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.

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.

Features of Rural Communities in Latin America and Sub-Saharan Africa That Influence Well-Being of Older Persons

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 420-421
Author(s):  
Andrew Banda ◽  
Norah Keating ◽  
Jaco Hoffman ◽  
Jose Parodi ◽  
Nereide Curreri
Keyword(s):  
Older Adults ◽  
Latin America ◽  
Rural Communities ◽  
Older People ◽  
Scoping Review ◽  
Older Persons ◽  
Subjective Wellbeing ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Sub Saharan

Abstract In their recent volume, Critical Rural Gerontology, Skinner et al (2021) challenge us to set aside unidimensional notions of rural communities as bypassed vs very supportive; and to identify the elements of rurality that empower or exclude older people and how these differ across cultures and settings. Covid-19 has highlighted the need for safe and inclusive communities. Given that LMIC will be home to the majority of older adults (Gonzales et al. 2015), we undertook a scoping review of features of rural communities that influence wellbeing of older people in countries across Latin America and Sub-Saharan Africa. The review included literature in English, French, Spanish and Portuguese, using search engines MEDLINE, CINAHL Complete, PsycInfo, SocINDEX, SciELO, AJOL (Africa Journals Online), LILACS, Redalyc, LatinIndex and Clacso. Findings illustrate diversity in how community features including remoteness, infrastructure and belonging influence material, social and subjective wellbeing of older residents.

scholarly journals Congregate Meal Program—How Can We Make It More Appealing? (P16-014-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Savannah Schultz ◽  
Sarah Francis ◽  
Carlene Russell ◽  
Tim Getty
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Extracurricular Activities ◽  
Health Care Access ◽  
Successful Aging ◽  
Adult Population ◽  
Nutrition Program ◽  
Community Activities ◽  
Funding Sources ◽  
Congregate Meal Program

Abstract Objectives Congregate meal program (CMP) participation has been steadily declining despite a growing older adult population. The CMP is an important community nutrition program for older adults. Understanding the needs and preferences for the CMP by older adults is imperative if CMP participation is to increase. The purpose of this study was to identify the motivators and barriers for CMP attendance, menu preferences, desired environmental attributes, and educational programming ideas. Methods Participants were recruited via in-person presentations and personal invitations in two Midwest urban counties. Four focus groups were held. Three groups were with CMP participants (n = 21) and one with non-CMP participants (n = 11). All (n = 33) completed a sociodemographic questionnaire. Focus group transcriptions were analyzed for themes using standard focus group protocol. Sociodemographic data were analyzed via SPSS using descriptive statistics. Results All were White. The majority were educated (75.8% some college or higher), female (72.2%), and were food secure (93.8%). Over half (53.1%) aged 71 to 80 years old. Participants stated successful aging required support systems, health care access, financial security, community activities for older adults, and transportation. CMP participation motivators were socialization, affordability, access to a healthy meal and location. Participation barriers for non-CMP participants were being unaware of a CMP near them, limited transportation and not feeling that they needed to participate. Preferred marketing strategies included word of mouth and print-based advertisement. Participants stated that ideally, the CMP would be held in a facility with a welcoming ambience, offer menu choice, and provide a variety of extracurricular activities. Conclusions These findings provide insight as to how the CMP may be modified to be more appealing to older adults. We suggest CMP promotion highlight the value of a healthy meal and the opportunities for socialization. Funding Sources Administration for Community Living/Administration on Aging: Innovations in Nutrition Program and Services Grant 2017–2019. https://bit.ly/2RR17VC.

Perceptions of Local Health Care Quality in 7 Rural Communities with Telemedicine

2005 ◽  
Vol 21 (1) ◽  
pp. 79-85 ◽  
Author(s):  
Thomas S. Nesbitt ◽  
James P. Marcin ◽  
Martha M. Daschbach; ◽  
Stacey L. Cole
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Care Quality ◽  
Care Quality ◽  
Local Health ◽  
Local Health Care

scholarly journals The Association between Public Transportation and Social Isolation in Older Adults: A Scoping Review of the Literature

2019 ◽  
Vol 39 (3) ◽  
pp. 393-405
Author(s):  
Madeline Lamanna ◽  
Christopher A. Klinger ◽  
Anna Liu ◽  
Raza M. Mirza
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Social Isolation ◽  
Scoping Review ◽  
Public Transportation ◽  
Future Research ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Driving Cessation ◽  
Sound Policy

ABSTRACTInadequate public transportation was recognized as a barrier to social participation, especially for older adults in rural communities and with mobility issues. Older adults will not benefit from opportunities to engage with their community and maintain social networks if they are unable to access them. The purpose of this scoping review was to make recommendations for further research and to summarize areas for improvement identified in the literature that will aid in the development of public transportation initiatives that can better address social isolation for older adults (≥ 55 years of age). Nineteen articles met the inclusion criteria, identifying themes of access to rural public transportation, issues with public transportation, and mobility. In practice, older adults need to prepare for driving cessation and mobility transitions; sound policy requires input to tailor transportation initiatives to an aging population, and future research should explore older adults’ transportation needs and potential solutions in urban and rural communities.

scholarly journals Social capital, social participation and life satisfaction among Chilean older adults

2014 ◽  
Vol 48 (5) ◽  
pp. 739-749 ◽  
Author(s):  
María Soledad Herrera Ponce ◽  
Raúl Pedro Elgueta Rosas ◽  
María Beatriz Fernández Lorca
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Rural Communities ◽  
Social Participation ◽  
Social Life ◽  
Well Being ◽  
Major Determinant ◽  
Steady Increase ◽  
Subjective Well Being ◽  
Logistic Regression Models

OBJECTIVE To examine factors associated with social participation and their relationship with self-perceived well-being in older adults. METHODS This study was based on data obtained from the National Socioeconomic Characterization (CASEN) Survey conducted in Chile, in 2011, on a probability sample of households. We examined information of 31,428 older adults living in these households. Descriptive and explanatory analyses were performed using linear and multivariate logistic regression models. We assessed the respondents’ participation in different types of associations: egotropic, sociotropic, and religious. RESULTS Social participation increased with advancing age and then declined after the age of 80. The main finding of this study was that family social capital is a major determinant of social participation of older adults. Their involvement was associated with high levels of self-perceived subjective well-being. We identified four settings as sources of social participation: home-based; rural community-based; social policy programs; and religious. Older adults were significantly more likely to participate when other members of the household were also involved in social activities evidencing an intergenerational transmission of social participation. Rural communities, especially territorial associations, were the most favorable setting for participation. There has been a steady increase in the rates of involvement of older adults in social groups in Chile, especially after retirement. Religiosity remains a major determinant of associativism. The proportion of participation was higher among older women than men but these proportions equaled after the age of 80. CONCLUSIONS Self-perceived subjective well-being is not only dependent upon objective factors such as health and income, but is also dependent upon active participation in social life, measured as participation in associations, though its effects are moderate.

scholarly journals Experiences With Social Participation in Group Physical Activity Programs for Older Adults

2021 ◽  
pp. 1-10
Author(s):  
Chantelle Zimmer ◽  
Meghan H. McDonough ◽  
Jennifer Hewson ◽  
Ann Toohey ◽  
Cari Din ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Interaction ◽  
Focus Groups ◽  
Social Participation ◽  
Successful Aging ◽  
Social Contact ◽  
Psychosocial Needs ◽  
Meaningful Context ◽  
Physical Activity Programs

Little is known about how social participation can be facilitated among older adults in group physical activity and its psychosocial benefits that contribute to successful aging. This study aimed to understand older adults’ experiences with social participation in group physical activity programs. Using interpretive description methodology, 16 observations, eight focus groups, and two interviews with participants unable to attend focus groups were conducted with adults 55 years and older attending programs across four recreation facilities. Group programs were found to influence social participation through (a) a meaningful context for connecting and (b) instructors’ expectations of social interaction. Social participation in these programs addressed psychosocial needs by (c) increasing social contact and interaction, (d) fostering social relationships and belonging, and (e) promoting regular engagement. Training for instructors should include balancing the physical aspects of program delivery with the social, while also considering older adults’ diverse needs and preferences for social interaction.

scholarly journals Benefits and Barriers: A Qualitative Study of Online Social Participation Among Widowed Older Adults in Southwest China

2021 ◽  
Author(s):  
Yan Hong ◽  
Jingjing Fu ◽  
Dehui Kong ◽  
Siqi Liu ◽  
Zhu Zhong ◽  
...  
Keyword(s):  
Older Adults ◽  
Data Analysis ◽  
Digital Media ◽  
Social Participation ◽  
Successful Aging ◽  
The Elderly ◽  
Original Data ◽  
Exploratory Research ◽  
The Government ◽  
Colaizzi's Method

Abstract Background: With the development of information and communication technology, online activities are increasingly becoming part of the daily life of the older adults. As the elderly would face changes in social interactions and activities due to widowhood, the importance of online participation may be more prominent in this group. However, in-depth evidence on the experiences of online social participation among widowed older adults is relatively sparse. This study aimed to explore widowed older adults' perceptions regarding online social participation in southwestern China.Methods: A qualitative design of exploratory research was adopted. Semi-structured in-depth interviews were conducted with 19 widowed older adults between September-December 2020. The Colaizzi’s method was performed for data analysis. Results: Two major themes “benefits” and “barriers” were identified from the original data analysis. Subcategories concerning the category of “benefits” were “benefit perception (convenience, flexible time, supplementation)”, “health promotion”, “emotional comfort”, “social connection”. Subcategories of “barriers” included “worries: personal economic loss”, “concerns: security of digital device”, “troublesome: the diversity of online social participation”, “difficulties: using digital media”.Conclusions: Online social participation of the elderly is a topic worth exploring. The widowed older adults can truly feel the benefits of online social participation, which can be as an important measure to facilitate successful aging, but there are also barriers for social participation. The level of participation is relatively low. It is recommended to increase the access to use digital media of the elderly, and improve their ability to use it through the support of relatives and friends, as well as targeted education. Meanwhile, companies need to consider the age-friendly design of digital media systems, and the government should further improve the network management system to create a safer network environment.

scholarly journals Using Living Labs to Explore Needs and Solutions for Older Adults With Dementia: Scoping Review (Preprint)

2021 ◽  
Author(s):  
Henk Verloo ◽  
Adrien Lorette ◽  
Joëlle Rosselet Amoussou ◽  
Estelle Gillès de Pélichy ◽  
Alcina Matos Queirós ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Scoping Review ◽  
Independent Living ◽  
Cognitive Disorders ◽  
Health Care Facilities ◽  
Community Or ◽  
Scoping Reviews ◽  
Living Labs

BACKGROUND Numerous living labs have established a new approach for studying the health, independent living, and well-being of older adults with dementia. Living labs interact with a broad set of stakeholders, including students, academic institutions, private companies, health care organizations, and patient representative bodies and even with other living labs. Hence, it is crucial to identify the types of cocreations that should be attempted and how they can be facilitated through living labs. OBJECTIVE This study aims to scope publications that examine all types of living lab activities, exploring the needs and expectations of older adults with dementia and seeking solutions, whether they live in the community or long-term health care facilities (LTHFs). METHODS This scoping review was reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) recommendations for the extension of scoping reviews. We searched six bibliographic databases for publications up to March 2020, and a forward-backward citation chasing was performed. Additional searches were conducted using Google Scholar. The quality of the selected papers was assessed. RESULTS Of the 5609 articles identified, we read 58 (1.03%) articles and retained 12 (0.21%) articles for inclusion and final analysis. All 12 articles presented an innovative product, developed in 4 main living labs, to assist older adults with cognitive disorders or dementia living in the community or LTHFs. The objectives of these studies were to optimize health, quality of life, independent living, home care, and safety of older adults with cognitive disorders or dementia, as well as to support professional and family caregivers or reduce their burdens. The overall methodological quality of the studies ranged from poor to moderate. CONCLUSIONS This scoping review identified several living labs playing a pivotal role in research aimed at older adults with dementia living in the community or LTHFs. However, it also revealed that living labs should conduct more better-quality interventional research to prove the effectiveness of their technological products or service solutions. INTERNATIONAL REGISTERED REPORT RR2-10.2147/SHTT.S233130

scholarly journals Provision of Critical Maternity Care during the Coronavirus Disease 2019 (COVID-19) Pandemic in the Islamic Republic of Iran

2020 ◽  
Vol 23 (8) ◽  
pp. 557-560
Author(s):  
Nasrin Changizi ◽  
Alireza Raeisi ◽  
Hamed Barekati ◽  
Abbas Habibolahi ◽  
Haniye Sadat Sajadi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternity Care ◽  
Risk Groups ◽  
Health Care Facilities ◽  
Local Health ◽  
The Sustainable Development ◽  
Team Working ◽  
Local Health Care ◽  
Islamic Republic Of Iran ◽  
Development Goals

Reducing maternal mortality is one of the Sustainable Development Goals. Although there is no vigorous evidence that pregnant women are in the high-risk groups in response to coronavirus disease 2019 (COVID-19), it is crucial to respond to the pandemic through providing required action plans for confirmed or suspected pregnant women cases while maintaining routine functions. Iran’s response and preparedness measures to COVID-19 aimed to meet the essential needs required to protect pregnant women and their families. Establishing a national maternal health network, relying on mechanisms for timely reporting, monitoring, and following-up, preparing guidelines and protocols required for COVID-19 management in pregnant women though a multidisciplinary team working approach, and embedding the precautions of reducing transmission in maternity care were the main measures taken to cope with COVID-19 in pregnancy. Iran’s experience in providing maternity care during the COVID-19 can guide other countries affected by COVID-19. However, it should be adapted to local health-care facilities, as well as in response to any further updates on COVID-19.

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