A new conceptual model of experiences of aging in place in the United States: Results of a systematic review and meta-ethnography of qualitative studies

Rosenwohl‐Mack, Amy; Schumacher, Karen; Fang, Min-Lin; Fukuoka, Yoshimi

doi:10.1016/j.ijnurstu.2019.103496

Cited by 41 publications

(47 citation statements)

References 50 publications

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“…On the other hand, studies, such as the one in [ 51 ], report on how, for “most elderly people living at home, [...] their satisfaction with their immediate surroundings increased, their life satisfaction improved, and loneliness reduced” . Likewise, the studies in [ 52 , 53 ] suggest the beneficial impact that age-in-place has in avoiding social isolation and perceived loneliness in older adults. It seems that people in these conditions feel free and independent, as well as attached to a place and a community, which is developed over time, i.e., they experience the benefits of feeling a sense of place and a sense of belonging .…”

Section: Literature Landscapementioning

confidence: 99%

Managing Perceived Loneliness and Social-Isolation Levels for Older Adults: A Survey with Focus on Wearables-Based Solutions

Site

Lohan

Jolanki

et al. 2022

Sensors

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As an inevitable process, the number of older adults is increasing in many countries worldwide. Two of the main problems that society is being confronted with more and more, in this respect, are the inter-related aspects of feelings of loneliness and social isolation among older adults. In particular, the ongoing COVID-19 crisis and its associated restrictions have exacerbated the loneliness and social-isolation problems. This paper is first and foremost a comprehensive survey of loneliness monitoring and management solutions, from the multidisciplinary perspective of technology, gerontology, socio-psychology, and urban built environment. In addition, our paper also investigates machine learning-based technological solutions with wearable-sensor data, suitable to measure, monitor, manage, and/or diminish the levels of loneliness and social isolation, when one also considers the constraints and characteristics coming from social science, gerontology, and architecture/urban built environments points of view. Compared to the existing state of the art, our work is unique from the cross-disciplinary point of view, because our authors’ team combines the expertise from four distinct domains, i.e., gerontology, social psychology, architecture, and wireless technology in addressing the two inter-related problems of loneliness and social isolation in older adults. This work combines a cross-disciplinary survey of the literature in the four aforementioned domains with a proposed wearable-based technological solution, introduced first as a generic framework and, then, exemplified through a simple proof of concept with dummy data. As the main findings, we provide a comprehensive view on challenges and solutions in utilizing various technologies, particularly those carried by users, also known as wearables, to measure, manage, and/or diminish the social isolation and the perceived loneliness among older adults. In addition, we also summarize the identified solutions which can be used for measuring and monitoring various loneliness- and social isolation-related metrics, and we present and validate, through a simple proof-of-concept mechanism, an approach based on machine learning for predicting and estimating loneliness levels. Open research issues in this field are also discussed.

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Section: Literature Landscapementioning

confidence: 99%

Managing Perceived Loneliness and Social-Isolation Levels for Older Adults: A Survey with Focus on Wearables-Based Solutions

Site

Lohan

Jolanki

et al. 2022

Sensors

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“…In response to a projected increase in the aging population and the resulting increase in medical expenses, many countries have redesigned their services to support the elderly to remain at home for a longer duration [ 1 , 2 ]. This “redesigning” entails a shift in resources from acute care to community care to provide improved support to enhance the ability to live in one’s own home and community safely, independently, and comfortably regardless of age, income, or ability level [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Life Experiences with Using Community Care among People with Severe Physical Disabilities: A Comparative Analysis between South Korea and Japan

Lee

Choi

Lee

et al. 2020

IJERPH

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This study identified the pathways chosen by people with severe physical disabilities (PWSPD) in South Korea and Japan in using community care throughout their life and compared their experiences while navigating these pathways from their perspective. A concurrent nested mixed-method design was adopted. Quantitative data analysis included pathway mapping of facilities and services used throughout their lives. For qualitative data, interpretative phenomenological analysis (IPA) was applied. Eleven South Korean (congenital 7, acquired 4) and nine Japanese (congenital 6, acquired 3) participants were surveyed and interviewed. Pathway mapping was conducted by classifying the participants into focus groups. South Korean participants took nine years more than the Japanese participants to reach independence and showed different pathway characteristics. Superordinate themes from the IPA provided insight into the differences in experiences between PWSPD of the two countries: (1) accessibility and continuity of medical services; (2) experience of vocational training; (3) way and degree of social support for independent living; (4) care planning for receiving comprehensive services. In developing a community care model for the PWSPD to accelerate their time to independence, the government should strive for accessibility and connectivity of medical services, strengthen vocational training, social support for independent living, and information provision for the PWSPD.

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“…In our study, it became evident that “relocated” people may lose their sense of belonging and identity with their surrounding environment, if they are unable to recreate memories and suffuse the new dwelling with the meaning and memories that contribute to the sense of “home”. This appeared to be particularly difficult for people who were relocated against their will, in line with the concept of “stuck-in-place”, where place can have negative connotations for those who feel trapped in an undesirable environment [ 9 ]. As reported by some nursing home residents in our study, relocated people may feel “left out”, or devoid of a sense of belonging, due to their lack of local knowledge, history in the place, attachment or connections.…”

Section: Discussionmentioning

confidence: 99%

“…The field of environmental gerontology has been garnering intense research interest in recent years, focusing on the interactions between older people and their environment, and how this relationship evolves with advancing age [ 2 ]. A large body of research has focused on the features of the built environment (such as roads, pathways, parks, transport, and amenities) that are important to aging elders [ 3 , 4 , 5 ], while numerous other works have investigated experiences of older adults aging in place or “out-of-place” [ 6 , 7 , 8 , 9 , 10 , 11 ]. However, most of these studies generally focused exclusively on either community-dwelling people, or nursing home residents (but not both), and investigated the relation with one particular aspect of their home or environment.…”

Section: Introductionmentioning

confidence: 99%

Defining Your “Life Territory”: The Meaning of Place and Home for Community Dwellers and Nursing Home Residents—A Qualitative Study in Four European Countries

Ecarnot

Sanchez

Berrut³

et al. 2022

IJERPH

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The meaning of place and home for community dwellers and nursing home residents remains unclear. We explored the relationship between older people and their “life territory”, to propose a working definition of this concept, which could be used to orient policy decisions. Individual, semi-structured interviews were performed with older people, nursing home staff, and representatives of local institutions/elected officials in four European countries (France, Belgium, Germany, Italy). Interviews were transcribed and analysed using thematic analysis. In total, 54 interviews were performed. Five main themes emerged: (i) working definition of “your life territory” (a multidimensional concept covering individual and collective aspects); (ii) importance of the built environment (e.g., public transport, sidewalks, benches, access ramps); (iii) interactions between nursing homes and the outside community (specifically the need to maintain interactions with the local community); (iv) a sense of integration (dependent on social contacts, seniority in the area, perceived self-utility); and (v) the use of new technologies (to promote integration, social contacts and access to culture). This study found that the “life territory” of older people is a multidimensional concept, centred around five main domains, which together contribute to integrating older people into the fibre of their community.

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A new conceptual model of experiences of aging in place in the United States: Results of a systematic review and meta-ethnography of qualitative studies

Cited by 41 publications

References 50 publications

Managing Perceived Loneliness and Social-Isolation Levels for Older Adults: A Survey with Focus on Wearables-Based Solutions

Managing Perceived Loneliness and Social-Isolation Levels for Older Adults: A Survey with Focus on Wearables-Based Solutions

Life Experiences with Using Community Care among People with Severe Physical Disabilities: A Comparative Analysis between South Korea and Japan

Defining Your “Life Territory”: The Meaning of Place and Home for Community Dwellers and Nursing Home Residents—A Qualitative Study in Four European Countries

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