to mean living in the same house over time. 2) The uncertainty of the aging process can be traumatic and can be exacerbated by previous traumatic experiences. 3) Environmental sensitivities can result from previous traumatic experiences and cause further trauma. 4) Housing precarity is a traumatic experience. 5) Permanent supportive housing is an important resource for people in crisis. 6) Community supports are critical to aging in place. Discussion and Implications Our review revealed insights about aging in place and trauma, but did not connect the vulnerabilities specific to aging adults with personal trauma histories to aging in place. Research is needed that confirms the relationship between history of traumatic experiences and difficulties with aging in place as well as trauma-informed approaches that can mitigate housing-related stressors and foster community living environments that provide equitable access to aging in place.

scholarly journals More Than Just a Room: A Scoping Review of the Impact of Homesharing for Older Adults

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Laura Martinez ◽  
Raza M Mirza ◽  
Andrea Austen ◽  
Jessica Hsieh ◽  
Christopher A Klinger ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Exchange ◽  
Scoping Review ◽  
Aging In Place ◽  
Full Text Review ◽  
Design And Methods ◽  
The Impact ◽  
Additional Income ◽  
Study Inclusion

Abstract Background and Objectives “Aging in place” is commonly defined as the ability to remain living safely and independently for as long as possible either in the home or community of one’s choosing. Yet, the literature indicates that older adults prefer to remain specifically in their own homes. Homesharing, an innovative exchange-based housing approach, is a means by which older adults can obtain additional income, companionship, and assistance by renting out a room to a home seeker, potentially increasing capacity to remain living independently in their homes. But what is known about their experiences of homesharing? Research Design and Methods A scoping review was conducted to map and consolidate the literature related to the experience of homeshare participation for adults aged 55 and older published from 1989 to 2018. Fifteen databases were searched, including 3 medical, 5 social science, and 7 gray literature databases. Following abstract and full-text review, 6 sources were retained for study inclusion. Thematic content analysis was used to identify major themes. Results Within included studies, 4 major themes were identified: (i) benefits of homeshare participation for older adults; (ii) challenges of participating in homeshare for older adults; (iii) intergenerational engagement as social exchange; and (iv) the key role of agency facilitation. Discussion and Implications Findings were used to derive practice, policy, and research implications. By focusing on older adults and the ways homesharing impacts their lives, we can better determine the viability of homeshare as a means for improving and prolonging experiences of living at home.

scholarly journals Nonimmersive Brain Gaming for Older Adults With Cognitive Impairment: A Scoping Review

2019 ◽  
Vol 59 (6) ◽  
pp. e764-e781 ◽  
Author(s):  
Pallavi Sood ◽  
Sandra L Kletzel ◽  
Shilpa Krishnan ◽  
Hannes Devos ◽  
Ahmed Negm ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Scoping Review ◽  
Research Field ◽  
Cognitive Outcome ◽  
Future Research ◽  
Eligibility Criteria ◽  
Technological Advances ◽  
Design And Methods

Abstract Background Technological advances have allowed a variety of computerized cognitive training tools to be engineered in ways that are fun and entertaining yet challenging at a level that can maintain motivation and engagement. This revolution has created an opportunity for gerontological scientists to evaluate brain gaming approaches to improve cognitive and everyday function. The purpose of this scoping review is to provide a critical overview of the existing literature on nonimmersive, electronic brain gaming interventions in older adults with mild cognitive impairment or dementia. Research Design and Methods Systematic search was conducted using 7 electronic databases from inception through July 2017. A comprehensive 2-level eligibility process was used to identify studies for inclusion based on PRISMA guidelines. Results Seventeen studies met eligibility criteria. Majority of the studies were randomized controlled trials (n = 13) and incorporated an active control (n = 9). Intervention doses ranged from 4 to 24 weeks in duration with an average of 8.4 (±5.1 standard deviation [SD]) weeks. Session durations ranged from 30 to 100 min with an average of 54 (±25 SD) minutes. Nearly half of studies included a follow-up, ranging from 3 months to 5 years (n = 8). For most studies, brain gaming improved at least one cognitive outcome (n = 12); only one study reported improvement in activities of daily living. Discussion and Implications This scoping review conveys the breadth of an emerging research field, which will help guide future research to develop standards and recommendations for brain gaming interventions which are currently lacking.

Exploring How Trauma Is Addressed in Sexual Education Interventions for Youth: A Scoping Review

2020 ◽  
Vol 47 (6) ◽  
pp. 880-893
Author(s):  
Lisa S. Panisch ◽  
Monica Faulkner ◽  
Sofia B. Fernandez ◽  
Nicole M. Fava
Keyword(s):  
Sexual Health ◽  
Scoping Review ◽  
The United States ◽  
Health Interventions ◽  
Traumatic Experiences ◽  
Sexually Transmitted ◽  
Trauma Informed ◽  
Education Interventions ◽  
Intervention Content ◽  
The Impact

Traumatic experiences are common among adolescents and can negatively affect learning and increase the risk of early pregnancy, parenthood, and sexually transmitted infections. Little is known about how current sexual health interventions address trauma. A scoping review was conducted to gain insight into how trauma is addressed in adolescent sexual health interventions. Peer-reviewed studies from the United States published between 2008 and 2018 describing a sexual health intervention for youth were considered. Studies were analyzed to determine if and how trauma was addressed in the interventions. Out of 169 articles initially screened, 29 met inclusion criteria and 23% ( n = 6) addressed trauma. Four interventions addressed trauma in the intervention content, while two studies evaluated trauma in outcome measures. Educators can broaden this reach by developing trauma-informed content that is compatible with existing curricula. Ongoing study is recommended to evaluate the impact of trauma-informed content on the sexual knowledge, attitudes, and behaviors of youth.

Developing the Person–Place Fit Measure for Older Adults: Broadening Place Domains

2019 ◽  
Vol 60 (8) ◽  
pp. e548-e558 ◽  
Author(s):  
Joyce Weil
Keyword(s):  
Older Adults ◽  
Qualitative Data ◽  
Qualitative Interviews ◽  
Aging In Place ◽  
Measurement Development ◽  
Older Individuals ◽  
Two Phase ◽  
Five Factors ◽  
Sequential Mixed Methods ◽  
Design And Methods

Abstract Background and Objectives Literature calls for larger studies with empirically tested instruments about the meaning of place for older adults—studies that include a broader range of domains and neighborhood characteristics. Although rich narrative and qualitative data for small groups of older individuals exist, a measure with valid and reliable scores that includes the new, multiple domains about aging in place does not. Research Design and Methods Findings are reported from a two-phase, nine-step, exploratory sequential mixed-methods process of measurement development for the Person-Place Fit Measure for Older Adults (PPFM-OA). In Phase I, a focus group (n = 8) and qualitative interviews (n = 77) with persons 65 and older were used to develop emerging domains of aging in place. Qualitative data about concepts and language informed the development of a quantitative item pool for the Mechanical Turk-distributed survey. Phase II included a Delphi process reducing the number of items in the PPFM-OA. Exploratory factor analysis (EFA) and reliability analysis further reduced the number of potential measure items. Results Five factors emerged from the EFA. They were primary or basic needs/necessities (α = .84), neighborhood changes and moving (α = .88), identity and place attachment (α = .86), community value (α = .89), and services and resources (α = .78). Discussion and Implications The development of a measure, such as the PPFM-OA, is crucial as more programs and services are created to address aging in place but uniform data for planning and evaluation are lacking. These initial quantitative analyses are informative for the next step, a larger-scale, quantitative evaluation.

Older Adults’ Self-Perceptions of Aging and Being Older: A Scoping Review

2019 ◽  
Vol 60 (7) ◽  
pp. e524-e534
Author(s):  
Simone Hausknecht ◽  
Lee-Fay Low ◽  
Kate O’Loughlin ◽  
Justin McNab ◽  
Lindy Clemson
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Well Being ◽  
Subjective Age ◽  
Main Research ◽  
Self Perceptions ◽  
Aging Body ◽  
Perceptions Of Aging ◽  
Design And Methods

Abstract Background and Objectives Older adults’ self-perceptions of aging and being older can influence well-being and quality of life. This systematic scoping review aimed to map out current research on older adults’ self-perceptions of aging and being older. Research Design and Methods The scoping review followed Arksey and O’Malley’s methodological framework. A total of 5,037 records were identified (duplicates removed). After screening, a final 148 papers were included. Descriptives, including year of publication, methodology, age, gender, and location of participants, were calculated. Thematic analyses were conducted examining ways in which the topic was conceptualized. Results The most frequent method used in the research was quantitative. Participants were from 38 different countries. There were more female participants than male. Seven themes representing the main research emphasis emerged: attitudes towards one’s own aging (n = 48), aging well (n = 23), aging stereotypes, self-stigma (n = 23), construction of aging identities (n = 22), subjective age (n = 18), the aging body (n = 8), and future self-views (n = 6). Discussion and Implications The research within these themes approach self-perceptions of aging using varying points of reference for what participants compare their age to. The methods used to illicit aging perspectives held their own assumptions about aging.

Naturally Occurring Retirement Communities: A Scoping Review (Preprint)

2021 ◽  
Author(s):  
Simone Parniak ◽  
Vince G DePaul ◽  
Clare Frymire ◽  
Samuel DePaul ◽  
Catherine Donnelly
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Qualitative Content Analysis ◽  
Aging In Place ◽  
Well Being ◽  
The Body ◽  
Cochrane Library ◽  
Future Research ◽  
Retirement Communities ◽  
Naturally Occurring

BACKGROUND As Canada’s population ages there is a need to explore community-based solutions to support older adults. Naturally Occurring Retirement Communities (NORCs), defined by Hunt and Gunter-Hunt in 1986 as buildings or areas not specifically designed for, but which attracts, older adults and associated supportive service programming (NORC-SSP) have been described as potential resources to support aging-in-place. However, while the body of literature on NORCs has been growing since the 1980s, no synthesis of this work has been done to date. OBJECTIVE The goal of this scoping review was to highlight the current state of NORC literature to inform future research and to offer a summarized description of NORCs and how they have and can support older adults to age-in-place. METHODS Using a published framework, a scoping review was conducted searching twelve databases (CINAHL, Ovid Medline, HealthSTAR, Embase, APA PsycInfo, AMED, Johanna Briggs Institute, REHABDATA, Sociofile, Education Source, ERIC, Urban Planning, and the Cochrane Library) from earliest date of coverage to July 2020. We included English peer and non-peer reviewed scholarly journal publications that described, critiqued, reflected on, or researched NORCs. Aging-in-place literature with little to no mention of NORCs were excluded, as were articles that recruited from NORCs but did not connect findings to the setting. A qualitative content analysis of the literature was conducted, guided by Greenfield et al.’s 2012 conceptual framework to examine the promise of NORC programs to promote aging-in-place. RESULTS From 762 publications, we included 61 articles. All publications were North American and most used a descriptive approach (49/61; 80.3%). Just over half provided a specific definition of a NORC (32/61; 52.5%); of those, almost half (14/32; 43.8%) used Hunt and Gunter-Hunt’s 1986 definition; yet there were discrepancies in the defined proportions of older adults that constitutes a NORC (e.g. 40%, 50%). Six articles (6/61; 9.8%) described processes for identifying NORCs. Thirty-seven articles (37/61; 60.7%) specifically described Articles about NORC SSPs, described both external partnerships with organizations for service delivery (30/61; 49.2%), and internal resources, including staff (19/61; 31.1%), volunteers (13/61; 21.3%), or neighbours (5/61; 8.2%). Identified key components of a NORC-SSP included activities fostering social relationships (24/61;39.3%) and access to resources and services (24/61;39.3%). Sustainability and funding of NORC-SSPs was described (25/61; 40.9%), particularly as challenges to success. Initial outcomes, including self-efficacy (6/61; 9.8%) and increased access to social and health supports (14/61; 22.9%) were cited; however, long-term outcomes were lacking. CONCLUSIONS This review synthesizes the NORC literature to date and demonstrates that NORCs with programming (NORC-SSPs) have potential as an alternative model of supporting aging-in-place. Longitudinal research exploring the impacts of both NORCs and NORC-SSPs on older adult health and well-being is recommended. Future research should also explore ways to improve the sustainability of NORC-SSPs.

scholarly journals Examining Community-Based Housing Models to Support Aging in Place: A Scoping Review

2020 ◽  
Author(s):  
Karen Chum ◽  
Griffin Fitzhenry ◽  
Kali Robinson ◽  
Michelle Murphy ◽  
Delyth Phan ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Relations ◽  
Scoping Review ◽  
Sense Of Self ◽  
Aging In Place ◽  
Well Being ◽  
Community Dwelling ◽  
Sheltered Housing ◽  
Retirement Communities ◽  
Community Based

Abstract Background and Objectives With the global population aging, there is a demand for older adults to age in place, that is, to live and age well in their home and community with some level of independence. Community-based housing models exist and may support this process. This scoping review aimed to describe and synthesize the ways in which community-based housing models relate to older adults’ aging in place and identify strengths and gaps in the literature. Research Design and Methods The housing models explored were villages, naturally occurring retirement communities, congregate housing and cohousing, sheltered housing, and continuing care retirement communities. This exploratory scoping review examined international peer-reviewed literature published from 2004 to 2019. Six databases were searched using terms related to housing models and older adults. Forty-six articles met the inclusion criteria. Descriptive numerical summary and thematic analysis were used to synthesize study characteristics and findings. Results Our analysis revealed 4 themes relating to aging in place in the housing models: Social Relations, Health and Well-being, Sense of Self and Autonomy, and Activity Participation. Further analysis identified housing-specific characteristics that appeared to pose barriers to, or enable, aging in place. Discussion and Implications To best support aging in place, the findings of the review suggest multiple characteristics worth considering when developing or relocating to a community-based housing model. Further research is required to understand how facilitating characteristics can promote aging in place for community-dwelling older adults.

scholarly journals The Importance of Trust in the Adoption and Use of Intelligent Assistive Technology by Older Adults to Support Aging in Place: Scoping Review Protocol

2017 ◽  
Vol 6 (11) ◽  
pp. e218 ◽  
Author(s):  
Josephine McMurray ◽  
Gillian Strudwick ◽  
Cheryl Forchuk ◽  
Adam Morse ◽  
Jessica Lachance ◽  
...  
Keyword(s):  
Older Adults ◽  
Assistive Technology ◽  
Scoping Review ◽  
Aging In Place ◽  
Review Protocol

scholarly journals Intrinsic, extrinsic and interaction theories on falls and aging-in-place: A C-T-E scoping review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 620-620
Author(s):  
Bonnie Albright
Keyword(s):  
Older Adults ◽  
Social Justice ◽  
Conceptual Framework ◽  
Scoping Review ◽  
Ecological Model ◽  
Aging In Place ◽  
Community Dwelling ◽  
External Factors ◽  
Social Gerontology ◽  
Community Dwelling Older Adults

Abstract As aging in place increases in popularity, it is important to understand potential negative outcomes related to the trend. For this presentation, the conceptual-theoretical-empirical (C-T-E) scoping review technique was used to organize research on in-home falls of community-dwelling older adults. Research and theory were included from the fields of social gerontology, disability, policy, social justice, medicine, rehabilitation, and housing. While research from these multiple fields overlaps, an overarching conceptual framework for organizing this literature was found to categorize the theories into three main conceptual areas. The three conceptual areas are: intrinsic (related to the person only), extrinsic (related to external factors only), and interaction between intrinsic and extrinsic (related to the interaction between the person and external factors). This conceptual framework shares similarities with work by others in use of the terms intrinsic and extrinsic, and it draws on the larger influence of Bronfenbrenner's socio-ecological model. However, this review extends previous work by providing a framework for organizing the contributions to falls research across multiple disciplines.

scholarly journals Trauma and Adversity: Factors Impacting Vulnerability and Resilience Among Older Disaster Survivors

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 591-591
Author(s):  
Molly Davis ◽  
Nikki Bellamy
Keyword(s):  
Older Adults ◽  
Traumatic Experiences ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Age Related ◽  
Increased Risk ◽  
Disaster Survivors ◽  
Trauma Informed ◽  
Disaster Trauma ◽  
The Impact

Abstract Most would agree that older adults represent a highly vulnerable group prior to, during and post disaster. Age-related vulnerabilities often lead into an increased risk for traumatic experiences and post-traumatic stress symptoms after a disaster. Trauma informed principles offer a possible way to reduce the vulnerability of older adults after a disaster. For example, utilizing the trauma informed question “what has happened to you” shifts the focus from a deficit approach and allows for a deeper understanding of the impact of traumatic life experiences on current functioning and reaction to the disaster. It is this understanding of trauma’s impact that may have a role in how older adult disaster survivors view, respond, and recover after a natural disaster (Seery et.al. 2010; Iacoviello & Charney, 2014). In addition, understanding the role of lifetime adversity provides critical insights for disaster planning, reducing vulnerability and promoting resilience among older disaster survivors.

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