This exploratory research project captured a multidimensional model of healthy aging in Anchorage, Alaska, by utilizing the Concept Mapping (CM) methodology with a sample of 53 older adults (aged 55+), aging advocates, public health professionals, and senior service providers. Multidimensional scaling and cluster analyses were conducted to map the relationship between 100 aspects of healthy aging, resulting in 12 distinct concepts of healthy aging. Study participants identified both lifestyle factors and aspects of their environment, providing results that can inform future research and policy development. The perspectives of older adults are scarce in the literature, but how they conceptualize the factors that contribute to healthy aging can have profound influence on behaviors and health outcomes. In addition, CM is a little-used methodology in gerontology that fosters community capacity building, meaningful contributions, and trusting research partnerships. We also provide recommendations for using these methods with older adults.
Research shows that healthy ageing is defined differently by older adults and researchers, who may put more or less weight on the physiological, psychological, societal and personal aspects of ageing. Although there is growing interest in the research literature on lay models of healthy ageing in socio-cultural context, little work has been done to determine how important or feasible the various components of healthy ageing are viewed to be by older adults. This study asked a convenience sample of 54 older adults in the circumpolar North to rate the importance and feasibility of 36 previously identified components of healthy ageing in their community. Results indicate that seniors in the sample place the most importance on aspects of the social and physical environment, while least important concepts included psychological and individual behaviours. However, most feasible aspects were individual behaviours and least feasible were aspects of the social and physical environment. Although older adults are able to construct a model of what healthy ageing should look like in their community, they do not always view the most important aspects of healthy ageing to be the most feasible to achieve, providing ample opportunity for public and social policy change.
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