The Meaning of "Aging in Place" to Older People

Wiles, Janine; Leibing, Annette; Guberman, Nancy; Reeve, Jeanne; Allen, Ruth

doi:10.1093/geront/gnr098

Cited by 1,268 publications

(1,001 citation statements)

References 19 publications

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“…Staying at home for as long as possible is favoured by many older adults as they prefer to grow old in a familiar place, and by policy makers as its avoids the costly option of institutional care (Gitlin, 2003;Wiles, Leibing, Guberman, Reeve, & Allen, 2012;WHO, 2007b;WHO Europe, 2008). It follows that the home is increasingly becoming the place where long-term care is provided (Gitlin, 2003).…”

Section: Introductionmentioning

confidence: 99%

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What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey

et al. 2014

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Access to information, design of home and access to local area explain variance in SCRQoL  They are equally strongly associated with SCRQoL as health indicators  The associations are stronger for older adults with higher needs and less assistance AbstractLocal authorities spend considerable resources on social care at home for older adults. Given the expected growth in the population of older adults and budget cuts on local government, it is important to find efficient ways of maintaining and improving the quality of life of older adults. The ageing in place literature suggests that policies in other functions of local authorities may have a significant role to play. This study aims to examine the associations between social care-related quality of life (SCRQoL) in older adults and three potential policy targets for local authorities: (i) accessibility of information and advice, (ii) design of the home and (iii) accessibility of the local area. We used cross-sectional data from the English national Adult Social Care Survey (ASCS) 2010/2011 on service users aged 65 years and older and living at home (n=29,935). To examine the association between SCRQoL, as measured by the ASCOT, and three single-item questions about accessibility of information, design of the home and accessibility of the local area, we estimate linear and quantile regression models. After adjusting for physical and mental health factors and other confounders our findings indicate that SCRQoL is significantly lower for older adults who find it more difficult to find information and advice, for those who report that their home design is inappropriate for their needs and for those who find it more difficult to get around their local area. In addition, these three variables are as strongly associated with SCRQoL as physical and mental health factors. We conclude that in seeking to find ways to maintain and improve the quality of life of social care users living at home, local authorities could look more broadly across their responsibilities. Further research is required to explore the cost-effectiveness of these options compared to standard social care services.

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Section: Introductionmentioning

confidence: 99%

“…A process that is increasingly acknowledged as important for the quality of life of older adults is the interaction between older adults and the home and communities they live in (Andrews, Evans, & Wiles, 2012;Wiles et al, 2012;Peace, Holland, & Kellaher, 2011;Rowles & Bernard, 2013).…”

Section: Introductionmentioning

confidence: 99%

What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey

et al. 2014

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“…Ageing in place refers to older people being able to remain living in their community as they age, either with or without support, as opposed to relocating to a care facility or living elsewhere (Wiles, Leibing, Guberman, Reeve, & Allen, 2012). Older people living in rural areas often develop strong attachments to their communities with research showing they expect to remain living rurally as they age (Dye, Willoughby, & Battisto, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, the health and well-being of older people living rurally can be influenced by both physical and social environments, including the ability to navigate their surroundings (Annear et al, 2014; Keating & Eales, 2013). However, government agencies and policy-makers do not always seek older people’s views, particularly from those aged 85 years and over, when planning physical environments or providing social services, including those in rural areas (Wiles et al, 2012). Consequently, policy and services are often formulated without experiential information provided by older people.…”

Section: Introductionmentioning

confidence: 99%

“Engaging in my rural community”: perceptions of people aged 85 years and over

Neville

Adams

Napier

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: Globally, numbers of people aged 85 years and over are increasing. Many older people, including those 85 years and over, are ageing in rural areas. For successful ageing in place, physical and social environments must be appropriate. The aim of this study is to understand the influence the physical and social environments have on enabling those aged 85 years and over to remain engaged in a rural community. Method: Utilizing an environmental gerontological approach, semi-structured interviews were undertaken with 15 people who lived independently in a rural community. Following transcription data were analyzed and themes identified. Results: Two themes were identified; “Negotiating the physical environment: ‘Getting there and back’” and “Maintaining social networks: ‘Places to go, people to see’”. The findings provide insight into the importance of driving, parking close to amenities and negotiating the local environment to this group of older people and their ability to engage with their community. All participants agreed social engagement with friends, family or neighbors was important to them. Conclusion: These findings highlight the interconnection between physical and social environments. An enabling physical environment is essential to support social participation of people aged 85 years and over.

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“…Developing new relationships can be stressful for those not equipped with the skills to socialise with new people (Hodgson, Freedman, Granger, & Erno, 2004). Many older people prefer to maintain their previous social networks and old friendships (Wiles, Leibing, Guberman, Reeve, & Allen, 2012) and social interaction with new people may be difficult for them because they tend to appreciate old relationships (Amzat & Jayawardena, 2016).…”

Section: The Role Of Social Connectedness In Loneliness Anxiety and mentioning

confidence: 99%

Spiritual reminiscence therapy for older people with loneliness, anxiety and depression living in a residential aged care facility, Malaysia: The effectiveness and older people’s experiences

Elias¹,

Munirah²

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The Meaning of "Aging in Place" to Older People

Abstract: Aging in place operates in multiple interacting ways, which need to be taken into account in both policy and research. The meanings of aging in place for older people have pragmatic implications beyond internal "feel good" aspects and operate interactively far beyond the "home" or housing.

Cited by 1,268 publications

References 19 publications

What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey

What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey

“Engaging in my rural community”: perceptions of people aged 85 years and over

Spiritual reminiscence therapy for older people with loneliness, anxiety and depression living in a residential aged care facility, Malaysia: The effectiveness and older people’s experiences

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