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McGrath C, Suen RPC, Wong MCM, Yeung AWK, McKenna G, Moore C. Operationalisation of Successful Ageing in the Oral Health Context: A Citation Analysis. Int Dent J 2024:S0020-6539(24)00124-2. [PMID: 38762370 DOI: 10.1016/j.identj.2024.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 04/10/2024] [Accepted: 04/13/2024] [Indexed: 05/20/2024] Open
Abstract
OBJECTIVES The rapidly ageing world has placed considerable demands on health and social care. To address this, the World Health Organization (WHO) and United Nations (UN) have declared action for this decade (2021-2030) to promote healthy ageing. Operationalisation of successful ageing in the oral health context in terms of its dimensions and their interconnectedness was determined. METHODS A citation analysis was conducted following a scoping review to determine oral health's relationship with 5 key dimensions of successful ageing. This included examining the occurrence and co-occurrence amongst dimensions and over time. Specific consideration of citations by country, journal type, and authors through overlay visualisation was performed to map their interconnectedness. RESULTS The scoping review identified 263 publications covering 1730 specific terms. There was a growing interest in successful ageing in the oral health context, mostly in the past decade (2010 onwards; 65.8%, 173 publications). The dimension of key consideration was "health and ADLs" (activities of daily living); this dimension appeared in 97.3% of publications (n = 256) and was found earliest to emerge, with the greatest link strengths compared to other dimensions. Country-level variations in citation data were observed, and there was good citation interconnectedness between them. Key oracles for dissemination have been medical rather than dental-specific journals. Amongst authors, there was considerable interconnectedness in the field. CONCLUSIONS Findings highlight how successful ageing in the oral health context has been studied, with implications for addressing the significance of oral health to older peoples' lives in line with the WHO and UN's agenda. Citation analyses identified the "known unknowns" area for further consideration, and these findings have the potential to inform how dental research may best move forward with the successful ageing agenda to bring about translational impact.
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Affiliation(s)
- Colman McGrath
- Applied Oral Sciences and Community Dental Care Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
| | - Rita P C Suen
- Applied Oral Sciences and Community Dental Care Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - May C M Wong
- Applied Oral Sciences and Community Dental Care Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - Andy W K Yeung
- Applied Oral Sciences and Community Dental Care Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - Gerry McKenna
- Restorative Dentistry Department, School of Dentistry, Royal Victoria Hospital, Belfast, Northern Ireland, UK
| | - Ciaran Moore
- Restorative Dentistry Department, School of Dentistry, Royal Victoria Hospital, Belfast, Northern Ireland, UK
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Langergaard S, Evans R, Andreasen J, Petersen KS, Overgaard C. Targeting belongingness among older people through engagement in senior centres: intervention development study in Denmark. Health Promot Int 2024; 39:daae032. [PMID: 38610110 PMCID: PMC11015047 DOI: 10.1093/heapro/daae032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
Adults often experience a loss of social relations and sense of belonging in later life, leading to the risk of social isolation. Municipal senior centres offer a potential site for intervention, as they provide social communities targeting older people. However, not all older people find it easy to access these social communities due to experiencing physical and/or psychosocial frailties and could therefore continue to experience a decline in social relations and sense of belonging, which potentiates poor physical and psychosocial health and well-being. To date, there are limited evidence-based interventions in Denmark. The present article describes the development of an intervention to increase belongingness and decrease social isolation among older people with frailties who attend Danish municipal senior centres. The development process was conducted with reference to the INDEX (IdentifyiNg and assessing different approaches to DEveloping compleX intervention) guidance. The development process resulted in a 6-month supportive intervention, consisting of four elements: skills development workshops for all staff members; a start conversation including frailty screening; allocation of a 'buddy' among existing service users; and monthly follow-up conversations with staff members. This theory-informed approach can progress to feasibility testing and outcome evaluation in order to generate an evidence base. Concurrently, the article reflects on current guidance for intervention development and how it may be used and optimized to strengthen developmental processes in the future.
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Affiliation(s)
- Sofie Langergaard
- Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Selma Lagerloefs Vej 249, 9260 Gistrup, Aalborg, Denmark
| | - Rhiannon Evans
- DECIPHer, School of Social Sciences, Cardiff University, Maindy Road, Cardiff, CF24 4HQ, UK
| | - Jane Andreasen
- Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Selma Lagerloefs Vej 249, 9260 Gistrup, Aalborg, Denmark
- Aalborg Centre of Health and Rehabilitation, Aalborg Municipality, Teglgårds Plads 1, 9000 Aalborg, Denmark
| | - Kirsten Schultz Petersen
- Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Selma Lagerloefs Vej 249, 9260 Gistrup, Aalborg, Denmark
| | - Charlotte Overgaard
- Department of Public Health, Faculty of Health Sciences, University of Southern Denmark, Degnevej 14, 6705 Esbjerg Ø, Denmark
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Wang G, Chang F, Gu Z, Kasraian D, van Wesemael PJV. Co-designing community-level integral interventions for active ageing: a systematic review from the lens of community-based participatory research. BMC Public Health 2024; 24:649. [PMID: 38424550 PMCID: PMC10905784 DOI: 10.1186/s12889-024-18195-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 02/23/2024] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND While community-level interventions for promoting active ageing have received increasing attention and there is a trend to leverage technology to support traditional physical or social interventions, little hands-on guidance exists for designing these integral interventions. This study aimed to examine the interventions reported in the literature guided by Community-Based Participatory Research (CBPR) principles. The goal is to extract insights that inform future practices in co-designing integral interventions for active ageing. METHODS The systematic review focused on community-level interventions promoting active ageing that integrated physical, social, and digital elements, i.e., integral interventions. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The included interventions were analysed abductively based on the CBPR principles. RESULTS A total of 13 studies were included, and 24 design considerations were generated under eight categories. Further reflection identified the interrelated nature of these design considerations and pinpointed the gaps in current research. This study highlights the urgency and importance of sharing recruitment methods and resource allocation details, recording and reporting collaboration specifics, and disseminating findings to stakeholders beyond academia. CONCLUSIONS This study offers valuable insights and practical guidance to researchers and practitioners developing community-level integral interventions for active ageing. The findings also serve as a starting point for accumulating knowledge and practice in co-designing integral interventions for active ageing at the community level. The next crucial phase involves evaluating these design considerations within real-world cases to assess their applicability and identify potential areas for improvement.
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Affiliation(s)
- Gubing Wang
- Department of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands.
- Department of Built Environment, Urbanism and Urban Architecture, Eindhoven University of Technology, Eindhoven, Netherlands.
| | - Fangyuan Chang
- School of Design, Shanghai Jiao Tong University, Shanghai, China.
| | - Zhenyu Gu
- School of Design, Shanghai Jiao Tong University, Shanghai, China
| | - Dena Kasraian
- Department of Built Environment, Urbanism and Urban Architecture, Eindhoven University of Technology, Eindhoven, Netherlands
| | - Pieter J V van Wesemael
- Department of Built Environment, Urbanism and Urban Architecture, Eindhoven University of Technology, Eindhoven, Netherlands
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Silva JDPD, Martins IV, Braga LHR, Oliveira CMD, Lima-Costa MF, Braga LDS, Torres JL. Differences in determinants of active aging between older Brazilian and English adults: ELSI-Brazil and ELSA. CAD SAUDE PUBLICA 2023; 39:e00076823. [PMID: 37851723 PMCID: PMC10599105 DOI: 10.1590/0102-311xen076823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 06/30/2023] [Accepted: 07/10/2023] [Indexed: 10/20/2023] Open
Abstract
This study aimed to investigate differences in determinants of active aging between older Brazilian and English adults and to verify the association of behavioral, personal, and social determinants with physical health. This cross-sectional study was based on the ELSI-Brazil (2015-2016) and ELSA (2016-2017) cohorts. Active aging determinants included behavior (smoking, sedentary lifestyle, and poor sleep quality), personal (cognitive function and life satisfaction), and social determinants (education, loneliness, and volunteering), according to the World Health Organization. Physical health included activities limitation and multimorbidity. We estimated age- and sex-adjusted prevalence for each indicator and mean score, and used the negative binomial regression for statistical analysis. We included 16,642 participants, 9,409 from Brazil and 7,233 from England. Overall, all active aging determinants were worse in Brazil than in England, except for life satisfaction (no difference). The most remarkable difference was found for social determinants score in Brazil (mean difference of 0.18; p < 0.05), mainly due to a significantly lower education level in Brazil (70.6%; 95% confidence interval - 95%CI: 69.7-71.5) than England (37.1%; 95%CI: 35.1-39.1). All determinants (behavioral, personal, and social) were associated with health in Brazil and in England. However, the behavioral domain was stronger associated with health in England (coefficient = 2.76; 95%CI: 2.46-3.10) than in Brazil (coefficient = 1.38; 95%CI: 1.26-1.50; p < 0.001). Older English adults beneficiate more from healthier behaviors than Brazilians, which depend more on social policies.
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Affiliation(s)
| | | | | | | | - Maria Fernanda Lima-Costa
- Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil
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Tabrizi N, Lak A, Moussavi.A SMR. Green space and the health of the older adult during pandemics: a narrative review on the experience of COVID-19. Front Public Health 2023; 11:1218091. [PMID: 37601191 PMCID: PMC10433209 DOI: 10.3389/fpubh.2023.1218091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 07/07/2023] [Indexed: 08/22/2023] Open
Abstract
Introduction Aging is an inevitable process that leads to changes in various dimensions of older adult life, including physical, psychological, and social aspects. Unfortunately, older adults are more susceptible to health problems caused by adverse experiences such as the Corona outbreak. Aim The current study examines the lived experience of older adults in facing the conditions of the Corona epidemic to see how green spaces at various scales can influence the physical and mental health of this group. Method Relevant articles published, from 2019 to February 17, 2023, were searched using in the Scopus and Web of Science databases. Eligible studies published in English and all studies passed a quality evaluation. Result In the final search, 40 articles were selected and analyzed. The majority of studies conducted during the pandemic categorized the impact of green spaces on the health of older adults into three main categories: Place-based attribute, Process, and Function. Conclusion The findings of this study demonstrated that people were using private green spaces (gardens, balconies, etc.), small local green public spaces, sitting and gathering spaces in the neighborhood, nearby open spaces, and urban green-blue spaces throughout the epidemic era. They visited green spaces outside the city and urban areas, including urban gardens, agricultural areas, forestlands, and pastures. In this research, we investigated the characteristics of these spaces and classified them into four physical categories: urban landscape, land use, activity, movement, and accessibility. The results showed that exposure to nature or green space improved physical and mental health and increased attention and decision-making quality in older people. We have proposed design implications recommendations for crises to improve safety, security, and social capital by increasing the safe access of older adults to diverse and high-quality green spaces on different scales, which will ultimately enhance the physical and mental health of people in different age groups.
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Affiliation(s)
| | - Azadeh Lak
- Faculty of Architecture and Urban Planning, Shahid Beheshti University, Tehran, Iran
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Xu L, Li S, Yan R, Ni Y, Wang Y, Li Y. Effects of reminiscence therapy on psychological outcome among older adults without obvious cognitive impairment: A systematic review and meta-analysis. Front Psychiatry 2023; 14:1139700. [PMID: 37065888 PMCID: PMC10098219 DOI: 10.3389/fpsyt.2023.1139700] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Accepted: 03/14/2023] [Indexed: 04/18/2023] Open
Abstract
Introduction Reminiscence therapy has been a high-benefit and low-cost measure of psychosocial intervention for older adults in recent years. It has attracted much attention in the intervention study of older adults without obvious cognitive impairment. This study aimed to evaluate the effects of reminiscence therapy on psychosocial outcomes among older adults without obvious cognitive impairment and analyze the divergences of different intervention programs (form, duration, and setting) on outcomes. Methods We searched the commonly used databases and used RevMan 5.4 in the meta-analysis (PROSPERO-ID: CRD42022315237). All eligible trials used the Cochrane Risk of Bias Tool and the Effective Public Health Practice Project quality assessment tool to identify the quality and determine the bias risk grade. Results Twenty-seven studies were included, involving 1,755 older adults. Meta-analysis showed that reminiscence therapy has a significant effect on both depression and life satisfaction. Group reminiscence played a significant role in improving life satisfaction. Depression symptoms were not affected by the intervention duration (P = 0.06), while life satisfaction was significantly improved after more than 8 weeks of intervention (P < 0.00001). Intervention settings drove differences in depressive symptoms (P = 0.02), and the effect size of the community was larger. Conclusion Reminiscence therapy can significantly reduce depressive symptoms and improve life satisfaction. There are different effects of reminiscence therapy in different intervention schemes on psychological outcomes among older adults. More well-designed trials with large sample sizes and long-term follow-ups are necessary to confirm and expand the present results. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=315237, identifier: CRD42022315237.
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Affiliation(s)
- Lijun Xu
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
| | - Shasha Li
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
| | - Renfu Yan
- Department of Neurosurgery, Huzhou Central Hospital, Huzhou, Zhejiang, China
| | - Yingyuan Ni
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
| | - Yuecong Wang
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
| | - Yue Li
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
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Hong A, Welch-Stockton J, Kim JY, Canham SL, Greer V, Sorweid M. Age-Friendly Community Interventions for Health and Social Outcomes: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2554. [PMID: 36767920 PMCID: PMC9915867 DOI: 10.3390/ijerph20032554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 01/18/2023] [Accepted: 01/19/2023] [Indexed: 06/18/2023]
Abstract
To address the numerous challenges associated with aging, increased attention has been given to the development of age-friendly cities and communities (AFCC) to promote healthy aging and social participation. However, limited evidence exists for addressing both health and social needs through the AFCC framework. We address this gap by conducting a scoping review of the interventions that target both health and social outcomes within the purview of the AFCC framework. The results showed that many of the successful interventions used a partnership model and behavioral change theories to inform the program design and implementation. The results also indicated that social participation and engagement played a key role in making the interventions successful. However, the results revealed that the literature is dominated by person-focused approaches. Future research should focus more on evaluating environmental-focused interventions and develop a holistic framework that combines both person- and environment-based approaches to healthy aging.
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Affiliation(s)
- Andy Hong
- Healthy Aging and Resilient Places (HARP) Lab, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
- Department of City & Metropolitan Planning, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
| | - Jessie Welch-Stockton
- Healthy Aging and Resilient Places (HARP) Lab, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
- College of Social Work, University of Utah, Salt Lake City, UT 84112, USA
| | - Ja Young Kim
- Healthy Aging and Resilient Places (HARP) Lab, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
- Department of City & Metropolitan Planning, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
| | - Sarah L. Canham
- Healthy Aging and Resilient Places (HARP) Lab, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
- Department of City & Metropolitan Planning, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
- College of Social Work, University of Utah, Salt Lake City, UT 84112, USA
| | - Valerie Greer
- Healthy Aging and Resilient Places (HARP) Lab, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
- School of Architecture, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
| | - Michelle Sorweid
- Healthy Aging and Resilient Places (HARP) Lab, College of Architecture + Planning, University of Utah, Salt Lake City, UT 84112, USA
- Aging Brain Care Program, University of Utah Health, Salt Lake City, UT 84132, USA
- Division of Geriatrics, Department of Internal Medicine, University of Utah Health, Salt Lake City, UT 84132, USA
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Components of a Behavior Change Model Drive Quality of Life in Community-Dwelling Older Persons. J Aging Phys Act 2023; 31:506-514. [PMID: 36669505 DOI: 10.1123/japa.2022-0076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 06/06/2022] [Accepted: 10/03/2022] [Indexed: 01/22/2023]
Abstract
This study aimed to inform a measurement approach for older persons who wish to engage in active living such as participating in a walking program. The Patient Generated Index, an individualized measurement approach, and directed and summative content analyses were carried out. A sample size of 204 participants (mean age 75 years; 62% women) was recruited; it generated 934 text threads mapped to 460 unique categories within 45 domains with similarities and differences for women and men. The Capability, Opportunity, Motivation, and Behaviors Model best linked the domains. The results suggest that older persons identify the need to overcome impaired capacity, low motivation, and barriers to engagement to live actively. These are all areas that active living programs could address. How to measure the outcomes of these programs remains elusive.
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Ling TY, Lu HT, Kao YP, Chien SC, Chen HC, Lin LF. Understanding the Meaningful Places for Aging-in-Place: A Human-Centric Approach toward Inter-Domain Design Criteria Consideration in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1373. [PMID: 36674127 PMCID: PMC9859358 DOI: 10.3390/ijerph20021373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 01/05/2023] [Accepted: 01/06/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Aging is key to inclusion, and it should be taken into account when designing every place of human activity. However, the implementation of such guidelines often fails the human-centric aspiration as health and design domain interpretation gaps impede the suitable reading and implementation strategies. PURPOSE This study aimed to understand critical factors in the place-of-aging and to examine the gap in domain interpretation affecting age-friendly housing. METHODS Using grounded theory as a base, questionnaire interviews were implemented either face-to-face or through an online process by health and design domain experts. Overall, 40 respondents (20 health and 20 design experts) evaluated the key criteria to prioritize according to their value of importance. The factor analysis resulted in the stated deviation, suggesting a necessity to redefine the attributes of the dwelling based on a people, place and process framework. RESULTS The systemic analysis affirmed the inter-disciplinary gap to enhancing the dwelling provision. The health domain experts consistently ranked the criteria higher or equal than the design domain except for safety and security criteria. Both domains agreed that affordability is a main concern, as elders must be able to afford their dwelling choice. CONCLUSION The valuable finding of the key criteria in the study is to uphold the value of the urban health resilience implication as the core of this study.
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Affiliation(s)
- Tzen-Ying Ling
- Department of Architecture, Tamkang University, New Taipei 25137, Taiwan
| | - Hsien-Tsung Lu
- Department of Orthopedics, Taipei Medical University Hospital, Taipei 11031, Taiwan
- Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
| | - Yen-Pin Kao
- Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan
| | - Szu-Cheng Chien
- Engineering Cluster, Singapore Institute of Technology, 10 Dover Drive, Singapore 138683, Singapore
| | - Hung-Chou Chen
- Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei 23561, Taiwan
- Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
| | - Li-Fong Lin
- Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei 23561, Taiwan
- School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan
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Jones A, Parham S. Living in an Age-Friendly Community: Evidence from a Masterplanned Development in Southwest Sydney. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1312. [PMID: 36674071 PMCID: PMC9859270 DOI: 10.3390/ijerph20021312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 12/16/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
This paper is situated at the interface of a growing urban studies literature concerned with 'masterplanning' practices in urban planning and another, hitherto relatively discrete, body of research concerned with age-friendly cities and communities. The authors are interested in exploring a gap in aging in place literature around how neighbourhoods and residential settings developed with aging in place principles in mind are experienced and perceived by residents. To explore this research gap, the authors analyse qualitative (primarily interview and focus group) data collected in Park Central, a masterplanned development located in the Campbelltown suburb in the southwest region of the Sydney metropolitan area, Australia. This development was delivered in response to a need identified by the state's land and property development agency, Landcom, for more diverse and affordable medium-density housing in Campbelltown. In particular, a need was identified for housing developments that would be able to sustainably accommodate the changing lifestyle needs of a maturing population in the region. Drawing on our thematic analysis of our data, we discern three key themes in research participants' experiences of Park Central as a place for aging. These themes are elaborated via recourse to excerpts from our data and discussed with a view to informing how the conception, development and practice of further age-friendly communities is approached.
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Affiliation(s)
- Alasdair Jones
- Human Geography, Department of Geography, University of Exeter, Exeter EX4 4RJ, UK
| | - Susan Parham
- Urbanism and Planning, University of Hertfordshire, Hatfield AL10 9EU, UK
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Lebrusán I, Gómez MV. The Importance of Place Attachment in the Understanding of Ageing in Place: "The Stones Know Me". INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:17052. [PMID: 36554931 PMCID: PMC9779384 DOI: 10.3390/ijerph192417052] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Revised: 12/12/2022] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
As academic literature has shown, there is a preference among older adults to experience old age independently, in their own homes, giving shape to what has been called ageing in place. This phenomenon links residence, life cycle, and the experience of old age. Although it depends on many factors (housing characteristics, the elderly's economy, or their social support, among others) it is based on place attachment as a key aspect, which comprises two different but interwoven dimensions: the home (private space) and the neighbourhood (social space), understood as an extended sphere of the home. Despite its importance, and beyond the consensus that the time spent in a place increases attachment to it, the processes whereby place attachment is constructed by the elderly and the role of the experience of neighbourhood are little known. This article intended to delve into the meaning of place attachment, its importance, and how it is built by the elderly population in urban areas. For this purpose, a qualitative study was conducted in Spain, selecting Madrid (the biggest city in the country) as a case study of how place attachment is shaped in an urban setting. To obtain in-depth information, data were collected through ethnographic interviews with 37 people aged 65-95 and 1 focus group among elderly aged 65-71. The most relevant finding of the qualitative analysis is the emotional significance of attachment to the local space as an element that enables continuity-as opposed to the rupture to which we associate old age- in the experience of the life cycle of the elderly. It should be noted that some of the results are conditioned by the specificities of Spanish society, particularly with regard to family ties. Potential extrapolations to other realities should take this point into account.
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Affiliation(s)
- Irene Lebrusán
- Centro Internacional Sobre el Envejecimiento (CENIE), Universidad de Salamanca, 37002 Salamanca, Spain
- Facultad de Ciencias Sociales y Jurídicas, Universidad Carlos III de Madrid, 28903 Madrid, Spain
| | - M. Victoria Gómez
- Facultad de Ciencias Sociales y Jurídicas, Universidad Carlos III de Madrid, 28903 Madrid, Spain
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Bernardo J, Apóstolo J, Loureiro R, Santana E, Yaylagul NK, Dantas C, Ventura F, Duque FM, Jøranson N, Zechner M, van Staalduinen W, De Luca V, Illario M, Silva R. eHealth Platforms to Promote Autonomous Life and Active Aging: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15940. [PMID: 36498018 PMCID: PMC9738367 DOI: 10.3390/ijerph192315940] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 11/24/2022] [Accepted: 11/25/2022] [Indexed: 06/17/2023]
Abstract
New technologies, namely eHealth platforms, are being used more than ever before. These platforms enable older people to have a more independent lifestyle, enhance their participation, and improve their well-being. Information and communication technologies are expected to be linked to the triad of aging, social inclusion, and active participation, which is in line with the implementation of Smart Healthy and Age-Friendly Environments. This scoping review aimed to map eHealth platforms designed to promote autonomous life and active aging. The Joanna Briggs Institute methodology and the PRISMA-ScR checklist were used. A search was conducted on MEDLINE (via PubMed), CINAHL Complete (via EBSCOhost), Scopus, Cochrane Database of Systematic Reviews (via EBSCOhost), SciELO, DART-Europe, CAPES, and MedNar databases. Fourteen studies were included. This scoping review synthesized information on eHealth platforms designed to promote active living, their domains of intervention, and the outcomes assessed in those studies that have implemented and evaluated these eHealth platforms.
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Affiliation(s)
- Joana Bernardo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3030 Coimbra, Portugal
| | - João Apóstolo
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3030 Coimbra, Portugal
- Portugal Centre for Evidence Based Practice: A JBI Centre of Excellence (PCEBP), 3030 Coimbra, Portugal
| | - Ricardo Loureiro
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3030 Coimbra, Portugal
| | - Elaine Santana
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3030 Coimbra, Portugal
| | | | | | - Filipa Ventura
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3030 Coimbra, Portugal
| | - Filipa Margarida Duque
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3030 Coimbra, Portugal
| | - Nina Jøranson
- Faculty of Health Studies, VID Specialized University, N-3019 Oslo, Norway
| | - Minna Zechner
- Faculty of Social Sciences, University of Helsinki, 00014 Helsinki, Finland
| | | | - Vincenzo De Luca
- Dipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, 80138 Naples, Italy
| | - Maddalena Illario
- Dipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, 80138 Naples, Italy
| | - Rosa Silva
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3030 Coimbra, Portugal
- Portugal Centre for Evidence Based Practice: A JBI Centre of Excellence (PCEBP), 3030 Coimbra, Portugal
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Molina-Martínez MÁ, Marsillas S, Sánchez-Román M, del Barrio E. Friendly Residential Environments and Subjective Well-Being in Older People with and without Help Needs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15832. [PMID: 36497900 PMCID: PMC9741280 DOI: 10.3390/ijerph192315832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 11/14/2022] [Accepted: 11/17/2022] [Indexed: 06/17/2023]
Abstract
Previous studies have shown that friendly environments are associated with well-being and higher quality of life in older people. This study aimed to investigate the relationship between friendly environments and subjective well-being by segmenting the population according to the need for help in performing activities of daily living (ADLs) in a representative sample of people over 55 years of age in the Basque Country (Spain) (n = 2760). To determine the predictive power of friendliness on subjective well-being, two separate linear regression models were obtained according to the need for help in ADLs. The results obtained show a greater explanatory power of the model in the case of people who required help. However, in the case of people who do not need help, subjective health had a greater weight in the predictions. This paper's findings support the greater importance of the characteristics of the physical and social environment, as people's functional status worsens, with friendliness being an explanatory factor for people's well-being as they age and their dependency increases.
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Affiliation(s)
- María Ángeles Molina-Martínez
- Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain
- ENCAGEn-CM R&D Programme, Faculty of Education and Psychology, Francisco de Vitoria University, 28223 Madrid, Spain
| | | | - María Sánchez-Román
- ENCAGEn-CM R&D Programme, Research Group on Ageing (GIE-CSIC), Institute of Economics, Geography and Demography (IEGD-CSIC), Spanish National Research Council (CSIC), 28037 Madrid, Spain
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Active ageing profiles among older adults in Spain: A Multivariate analysis based on SHARE study. PLoS One 2022; 17:e0272549. [PMID: 35925982 PMCID: PMC9352065 DOI: 10.1371/journal.pone.0272549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 07/21/2022] [Indexed: 11/19/2022] Open
Abstract
Background Following the active ageing model based on the Health, Lifelong Learning, Participation and Security pillars, this research has a twofold objective: i) to classify older adults according to active ageing profiles, taking into account the four pillars, and ii) to ascertain the relationship between the profiles and personal and contextual factors, as well as well-being and quality of life in old age. Methods A study sample of 5,566 Spanish older adults who participated in wave 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE) was included. Data were analysed in different steps applying several statistical analyses (Principal Component, Cluster, Discriminant, Multiple Correspondence and bivariate analysis with Pearson chi-square and ANOVA). Results Five older adult profiles were obtained (I: with moderate activity; II: quasi-dependents; III: with active ageing-limiting conditions; IV: with diverse and balanced activity; V: with excellent active ageing conditions). The first three profiles were characterised by subjects with a high average age, low educational level, who were retired or housewives, and who perceived a moderate level of loneliness, satisfaction with the social network and quality of life, as well as having a larger family network, but living in small households or alone. In contrast, the latter two profiles showed better personal and contextual conditions, well-being and quality of life. Discussion and conclusions The multidimensional approach to active ageing followed in this article has revealed the presence of several older adult profiles, which are confined to groups with better or worse active ageing conditions. In this context, if ageing is a process that reflects the previous way of life, intervention priorities will have to consider actions that promote better conditions during the life cycle.
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Putnam M, Morgan K, Heeb R, Yan Y, Chen SW, Stark SL. Aging with Disability Symptoms and Ability to Participate in, and Satisfaction with, Social Participation among Persons Aged 45–64. Healthcare (Basel) 2022; 10:healthcare10050903. [PMID: 35628040 PMCID: PMC9141701 DOI: 10.3390/healthcare10050903] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 05/06/2022] [Accepted: 05/10/2022] [Indexed: 02/04/2023] Open
Abstract
Pain, fatigue, and depression, considered aging with disability (AwD) symptoms, are known to be substantially higher among middle-aged adults with long-term disability compared to their age peers. Participation has been recognized as an important component of health. This cohort survey study reports findings on the relationship between AwD symptoms and ability to participate in, and satisfaction with participation in, social roles and activities using PROMIS measures. Data were collected at three time points from individuals aged 45–64 with an average of two decades of disability duration and primarily living in the state of Missouri, USA. This study reports on Time 1 (T1) and Time 3 (T3), pre- and post-COVID-19 pandemic declaration, respectively. Multiple regressions using both individual AwD symptoms and a composite measure demonstrated that having more pain, fatigue, and depression was associated with worse participation outcomes. Lower physical function scores were also related to lower participation scores, as was being female and living with others, and having more income reduced participation. Better physical health and identifying as African American/Black were associated with higher participation scores. Our findings suggest that AwD symptoms, along with other sociodemographic and health factors, play a substantial role in the social participation outcomes for persons aging with disability and remain consistent over time.
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Affiliation(s)
- Michelle Putnam
- School of Social Work, Simmons University, 300 The Fenway, Boston, MA 01602, USA
- Correspondence:
| | - Kerri Morgan
- Department of Occupational Therapy, Washington University School of Medicine in St. Louis, 4444 Forest Park Avenue, St. Louis, MO 63108, USA; (K.M.); (R.H.); (S.-W.C.); (S.L.S.)
| | - Rachel Heeb
- Department of Occupational Therapy, Washington University School of Medicine in St. Louis, 4444 Forest Park Avenue, St. Louis, MO 63108, USA; (K.M.); (R.H.); (S.-W.C.); (S.L.S.)
| | - Yan Yan
- Department of Surgery, Washington University School of Medicine in St. Louis, 4444 Forest Park Avenue, St. Louis, MO 63108, USA;
| | - Szu-Wei Chen
- Department of Occupational Therapy, Washington University School of Medicine in St. Louis, 4444 Forest Park Avenue, St. Louis, MO 63108, USA; (K.M.); (R.H.); (S.-W.C.); (S.L.S.)
| | - Susan L. Stark
- Department of Occupational Therapy, Washington University School of Medicine in St. Louis, 4444 Forest Park Avenue, St. Louis, MO 63108, USA; (K.M.); (R.H.); (S.-W.C.); (S.L.S.)
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Greenfield EA, Buffel T. Age-Friendly Cities and Communities: Research to Strengthen Policy and Practice. J Aging Soc Policy 2022; 34:161-174. [PMID: 35311484 DOI: 10.1080/08959420.2022.2049573] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Since the early 2000s, a global age-friendly movement has emerged with aspirations to make environments and systems within localities more supportive of long and healthy lives. Despite growth in the social movement over the past decade, research on how to work toward community change, especially in systematic and comprehensive ways across diverse geo-political and sociocultural contexts, has been relatively slower to develop. This special issue of the Journal of Aging & Social Policy aims to accelerate this area. It features articles that advance knowledge on processes and contexts toward enhancing the age-friendliness of cities and communities. In this introductory essay, we provide background on the age-friendly cities and communities movement - including its accomplishments alongside key challenges. We then discuss the importance of research at the intersection of policy and practice to strengthen the movement into the 21st century. Next, we introduce the articles in this special issue, organized under four themes: implementation and sustainability processes; partnerships and multisectoral collaboration; theory-based program design; and policy and practice diffusion. A final article provides an overview of the career contributions of Dr. Frank Caro, an age-friendly champion and gerontologist to whom this special issue is dedicated.
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Affiliation(s)
- Emily A Greenfield
- Professor, School of Social Work, Rutgers, the State University of New Jersey, New Brunswick, New Jersey, USA
| | - Tine Buffel
- Senior Lecturer, Department of Sociology, School of Social Sciences, Manchester Institute for Collaborative Research on Ageing, The University of Manchester, Manchester, UK
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Turcu C, Crane M, Hutchinson E, Lloyd S, Belesova K, Wilkinson P, Davies M. A multi-scalar perspective on health and urban housing: an umbrella review. BUILDINGS & CITIES 2021; 2:734-758. [PMID: 34738085 PMCID: PMC7611930 DOI: 10.5334/bc.119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
With more than half the world's population living in cities, understanding how the built environment impacts human health at different urban scales is crucial. To be able to shape cities for health, an understanding is needed of planetary health impacts, which encompass the human health impacts of human-caused disruptions on the Earth's natural ecosystems. This umbrella review maps health evidence across the spatial scales of the built environment (building; neighbourhood; and wider system, including city, regional and planetary levels), with a specific focus on urban housing. Systematic reviews published in English between January 2011 and December 2020 were searched across 20 databases, with 1176 articles identified and 124 articles screened for inclusion. Findings suggests that most evidence reports on health determinants at the neighbourhood level, such as greenspace, physical and socio-economic conditions, transport infrastructure and access to local services. Physical health outcomes are also primarily reported, with an emerging interest in mental health outcomes. There is little evidence on planetary health outcomes and significant gaps in the research literature are identified. Based on these findings, three potential directions are identified for future research.
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Affiliation(s)
- Catalina Turcu
- The Bartlett Faculty of the Built Environment, University College London, London, UK
| | - Melanie Crane
- The Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia
| | - Emma Hutchinson
- Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, UK
| | - Simon Lloyd
- Climate and Health Programme (CLIMA), Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
| | - Kristine Belesova
- Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, UK
| | - Paul Wilkinson
- Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, UK
| | - Mike Davies
- UCL Institute for Environmental Design and Engineering, Faculty of the Built Environment, University College London, London, UK
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