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Definitions, key themes and aspects of ‘ageing in place’: a scoping review
- Authors:
- PANI-HARREMAN Katinka E., et al
- Journal article citation:
- Ageing and Society, 41(9), 2021, pp.2026-2059.
- Publisher:
- Cambridge University Press
The purpose is to give an overview of the extent, range and nature of existing definitions of the concept ‘ageing in place’. Providing such an overview may be helpful, for policy makers, researchers, communities and service providers, to make sense of the versatility and uses of the concept, and allow the improvement and increase the success of efforts to contribute to the quality of life of older people. The overview was created using Arksey and O'Malley's scoping review methodology. Out of 3,692 retrieved articles, 34 met the inclusion criteria. These studies concentrate on the following five key themes concerning ‘ageing in place’: ‘ageing in place’ in relation to place, to social networks, to support, to technology and to personal characteristics. Each of these key themes consists of other aspects, like physical place and attachment to place for the keyword place. This study concludes that the concept ‘ageing in place’ is broad and can be viewed from different (i.e. five) key themes. A more thorough understanding of ‘ageing in place’ provides knowledge about the existing key themes and aspects. These findings might provide practical support for professionals and governments when they develop their policies about ‘ageing in place’ integrally and to develop fit policies. (Edited publisher abstract)
Developing a model of resilience in older adulthood: a qualitative meta-synthesis
- Authors:
- WILSON Claire A., WALKER Deanna, SAKLOFSKE Donald H.
- Journal article citation:
- Ageing and Society, 41(8), 2021, pp.1920-1942.
- Publisher:
- Cambridge University Press
The study of resilience in an older adult population is expanding rapidly. However, most theoretical models of resilience have been developed with children or young to middle-aged adults. The objective of the present study was to review systematically the qualitative literature examining resilience in older adults, and to develop a comprehensive model of resilience in older adulthood. A qualitative meta-synthesis was conducted to review the qualitative literature examining resilience from older adults’ perspectives. An exhaustive search of the literature revealed 1,752 articles. From these articles, 34 studies meeting inclusion criteria were selected for analysis. Across the 34 studies analysed, eight themes were revealed as important for achieving resilience later in life: perseverance and determination, self-efficacy and independence, purpose and meaning, positive perspective, social support, faith and prayer, previous experience and being proactive. These themes can be organised into a four-factor model: (a) Intrapersonal Protective Factors; (b) Interpersonal Protective Factors; (c) Spiritual Protective Factors; and (d) Experiential Protective Factors. This study presents a new model of resilience in older adulthood that is grounded in qualitative literature and is relevant and appropriate for an older adult population. This research may be useful for clinicians, support workers and researchers working with older individuals through improving our understanding of what contributes to resilience later in life. (Edited publisher abstract)
Depression and frailty in later life: a synthetic review
- Authors:
- MEZUK Briana, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(9), September 2012, pp.879-892.
- Publisher:
- Wiley
Frailty is defined as a state or indication of being vulnerable to declining health in later life. Depression in later life is predictive of many of the same kinds of outcomes as frailty, including cognitive impairment, disability, fracture, and mortality. The aim of this review was to explore the conceptual and empirical interrelationships between depression and frailty among older adults. A literature search was conducted using PubMed for publications through to 2010. Reviewers assessed the eligibility of each report and abstracted information on study design, sample characteristics, and key findings. Of these abstracted articles, 39 met the inclusion criteria. The findings from both cross-sectional and cohort studies indicated that frailty, its components, and functional impairment are risk factors for depression. Although cross-sectional studies indicated a positive association between depression and frailty, findings from cohort studies were less consistent. The majority of studies included only women and non-Hispanic Whites. None used diagnostic measures of depression or considered antidepressant use in the design or analysis of the studies.
The concept of 'ageing well' in ten Latin American countries
- Authors:
- FERNANDEZ-BALLESTEROS R., et al
- Journal article citation:
- Ageing and Society, 30(1), January 2010, pp.41-56.
- Publisher:
- Cambridge University Press
A review of several studies examining the lay concept of successful ageing and related concepts leads to the conclusion that older people from different cultures appear to agree on most of the components identified in the literature. From the research emerges a multidimensional conceptualisation of ‘successful ageing’ that is described on the basis of physical, emotional, cognitive and social domains, and which coincides with most theoretical and empirical definitions. The main goal of the present research is to study similarities and differences between concepts of ‘successful ageing’ in several Latin American and European countries and in two different age groups, and also to examine whether a similar structure of the lay concept can be found across both continents. The results show minor differences at item levels among countries, continents and age groups, and a similar internal structure across them.
Hardiness, successful aging, and HIV: implications for social work
- Authors:
- VANCE David E., STRUZICK Thomas C., MASTEN James
- Journal article citation:
- Journal of Gerontological Social Work, 51(3-4), 2008, pp.260-283.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Ageing with HIV is becoming and important public health issue and a topic for investigation in the US because the number of middle-aged and older people with HIV is increasing. This is due to Highly Active Antiretroviral Therapy (HAART) which is extending the lifespan of many infected, and also due to infection in later life. Little research is being done on the synergistic effects of ageing with HIV, most studies being concerned with mortality. This article reviews various studies which look at the physical, psychological and social benefits associated with hardiness and successful ageing which can mitigate the effects of HIV-related problems, and suggests strategies to improve hardiness and facilitate successful ageing.
Is there a process of spiritual change or development associated with ageing? A critical review of research
- Author:
- DALBY P.
- Journal article citation:
- Aging and Mental Health, 10(1), January 2006, pp.4-12.
- Publisher:
- Taylor and Francis
This review considers whether research shows a process of spiritual change or development associated with ageing. Spirituality was understood as that which is central to a sense of meaning and purpose in an individual's life and pertains to the sacred or transcendent. Electronic literature searches were conducted to find research published 1985–2003 aimed at understanding spiritual change, themes and tasks in later life. A total of 13 studies were reviewed that looked at changes in spirituality over time, spiritual themes and tasks in a lifespan development context. The research reviewed suggested that some aspects of spirituality remain stable into old age but that there are identifiable spiritual tasks, needs and changes associated with ageing. Some common spiritual themes identified across the research were integrity, humanistic concern, changing relationships with others and concern for younger generations, relationship with a transcendent being or power, self transcendence, and coming to terms with death. These were not related to age per se, but to some of the challenges that age presents, and were mediated by cultural factors and individual differences. The findings and their limitations were discussed.
Aging in place among older adults with histories of traumatic experiences: a scoping review
- Authors:
- DANIELSON Ramona A, RAY-DEGGES Susan
- Journal article citation:
- Gerontologist, 62(1), 2022, pp.e1-e16.
- Publisher:
- Oxford University Press
Background and Objectives: Adverse childhood and adult experiences can have far-reaching impacts and, when coupled with typical aging-related changes, may impede the achievement of a suitable person–environment fit for aging adults. The objective of this study was to determine whether extant literature connects older adults with trauma history to successfully aging in place. Research Design and Methods: the researchers proposed a conceptual model regarding trauma history, adaptive capacity of aging adults, and trauma-informed supports for aging in place. The researchers conducted a scoping review using 6 databases (keywords: older adult(s), aging in place, housing, trauma), with a full review of 32 articles. Results: Insights included: (a) Aging in place does not have to mean living in the same house over time. (b) The uncertainty of the aging process can be traumatic and can be exacerbated by previous traumatic experiences. (c) Environmental sensitivities can result from previous traumatic experiences and cause further trauma. (d) Housing precarity is a traumatic experience. (e) Permanent supportive housing is an important resource for people in crisis. (f) Community supports are critical to aging in place. Discussion and Implications: this 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. (Edited publisher abstract)
Ageing well with assistive technology: co-producing technology solutions with older people: a scoping review of the evidence
- Authors:
- ROLFE Steve, et al
- Publisher:
- University of Stirling
- Publication year:
- 2021
- Pagination:
- 20
- Place of publication:
- Stirling
In order to develop guidance around the introduction and use of assistive and everyday technology for older people, this report reviews three areas of the existing research evidence. Firstly, we look at the evidence around co-production, to understand what works in terms of involving older people effectively. Secondly, we provide a broad overview of the types of technology available and explore what the current evidence base tells us about potential impacts on wellbeing and social connectedness. And lastly, we summarise the evidence regarding barriers and facilitators in relation to the use of technology by older people. The evidence base related to involvement and co-production is relatively limited, and many studies go no further than the design stage for new pieces of technology (see section 3). Nevertheless, there are useful points of learning from research which examines how older people engage with and use different forms of technology in their homes. Different devices, apps and online services are now available to support older people with aspects of social connectedness, autonomy and independence, mental health and wellbeing, physical health, and safety. However, the evidence about the real-world impacts of such technology, whilst promising, is still quite limited – many studies focus on prototypes in the lab, rather than the messy complexity of real life. Alongside this, a significant number of studies attest to the difficulties that can arise in the processes of identifying, installing and using technology. Whilst co-production cannot solve every difficulty with technology, engaging older people themselves, as well as family members, housing and care staff, can help to ensure that technology is appropriate, accessible, practically useful and therefore less likely to be abandoned. (Edited publisher abstract)
The application of social innovation as it relates to older people and the implications for future policymaking: a scoping review
- Authors:
- CROSSEN-WHITE Holly Louise, HEMINGWAY Ann, LADKIN Adele
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.143-153.
- Publisher:
- Emerald
Purpose: Social innovation has received increasing attention in recent decades (Agostini et al., 2017). This study aims to consider how the concept has been applied to the issue of ageing and what can be learnt about effective policy responses. Design/methodology/approach: The acknowledged lack of understanding generally about the concept makes it timely to undertake a scoping review of the current evidence from social innovation projects associated with older people. A scoping review is considered appropriate where there is a need to “identify and analyse knowledge gaps” (Munn et al., 2018, p. 2). Findings: Findings from the scoping review indicate that, as yet, the concept of social innovation is not fully defined. However, it has widespread appeal across a diverse range of disciplines and has the potential to generate innovative policy responses. Originality/value: A key argument identified is the need to change the public’s perceptions of ageing and devise public policies that encourage and nurture age-friendly communities. In summation, although social innovation has the potential to act as a policy driver, but to be effective, it is necessary to devise robust strategies to ensure full user-engagement and active involvement of communities. Therefore, it is the process of delivery that needs urgent attention in any future research into social innovation. (Edited publisher abstract)
Stories of contemporary aging: an analysis of “lived” citizenship in later life
- Author:
- MARCHAND Isabelle
- Journal article citation:
- Journal of Gerontological Social Work, 61(5), 2018, pp.472-491.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The new political economy of aging portrays “active citizenship” among seniors as a key challenge for the years to come. As a policy framework, Active Aging ranks high on the agendas of most supranational bodies. Informed by discourse analysis and a narrative approach, this article focuses on, first, older women’s everyday “active” practices, their meaning, and purpose and second, their day-to-day practical citizenship and social engagement experiences. A typology consisting of four figures of “lived” citizenship is proposed. Social contribution in later age is expressed through various types of engagement identified through these citizenship figures. These figures support older women’s social anchoring and sustain their feeling of belonging to the community. However, the figures outlined also reveal tensions, produced by relations of power between “dominant citizenship” and “relational citizenship,” pertaining to social relations and to caring for the other. In the latter case, we see that the coupling of action between the choice of action and social engagements in later age is more limited, due to social and health inequalities as well as lack of opportunities throughout the life course. Finally, in order to guarantee the right to age with dignity, we suggest a change of orientation in aging policies. (Edited publisher abstract)