Concept development of “Aging in place”: Application of hybrid model

ABSTRACT There are various methods and services which help elders protect their independency and ability and take care. Like aging in place (AIP), that is a home and community-based model. Despite its importance, this concept is still ambiguous and there is no comprehensive definition for it. This study aims to clarify and conceptualize the meaning of AIP and to develop a context-based definition. In this qualitative study, the concept was developed using a hybrid model during three theoretical phases, fieldwork and final analysis. In the theoretical phase, 30 selected articles, following a systematic search in Web of sciences-Scopus-PubMed databases using the keywords “Aging in place”, “Aging at home” and “Aging in community”, during 2000–2019 were screened and analyzed. After providing the working definition, the fieldwork phase directed qualitative content analysis was performed on interviews conducted with seven eligible elderly. Finally, in the final phase, after comparing the findings of the previous two phases, the final definition was presented. The results of the hybrid model extracted and identified various definitions of AIP and attributes, antecedent and consequences of AIP. attributes included; independency, belonging to the place, maintaining network, living in one’s own home and community, safety, comfort, non-institutionalization, first preference, and life routines continuity. Antecedents included; health, physical environment, financial ability, socialization, information support, technology, AIP antecedent prediction, community services and transportation. Finally, Consequences included; Individual acceptability and community acceptability. Also final definition was provided. If the AIP and its related factors are known and provided so that elders can stay in their homes, then they do not have to choose a nursing home and thus stay out of the community. As a result, following the AIP, both the elderly and community will be satisfied.

[1]  S. Szanton,et al.  Aging Gracefully in Place: An Evaluation of the Capability of the CAPABLE© Approach , 2021, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[2]  Yeon Jin Choi.  Understanding Aging in Place: Home and Community Features, Perceived Age-Friendliness of Community, and Intention Toward Aging in Place. , 2021, The Gerontologist.

[3]  R. Cachucho,et al.  Acceptance of Technologies for Aging in Place: A Conceptual Model , 2021, Journal of medical Internet research.

[4]  T. Kroll,et al.  Assisted decision-making and interprofessional collaboration in the care of older people: a qualitative study exploring perceptions of barriers and facilitators in the acute hospital setting , 2021, Journal of interprofessional care.

[5]  M. Dehghan,et al.  The age–friendly cities characteristics from the viewpoint of elderly , 2020, Journal of family medicine and primary care.

[6]  Ann Forsyth,et al.  What Is Aging in Place? Confusions and Contradictions , 2020 .

[7]  H. Chaudhury,et al.  The Landscape of “Aging in Place” in Gerontology Literature: Emergence, Theoretical Perspectives, and Influencing Factors , 2020, Journal of Aging and Environment.

[8]  مریم حیدری,et al.  The Effectiveness of Self-Management Program Based on 5A Model on patient care burden for stroke patients , 2020, Iranian Journal of Rehabilitation Research in Nursing.

[9]  Sihyun Park,et al.  The Sociocultural Meaning of “My Place”: Rural Korean Elderly People's Perspective of Aging in Place , 2020 .

[10]  G. Kempen,et al.  Definitions, key themes and aspects of ‘ageing in place’: a scoping review , 2020, Ageing and Society.

[11]  R. Zmora,et al.  A Critical Approach to Aging in Place: A Case Study Comparison of Personal and Professional Perspectives from the Minneapolis Metropolitan Area , 2019, Journal of aging & social policy.

[12]  L. Jahangiry,et al.  Reasons for Nursing Home Placement of Older Women in Tabriz, Iran: A Content Analysis , 2019, Salmand.

[13]  Jiyun Kang,et al.  The Concept of Aging in Place as Intention. , 2019, The Gerontologist.

[14]  Amanda J. Lehning,et al.  Social Work and Aging in Place: A Scoping Review of the Literature , 2017 .

[15]  M. Jansen,et al.  Photovoicing the neighbourhood: Understanding the situated meaning of intangible places for ageing‐in‐place , 2017, Health & place.

[16]  D. Amaratunga,et al.  Ageing in place, an overview for the elderly in Malaysia , 2017 .

[17]  J. Wick.  Aging in Place: Our House Is a Very, Very, Very Fine House. , 2017, The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists.

[18]  H. Kendig,et al.  Preferences and Predictors of Aging in Place: Longitudinal Evidence from Melbourne, Australia , 2017 .

[19]  Govert E. Bijwaard,et al.  War-related excess mortality in The Netherlands, 1944–45: New estimates of famine- and non-famine-related deaths from national death records , 2017, Historical Methods.

[20]  J. Weil,et al.  Revaluating aging in place: from traditional definitions to the continuum of care , 2016 .

[21]  Gus Vouchilas,et al.  Preparing to age in place: attitudes, approaches, and actions , 2016 .

[22]  Karen Grimmer,et al.  Consumer views about aging-in-place , 2015, Clinical interventions in aging.

[23]  A. Rezaei,et al.  Research Paper: Comparison of Cognitive Triad in the Elderly Residing at Nursing Care and Home , 2015 .

[24]  Amanda J. Lehning,et al.  Do Age-Friendly Characteristics Influence the Expectation to Age in Place? A Comparison of Low-Income and Higher Income Detroit Elders , 2015, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[25]  Judith Gullifer,et al.  ‘At home it's just so much easier to be yourself’: older adults' perceptions of ageing in place , 2014, Ageing and Society.

[26]  J. Cramm,et al.  The ideal neighbourhood for ageing in place as perceived by frail and non-frail community-dwelling older people , 2014, Ageing and Society.

[27]  Lazelle E Benefield,et al.  Aging in place: merging desire with reality. , 2014, The Nursing clinics of North America.

[28]  A. Paganini-Hill.  Aging in Place in a Retirement Community: 90+ Year Olds , 2013, Journal of housing for the elderly.

[29]  J. Wiles,et al.  The meaning of "aging in place" to older people. , 2012, The Gerontologist.

[30]  M. Laplante,et al.  Medicaid Home- and Community-Based Services: Impact of the Affordable Care Act , 2012, Journal of aging & social policy.

[31]  M. Adib-Hajbaghery,et al.  Lived experiences of elderly home residents: a qualitative study , 2011 .

[32]  Jon Pynoos,et al.  Aging in Place: Evolution of a Research Topic Whose Time Has Come , 2011, Journal of aging research.

[33]  Hossein Matlabi,et al.  The contribution of home-based technology to older people's quality of life in extra care housing , 2011, BMC geriatrics.

[34]  A. Sixsmith,et al.  Impacts of Home Modifications on Aging-in-Place , 2011 .

[35]  F. Tang,et al.  Social Support Networks and Expectations for Aging in Place and Moving , 2011 .

[36]  H. Arksey,et al.  Why Do Older People in New Zealand Enter Residential Care Rather than Choosing to Remain at Home, and Who Makes that Decision? , 2009 .

[37]  Ann Bookman,et al.  Innovative models of aging in place: Transforming our communities for an aging population , 2008 .

[38]  Andrew Sixsmith,et al.  Ageing in Place in the United Kingdom , 2008 .

[39]  D. Boldy,et al.  Social isolation and loneliness among older people: issues and future challenges in community and residential settings. , 2008, Australian health review : a publication of the Australian Hospital Association.

[40]  K. Segesten,et al.  Preserving dignity in caring for older adults: a concept analysis. , 2007, Journal of advanced nursing.

[41]  P. Oh,et al.  Spirituality: concept analysis based on hybrid model. , 2005, Taehan Kanho Hakhoe chi.

[42]  Sue Childs,et al.  A literature review to explore integrated care for older people , 2005, International journal of integrated care.

[43]  E. Arias-Merino,et al.  Aging in Place and Quality of Life , 2019, Encyclopedia of Gerontology and Population Aging.

[44]  Linda Amankwaa,et al.  CREATING PROTOCOLS FOR TRUSTWORTHINESS IN QUALITATIVE RESEARCH. , 2016, Journal of cultural diversity.

[45]  E. Iecovich,et al.  Aging in place : From theory to practice , 2014 .

[46]  S. Golant.  The Changing Residential Environments of Older People , 2011 .

[47]  Modanloo.  Dental health status in elderly (Gorgan –Iran) , 2010 .

[48]  M. Rantz,et al.  Aging in place: a new model for long-term care. , 2000, Nursing administration quarterly.

[49]  H. S. Kim,et al.  AN EXPANSION AND ELABORATION OF THE HYBRID MODEL OF CONCEPT DEVELOPMENT , 2000 .

[50]  Lorraine O. Walker,et al.  Strategies for theory construction in nursing , 1983 .