Community-based older adults' perceptions of factors that influence successful aging in place

2002 ◽  
Author(s):  
Michele Rosemarie Alonso
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Aging In Place ◽  
Community Based

scholarly journals BUILDING DISASTER RESILIENCE FOR OLDER ADULTS AGING IN PLACE: THE ROLE OF COMMUNITY-BASED ORGANIZATIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S340-S341
Author(s):  
Claire Pendergrast ◽  
Basia Belza ◽  
Ann Bostrom ◽  
Nicole Errett
Keyword(s):  
Older Adults ◽  
Social Services ◽  
Aging In Place ◽  
Well Being ◽  
Local Context ◽  
Disaster Resilience ◽  
Community Based ◽  
Senior Centers ◽  
Community Based Organizations

Abstract Older adults are more susceptible to adverse health outcomes during and after a disaster compared with their younger counterparts. Developing community resilience, or strengthening communities to reduce the negative impacts of disasters, has the potential support older adults’ health and well-being. Community-based organizations (CBOs), such as senior centers and Villages, provide social services and programming that support aging in place and may support older adults’ resilience to disasters. This study examines CBO leadership perspectives on the role of CBOs in building disaster resilience for older adults aging in place, as well as perceived barriers and facilitators to incorporating disaster resilience activities into organizational programming. In-depth interviews were conducted with a purposive sample of staff-members of CBOs serving older adults aging in place in King County, Washington. Participants included representatives from 14 organizations that varied in size, geographic setting, organizational structure, and ethnic, linguistic, and socio-economic backgrounds of organizational members. The sample included five government-run senior centers, seven non-profit senior centers, and two Villages. Interviews were audio-recorded and transcribed verbatim. We used a combined inductive and deductive approach to code and thematically analyze the data. Results indicate that local context, leadership risk perception, collaborations, and existing services and programming influence CBOs’ willingness to engage in activities supporting disaster resilience for older adults aging in place. Findings suggest that CBOs supporting aging in place may support disaster resilience for older adults by serving as a trusted source of disaster preparedness information and tailoring disaster-related messages for an older adult audience.

scholarly journals PROMOTING AGING IN PLACE VIA RESEARCH, POLICY, AND PRACTICE IN AGE-FRIENDLY COMMUNITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S26-S26
Author(s):  
Kathy Black
Keyword(s):  
Older Adults ◽  
Research Policy ◽  
Aging In Place ◽  
Policy And Practice ◽  
Community Based ◽  
Professional Groups ◽  
Age In Place ◽  
Community Model ◽  
The Social ◽  
Global Age

Abstract The majority of Americans overwhelmingly prefer to age in place and in the communities in which they reside. Age-friendly communities support aging in place by focusing attention on features both inside and outside of the home. The global age-friendly community model provides a framework that requires assessing community-based older adults’ needs and preferences about, and developing subsequent action towards, features of the social, service and built environment including housing and transportation which are considered essential to aging successfully at home. This presentation discusses the intersect between research, policy and practice in an age-friendly community which utilized micro-level findings from older adults (n = 1, 172) to enact macro-level collaborations across local and statewide government and professional groups to facilitate aging in place across the domains of housing and transportation.

scholarly journals Older Adults with Hoarding Behaviour Aging in Place: Looking to a Collaborative Community-Based Planning Approach for Solutions

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Kyle Y. Whitfield ◽  
Jason S. Daniels ◽  
Keri Flesaker ◽  
Doneka Simmons
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Aging In Place ◽  
Community Support ◽  
Community Response ◽  
Valuable Insight ◽  
Collaborative Community ◽  
Significant Addition ◽  
New Research ◽  
Community Collaborative

This paper reports on and synthesizes new research that examines how a collaborative community response can promote successful aging in place for older adults with hoarding behaviour. Through interviews with older adults with hoarding behaviour, who used a particular community support and a focus group interview with members of the community collaborative that directed supports for this population, our findings suggest that there were valuable outcomes for both groups. These older adults with hoarding behaviour were able to remain in their own homes, their safety was enhanced, their sense of isolation was minimized, empowerment was fostered, and they gained valuable insight into their behaviour. The members of the community collaborative were able to access the expertise of other professionals, maximize their own expertise, and they generated an enhanced understanding of the experience of older adults living with hoarding behaviour in Edmonton. This study is a significant addition to the much too sparse literature about the community planning needs of older adults with hoarding behaviour. It offers knowledge that is integral to theories and principles of better aging in place but attempts to translate this into practice.

scholarly journals Age-Friendly Communities and Aging in Place: Findings From Latent Profile Analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 559-560
Author(s):  
Seon Kim ◽  
Kyeongmo Kim ◽  
Junpyo Kim
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Multinomial Logistic Regression ◽  
Aging In Place ◽  
Community Or ◽  
Current Residence ◽  
The Cost ◽  
Latent Profile

Abstract Older adults prefer to live in their current home or community and ‘Aging in place’ has been shown to reduce the cost of caring for older adults and help their successful aging. Although age-friendly communities (AFC) initiatives have been helpful to aging in place, little has been known about the relationship between the types of AFC and aging in place. Using the 2017 AARP Age-Friendly Community Survey, we included 1,079 adults aged 65 or older. We measured aging in place as ‘move to a different community’, ‘move into a different residence within your current community’, and ‘stay in your current residence’, and included eight AFC constructs. We identified the type of AFC using Latent Profile Analysis: low-friendly, mid-friendly, and high-friendly. We also ran multinomial logistic regression to examine whether the types of AFC were associated with aging in place. Of the total participants, 26.0% lived in the low-friendly community, 23.7% in the mid-friendly community, and 50.3% in the high-friendly community. Older adults living in the high-friendly community were more likely to stay in the current residence (64.7%) than those in the low-friendly (47.1%) (χ2=28.680, p<.001). Also, older adults living in the low-friendly community (OR=3.05, p<.001) and the mid-friendly community (OR=1.42, p<.10) were more likely to move to a different community compared to those living in the high-friendly community. This result suggests that it is important to build an AFC to promote aging in place. For the growing number of older adults' lives, policymakers should consider expanding the AFC initiatives.

scholarly journals Partnerships Matter in Successful Aging: Collaborations That Put Research Into Practice Across the Community

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 787-787
Author(s):  
Tina Sadarangani ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Successful Aging ◽  
Healthy Aging ◽  
Emotional Health ◽  
Care Quality ◽  
Academic Community ◽  
Evidence Based ◽  
Community Based ◽  
Key Stakeholders

Abstract Healthy aging begins and ends in the community with age friendly health systems and communities. In order to promote healthy aging and help older adults make healthy choices we must engage them as partners in healthcare with access to appropriate information and resources. This symposium will examine four community based studies that engage stakeholders to improve care quality through evidence-based interventions for older adults. These programs are all novel as they seek to engage stakeholders, perform pragmatic interventions, and improve outcomes in non-academic, community-based settings which are often overlooked. Promoting healthy behavior through peer coaching, using early detection and treatment to impact cognitive decline in social day care programs, evaluating the feasibility of screening for palliative care in assisted living and implementing evidence-based dementia care in hospice settings are all explored. Analysis of these initiatives showed improvements in perceived-health, reductions in unnecessary healthcare utilization, and improvements in the physical and emotional health of caregivers, and positive changes in health behaviors. Our discussion will underscore the importance of engaging key stakeholders in study design and implementation to yield better outcomes. Community engagement is an essential part of facilitating aging-in-place, and findings illustrate that this can be achieved through innovative collaborations between researchers and community-based organizations across a variety of settings.

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 Intersectionality of Person, Space, and Time for Understanding Aging in Place

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 436-436
Author(s):  
Widya Ramadhani ◽  
Maurita Harris ◽  
Wendy Rogers
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Aging In Place ◽  
Historical Review ◽  
Multiple Perspectives ◽  
Related Factors ◽  
Ageing In Place ◽  
Space And Time ◽  
Care Givers ◽  
Evolution Of Aging

Abstract Aging in place is interpreted differently across times and disciplines in the literature. Multiple interpretations of aging in place can lead to differences in expectations and goals when planning products, services, and technologies for older adults. We conducted a historical review across databases in the fields of anthropology, architecture, gerontol-ogy, medicine, psychology, and sociology to explore the evolution of ‘aging in place’ term across time and disciplines. We included articles that used the terminology “aging in place” or “ageing in place” in titles, abstracts, keywords, or subject. From the aging in place definition excerpts collected, we identified the preliminary themes and grouped them into three main themes: people, space, and time. Although the narrative of aging in place is highly related to living spaces, the cause and influencing factors are tied beyond the space. Person and time-related factors that are related to the aging experience im-pact the way aging in place is defined. When designing products, services, and technolo-gies to support successful aging in place, designers, researchers, policymakers, and care-givers should be aware that aging in place is at the intersection of personal, spatial, and temporal elements of older adults’ lives. Based on the multiple perspectives of disci-plines, we concluded that aging in place is beyond the matter of location, but also takes into account the person’s capacity and the changes over the person’s lifespan. Founda-tional understanding of the multiple factors that influence aging in place is critical to support older adults to have a healthy and optimal aging experience.

scholarly journals A Scoping Review: Social Participation as a Cornerstone of Successful Aging in Place among Rural Older Adults

Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 75 ◽  
Author(s):  
Lisa Carver ◽  
Rob Beamish ◽  
Susan Phillips ◽  
Michelle Villeneuve
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Social Participation ◽  
Scoping Review ◽  
Successful Aging ◽  
Aging In Place ◽  
Health Care Facilities ◽  
Local Health ◽  
Community Activities ◽  
Local Health Care

Despite obstacles, many rural-dwelling older adults report that positive aspects of rural residence, such as attachment to community, social participation, and familiarity, create a sense of belonging that far outweighs the negative. By being part of a community where they are known and they know people, rural elders continue to find meaning, the key to achieving successful aging in this last stage of life. This scoping review explored factors influencing social participation and, through it, successful aging among rural-dwelling older adults. We sought to answer the question: what factors enhance or detract from the ability of rural-dwelling older adults to engage in social participation in rural communities? The scoping review resulted in 19 articles that highlight the importance of supports to enable older people to spend time with others, including their pets, engage in volunteer and community activities, and help maintain their home and care for their pets. Overall, the lack of services, including local health care facilities, was less important than the attachment to place and social capital associated with aging in place.

Supporting Aging-in-Place Well: Findings From a Cluster Analysis of the Reasons for Aging-in-Place and Perceptions of Well-Being

2017 ◽  
Vol 39 (1) ◽  
pp. 3-15 ◽  
Author(s):  
Mira Ahn ◽  
Hyun Joo Kwon ◽  
Jiyun Kang
Keyword(s):  
Federal Government ◽  
Successful Aging ◽  
Aging In Place ◽  
Well Being ◽  
Policy Implications ◽  
Older Individuals ◽  
Community Based ◽  
Age In Place ◽  
Hispanic White

Prior research on gerontology and housing has frequently adopted a perspective that aging-in-place is the “goal.” Despite these meaningful results and policy implications, opportunities to explore consequences of aging-in-place, such as the association of this with overall well-being, have been overlooked. This study aims to fill this gap by investigating perceptions of well-being that could act as a driver or result of aging-in-place. With a nationwide random sample of non-Hispanic White, older individuals (60+), living in their homes ( N = 328), three segments of senior residents based on their reasons for aging-in-place were identified. Results reinforce the importance of community-based integrative programs and policies by indicating that the three identified clusters were not homogeneous; however, inclusive community-based supports and services can provide what each cluster needs to successfully age-in-place. Discussion provides a perspective on how to support successful aging-in-place, including the role of the federal government in funding and legislation.

Aging in Place: A National Analysis of Home- and Community-Based Medicaid Services for Older Adults

2018 ◽  
Vol 29 (4) ◽  
pp. 245-256 ◽  
Author(s):  
Carli Friedman ◽  
Joe Caldwell ◽  
Angela Rapp Kennedy ◽  
Mary C. Rizzolo
Keyword(s):  
Older Adults ◽  
Aging In Place ◽  
Nursing Facilities ◽  
Community Based ◽  
Age In Place ◽  
Services And Supports ◽  
Aging Adults ◽  
National Analysis ◽  
Community Based Services

The number of Americans needing long-term services and supports (LTSS) is projected to more than double in the coming decades largely due to an aging baby boomer population, meaning paying for LTSS will become an even greater challenge for American families and the country. Despite the benefits of aging in place, there remains a long-standing institutional bias within the Medicaid program, where services in nursing facilities are mandatory while home- and community-based services (HCBS) are mostly optional for states to cover. This study examined HCBS 1915(c) waivers ( n = 61 waivers) for older adults to categorize and compare service priorities. Findings revealed waivers for older adults were primarily focused on supporting individuals in their own homes to age in place. However, findings also revealed HCBS waivers are an underutilized mechanism for funding the LTSS of older adults. As states continue to deal with an increasing population of aging adults, with and without disabilities, the HCBS waiver option will continue to be an important component of a state’s service system.

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