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Housing for the Elderly: Addressing Gaps in Knowledge Through the Lens of Age-Friendly Communities 老年人住房:通过老年友好社区的视角解决知识差距
Pub Date : 2017-04-03 DOI: 10.1080/02763893.2017.1309936
Stephen Frochen, J. Pynoos
ABSTRACT We identify salient research gaps in the elderly housing research and respond to the lack of knowledge, guided by Menec, Means, Keating, Parkhurst, and Eales' (2011) age-friendly communities framework. These gaps in knowledge include age-friendliness, aging in place, conceptualization of home, falls, housing as it relates to disability and health, person-environment fit, and housing programs and initiatives. We discuss how the age-friendly paradigm can inform these areas of the literature and address problems presented in each. This review is intended to provide a roadmap for future researchers, administrators, clinicians, and policy makers.
摘要在Menec、Means、Keating、Parkhurst和Eales(2011)的老年友好社区框架的指导下,我们发现了老年住房研究中的显著研究差距,并对知识的缺乏做出了回应。这些知识差距包括年龄友好性、就地老龄化、家庭概念化、跌倒、与残疾和健康相关的住房、人与环境的适合性以及住房计划和举措。我们讨论了年龄友好型范式如何为这些领域的文献提供信息,并解决每个领域中出现的问题。这篇综述旨在为未来的研究人员、管理人员、临床医生和政策制定者提供一个路线图。
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引用次数: 17
Ecological Approaches to an Age-Friendly Portland and Multnomah County 环保波特兰和穆尔特诺玛县的生态方法
Pub Date : 2017-04-03 DOI: 10.1080/02763893.2017.1309931
A. DeLaTorre, M. Neal
ABSTRACT Researchers at Portland State University's Institute on Aging (IOA) conducted Portland's age-friendly baseline assessment as part of the original 2006–2007 World Health Organization's (WHO) Global Age-Friendly Cities Project. This article describes the ongoing Portland and Multnomah County age-friendly initiatives, using Menec et al.'s (2011) ecological framework to highlight the interplay between people and environments (i.e., physical, social, and service environments). An overview is provided of Portland's age-friendly community-based research, the evolution and role of the Advisory Council, as well as recent housing policies that have been developed through university-community partnerships.
摘要波特兰州立大学老龄化研究所(IOA)的研究人员进行了波特兰的老年友好基线评估,这是2006-2007年世界卫生组织(世界卫生组织)全球老年友好城市项目的一部分。本文描述了波特兰和穆尔特诺马县正在进行的老年友好倡议,使用Menec等人(2011)的生态框架来强调人与环境(即物理、社会和服务环境)之间的相互作用。概述了波特兰市的老年友好型社区研究、咨询委员会的演变和作用,以及最近通过大学-社区伙伴关系制定的住房政策。
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引用次数: 13
Research on Age-Friendly Community Initiatives: Taking Stock and Moving Forward 老年友好型社区倡议研究:评估和推进
Pub Date : 2017-04-03 DOI: 10.1080/02763893.2017.1309937
Amanda J. Lehning, E. Greenfield
ABSTRACT Age-friendly community initiatives (AFCIs) are a promising approach to supporting physical, cognitive, mental, and social health in later life, but to date, there are gaps in our understanding of these initiatives' development, implementation, sustainability, and effectiveness. In this article we describe existing scholarship on age-friendly community initiatives, focusing attention on conceptual and empirical knowledge development regarding what age-friendliness and AFCIs are, as well as AFCIs' inputs (i.e., the process of age-friendly community change), outputs (i.e., organizational and community changes), and outcomes (i.e., changes in individual older adults). We then discuss some of the barriers to integrating research and practice in this field, including AFCIs' multifaceted approach and limited funding for evaluation and research. We conclude with steps to advance knowledge that can help to promote more evidence-informed age-friendly policies and practices. Additional scholarship regarding what change processes work under what conditions, in what ways, and for whom is essential to supporting the systematic development of community-wide approaches to promote the health and well-being of older adults.
老年友好型社区倡议(AFCIs)是一种很有前景的支持老年生活中身体、认知、心理和社会健康的方法,但迄今为止,我们对这些倡议的发展、实施、可持续性和有效性的理解存在差距。在本文中,我们描述了关于老年友好型社区倡议的现有学术研究,重点关注老年友好型社区和老年社区的概念和经验知识发展,以及老年社区的投入(即老年友好型社区的变化过程)、产出(即组织和社区的变化)和结果(即老年人个体的变化)。然后,我们讨论了将该领域的研究与实践相结合的一些障碍,包括afci的多方面方法和有限的评估和研究资金。最后,我们提出了推进知识的步骤,这些步骤有助于促进更多循证的老年人友好型政策和做法。关于哪些变化过程在什么条件下、以什么方式以及为谁起作用的额外研究,对于支持系统地发展促进老年人健康和福祉的全社区方法至关重要。
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引用次数: 26
Involving Older Residents in Age-Friendly Developments: From Information to Coproduction Mechanisms 让长者参与长者友好发展:从资讯到合作机制
Pub Date : 2017-04-03 DOI: 10.1080/02763893.2017.1309932
S. Rémillard-Boilard, T. Buffel, C. Phillipson
ABSTRACT Promoting social connectedness within urban environments raises a number of challenging issues. Despite being important sites for building social networks, cities can also trigger marginalization and social exclusion. As cities are becoming increasingly complex, ensuring the inclusion and participation of older residents in age-friendly developments will be key in achieving age-friendliness. This article discusses various ways of achieving this goal. This theme is developed by (1) exploring some of the opportunities and constraints associated with urban aging; (2) reviewing how social inclusion has been addressed in the age-friendly literature; and (3), presenting different mechanisms through which public engagement can be achieved.
在城市环境中促进社会联系提出了许多具有挑战性的问题。尽管城市是建立社交网络的重要场所,但它也可能引发边缘化和社会排斥。随着城市变得越来越复杂,确保老年居民融入和参与老年人友好型发展将是实现老年人友好型发展的关键。本文讨论了实现这一目标的各种方法。这一主题是通过(1)探索与城市老龄化相关的一些机遇和制约因素;(2)回顾友善长者的文献如何探讨社会包容;(3)提出实现公众参与的不同机制。
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引用次数: 40
Conceptualizing Social Connectivity in the Context of Age-Friendly Communities 老年友好社区背景下的社会连接概念
Pub Date : 2017-04-03 DOI: 10.1080/02763893.2017.1309926
V. Menec
ABSTRACT In 2011, colleagues and I (Menec, Means, Keating, Parkhurst, & Eales, 2011) conceptualized age-friendly communities from an ecological perspective in order to highlight key assumptions of the interplay between the person and the environment, including both the community environment and the larger policy and political environment. Moreover, we proposed that a basic benefit of an age-friendly community is that it creates social connectivity. Fundamentally, we argued, age-friendly communities create connections—between the older person and the environment in which he or she lives and vice versa. The purpose of the present article is to expand on the notion of social connectivity. By drawing on diverse bodies of literature, such as social epidemiology, community development, empowerment, and organizational effectiveness, I aim to conceptualize social connectivity in terms of four interrelated components: (1) creating connections; (2) empowerment; (3) social influence; and (4) access to material resources and services. Consistent with ecological theory, each of these components is described at the individual, organizational, and community level. Implications for implementing age-friendly initiatives and research are discussed.
摘要2011年,我和同事(Menec,Means,Keating,Parkhurst,&Eales,2011)从生态学的角度对老年友好社区进行了概念化,以强调人与环境之间相互作用的关键假设,包括社区环境以及更大的政策和政治环境。此外,我们提出,一个对年龄友好的社区的一个基本好处是它创造了社会联系。我们认为,从根本上讲,老年友好型社区在老年人和他或她生活的环境之间建立了联系,反之亦然。本文的目的是扩展社会连通性的概念。通过借鉴各种文献,如社会流行病学、社区发展、赋权和组织有效性,我的目标是将社会连接概念化为四个相互关联的组成部分:(1)建立联系;(2) 赋权;(3) 社会影响力;以及(4)获得物质资源和服务。与生态学理论一致,这些组成部分中的每一个都是在个人、组织和社区层面上描述的。讨论了实施老年友好倡议和研究的意义。
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引用次数: 25
Home Environment and Its Relation with Quality of Life of Older People 居家环境及其与老年人生活质量的关系
Pub Date : 2017-03-03 DOI: 10.1080/02763893.2017.1280583
Mehdi Nakhodaeezadeh, M. Jafarabadi, H. Allahverdipour, H. Matlabi, Fatemeh Raeesi Dehkordi
ABSTRACT In this cross-sectional study, we tested the relationship between sociophysical environment, quality of life (QOL), and perceived social support among elderly in Iran. The sample includes 128 participants recruited in the city of Shahrekord, Iran. We measured Evaluation of Older People Living Environment (EVOLVE); Control, Autonomy, Self-realization and Pleasure scale (CASP-19) and Multidimensional Scale of Perceived Social Support (MSPSS) tools respectively, through home-based observation and interview. A significant relationship was found between several domains of home environment, QOL, and perceived social support. The interaction effect of the home environment and gender in relation to QOL and perceived social support was statistically significant. Our results support that the home physical environment may not be considered a strong predictor of QOL among the Iranian elderly.
在这项横断面研究中,我们测试了伊朗老年人的社会物理环境、生活质量(QOL)和感知社会支持之间的关系。样本包括在伊朗Shahrekord市招募的128名参与者。我们测量了老年人生活环境评价(Evaluation of elderly Living Environment, EVOLVE);控制、自主、自我实现和快乐量表(CASP-19)和感知社会支持多维量表(MSPSS)工具分别通过家庭观察和访谈。家庭环境、生活质量和感知社会支持的几个领域之间存在显著的关系。家庭环境和性别对生活质量和感知社会支持的交互作用有统计学意义。我们的研究结果支持,家庭物理环境可能不被认为是伊朗老年人生活质量的强预测因子。
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引用次数: 12
Living in a Retirement Village: Choice, Contracts, and Constraints 生活在退休村:选择、契约和约束
Pub Date : 2017-03-02 DOI: 10.1080/02763893.2017.1280580
Maree Petersen, C. Tilse, Tina Cockburn
ABSTRACT Retirement village living is a growing housing option for older people. Research to date has focused primarily on the social milieu of the village with limited attention to the legal and financial obligations associated with this form of specialized seniors' housing. Using data from a survey of 312 Australian residents, this article suggests while residents place financial and legal obligations at the forefront when considering relocation and during residency, there is variability in professional advice and constraints on choices when needs and capacities change. The distinctive obligations associated with retirement village living require greater attention to ensure an informed lifestyle decision.
退休村生活是老年人越来越多的住房选择。迄今为止的研究主要集中在村庄的社会环境上,对与这种形式的专门老年人住房相关的法律和财政义务的关注有限。本文利用对312名澳大利亚居民的调查数据表明,尽管居民在考虑搬迁和居住期间将财务和法律义务放在首位,但当需求和能力发生变化时,专业建议和选择的限制也会发生变化。与退休村生活相关的特殊义务需要更多的关注,以确保明智的生活方式决定。
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引用次数: 16
Nursing-Home Resident Quality of Life: A Longitudinal Case Study Approach 疗养院居民生活质量的纵向个案研究方法
Pub Date : 2017-03-02 DOI: 10.1080/02763893.2017.1280581
R. Stadnyk, Stephanie A. Chamberlain, G. Warner, E. Earl, Christy Nickerson Rak
ABSTRACT Longitudinal quality-of-life (QOL) research incorporating multiple perspectives can add to knowledge about how nursing home residents experience QOL, but these methods are seldom used. This study employed interviews and participant observation to conduct multiple-perspective, longitudinal case studies of six residents. Close, reciprocal relationships with staff members, staff knowledge of residents, and autonomy were fundamental to QOL. Autonomy was experienced through choice and self-advocacy. Changes in QOL over time related to changes in resident health status, acclimation to the setting and family member availability. Study results may have implications for staffing and staff training.
纵向生活质量(QOL)研究包含多个视角,可以增加对养老院居民如何体验生活质量的了解,但这些方法很少使用。本研究采用访谈法和参与式观察法对6名住院医师进行多视角、纵向个案研究。与员工保持密切、互惠的关系、员工对住院医师的了解和自主权是生活质量的基础。自主权是通过选择和自我倡导来体验的。随着时间的推移,生活质量的变化与居民健康状况的变化、对环境的适应以及家庭成员的可用性有关。研究结果可能对人员配备和人员培训产生影响。
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引用次数: 5
Interprofessional Client-Centered Reasoning Processes in Home Modification Practice 家居装修实践中以客户为中心的跨专业推理过程
Pub Date : 2017-03-02 DOI: 10.1080/02763893.2017.1280579
S. Burns, N. Pickens, Roger O. Smith
ABSTRACT We investigated the complex reasoning processes of professional home evaluators involved with home safety assessments. Twenty evaluators with varied professional training engaged in in-depth qualitative interviews. Two primary themes emerged: integrating expertise and tailoring interventions. Within these themes, evaluators expressed differences and similarities in how they obtained information, developed interventions, and addressed professional-client interactive reasoning as they identified needs. We propose an adapted ecological model to describe best practices for personalizing home modifications through an interprofessional lens. Differences among professional home evaluators reveal unique, yet overlapping reasoning processes. Interprofessional teams may better meet the holistic needs of home modification consumers.
摘要:我们调查了专业家庭评估师参与家庭安全评估的复杂推理过程。20名接受过各种专业培训的评估人员进行了深入的定性访谈。出现了两个主要主题:整合专门知识和量身定制干预措施。在这些主题中,评估人员在确定需求时,表达了他们在获取信息、制定干预措施和处理专业客户互动推理方面的差异和相似之处。我们提出了一个适应的生态模型,通过跨专业的视角来描述个性化家居改造的最佳实践。专业家庭评估师之间的差异揭示了独特但重叠的推理过程。跨专业团队可以更好地满足家居改装消费者的整体需求。
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引用次数: 6
Preferences and Predictors of Aging in Place: Longitudinal Evidence from Melbourne, Australia 老龄化的偏好和预测因素:来自澳大利亚墨尔本的纵向证据
Pub Date : 2017-03-02 DOI: 10.1080/02763893.2017.1280582
H. Kendig, C. Gong, Lisa Cannon, C. Browning
ABSTRACT This article reports older Australians' preferences for aging in place and predictors of their subsequent experiences drawing on a longitudinal study in Melbourne over 16 years. At baseline, 40% had lived in their homes for 30 or more years and the majority had preference for aging in place. However, the proportion continuing to do so was lower, with reducing independence being a major barrier. Women, renters, those not living with a partner, or those with depressive symptoms were most vulnerable, while home ownership, socioeconomic resources, neighborhood satisfaction, and home modifications were positively associated with aging in place.
摘要本文根据墨尔本16年来的一项纵向研究,报道了澳大利亚老年人对就地老龄化的偏好,以及他们随后经历的预测因素。在基线调查中,40%的人已经在家里住了30年或更长时间,大多数人更喜欢就地养老。然而,继续这样做的比例较低,降低独立性是一个主要障碍。女性、租房者、没有伴侣生活的人或有抑郁症状的人最容易受到伤害,而房屋所有权、社会经济资源、社区满意度和房屋改造与当地的老龄化呈正相关。
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引用次数: 60
期刊
Journal of Housing for the Elderly
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