The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
Gary W Evans - One of the best experts on this subject based on the ideXlab platform.
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health and social outcomes of moving to a continuing care Retirement Community
Journal of Housing for The Elderly, 2003Co-Authors: Elayne Heisler, Gary W Evans, Phyllis MoenAbstract:Abstract This study investigates the experience of moving into a continuing care Retirement Community (CCRC) for those moving locally (intra-county) and from more of a distance (outside the county). Specifically, we compare the social contacts and health of long distance and local movers before and after their moves. A sample of older adults were interviewed a few months before they moved into a Northeast, United States CCRC and a year and a half after they had moved. As predicted, long distance movers were more apt to experience physical health declines in terms of percentage of health conditions experienced, as well as perceived health status. No such health declines were found for local movers. Contrary to expectations, the greater health declines of long distance movers were independent of their social network contacts, regardless of whether these relationships were with family or friends. Moreover, our evidence suggests that moving to a CCRC does not affect social integration or perceived social supp...
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home again environmental predictors of place attachment and self esteem for new Retirement Community residents
Journal of Interior Design, 2002Co-Authors: Paul Eshelman, Gary W EvansAbstract:This study examined the relative contribution of two dimensions of interior features functional and personal meaning—as predictors of place attachment and self-esteem for ninety-two new Retirement Community residents housed in independent living apartments or cottages of a recently opened continuing care Retirement Community (CCRC). Residents were interviewed and facilities observed as part of a multi-disciplinary, collaborative study. Stepwise regression determined which subsets of function and meaning variables respectively operated as the most important, independent predictors for place attachment and self-esteem. Hierarchical regression equations then examined the relationship between function and meaning variables in predicting place attachment and self-esteem, asking: exceeding the effects of function, does meaning add to a feeling of place attachment and self-esteem? For both place attachment and self-esteem, significantly more variance is accounted for when meaning variables are added to function variables. Once functional needs are met, both place attachment and self-esteem are elevated by interior features that have personal meaning. These findings expand the concept of hominess widely used in the design of residential caregiving settings.
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Place attachment and social support at continuing care Retirement communities
Environment and Behavior, 2000Co-Authors: Shiho Sugihara, Gary W EvansAbstract:Among the major prerequisites for successful transition to a Retirement Community are the development of attachment to place and the formation of strong social ties. The authors examined the role of physical features in a Retirement Community in fostering place attachment and socially supportive networks among a group of new residents. Elderly residents who lived in closer walking distance to the central activity building, who had smaller functional distances from their neighbors, and who shared nearby, enclosed, outdoor garden spaces felt more attached. Social support was positively associated with smaller functional distances and proximity to the central building.
Liangkung Chen - One of the best experts on this subject based on the ideXlab platform.
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association of cognitive impairment depressive symptoms and sarcopenia among healthy older men in the veterans Retirement Community in southern taiwan a cross sectional study
Geriatrics & Gerontology International, 2014Co-Authors: Yinghsin Hsu, Chihkuang Liang, Meichen Liao, Mingyueh Chou, Yuteh Lin, Liangkung ChenAbstract:Aim To evaluate the association of cognitive impairment, depressive mood and sarcopenia among older men living in the veterans Retirement Community in southern Taiwan Methods This cross-sectional study recruited 353 men aged 65 years and older. In addition to demographic characteristics, all participants were measured for gait speed, handgrip strength and muscle mass by using bioelectrical impedance analysis (BIA). The diagnosis of sarcopenia was made according to the European Working Group on Sarcopenia in Older People criteria. Slow walking speed was defined as ≤0.8 meter/second. Low muscle strength was defined as the handgrip strength less than 22.5 kg which was adjusted according to Taiwanese norms. A height-adjusted muscle mass of 8.87 kg/m2 from a previous Taiwanese study was defined as low muscle mass. Cognitive function was evaluated by the Mini-Mental State Examination (MMSE), and the Geriatric Depression Scale-15 (GDS-15) was used for screening of depressive symptoms. Results Among the 353 participants (mean age 82.7 ± 5.3 years), 30.9% (109/353) were classified as sarcopenic. Multivariate logistic regression showed that sarcopenia was independently associated with cognitive impairment (adjusted OR 3.03, 95% CI 1.63–5.65, P < 0.001) and depressive symptoms (adjusted OR 2.25, 95% CI 1.03–4.89, P = 0.04). Conclusions Sarcopenia was significantly associated with cognitive impairment and depressive symptoms among otherwise healthy older men living in the veterans Retirement Community. Further outcome study is required to explore the interrelationship of cognition, depressive symptoms and sarcopenia in older adults. Geriatr Gerontol Int 2014; 14 (Suppl. 1): 102–108.
Liat Ayalon - One of the best experts on this subject based on the ideXlab platform.
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location location location close ties among older continuing care Retirement Community residents
PLOS ONE, 2019Co-Authors: Liat Ayalon, Inbal YahavAbstract:This study examines two theoretical explanations for the existence of close ties among continuing care Retirement Community residents: the attractiveness theory, which suggests that residents who possess certain attributes are more likely to be perceived as appealing to others; and the homophily theory, which argues that individuals are more likely to have close ties with people who share similar attributes. As a variant of the homophily theory, we also examined whether sharing a physical location makes the existence of certain connections more likely. Data from four continuing care Retirement communities were used. To test the attractiveness theory, correlations between the number of individuals who named a person as a significant contact (ego’s in-degree) and ego attributes were examined. To test the homophily theory, the median value of existing ties was compared against all possible social ties as though they were randomly formed. Finally, to further test the role of the institutional culture against various motivations that drive social ties—attractiveness and homophily—we used link prediction models with random forests. In support of the homophily theory, beyond the institutional culture, the only consistent predictor of the existence of close ties among residents was sharing a wing in the Retirement Community (geographic proximity). Therefore, we discuss the role of the physical location in the lives of older adults.
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transition and adaptation to the continuing care Retirement Community from a life course perspective something old something new and something borrowed
Journal of Applied Gerontology, 2018Co-Authors: Liat AyalonAbstract:The study examined the accounts of older adults and their adult children concerning the transition to the continuing care Retirement Community (CCRC) and the adjustment to it, using a life course perspective. Up to three waves of interviews, consisting of a total of 187 interviews with older adults and their adult children, were conducted between 6 months and 6 years from the transition to the CCRC. Thematic analysis was employed using comparisons across groups of interviewees (older adults and adult children) and waves of interviews (up to three waves) to identify core categories of meaning. Time perception was an organizing principle across interviews. Both older adults and their adult children perceived themselves as moving forward and backward in time following the transition to the CCRC and future expectations for deterioration. The study emphasizes the linked-lives of older adults and their adult children.
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Perceptions of Older Residents and Their Adult Children Regarding Continuing Care Retirement Community Staff.
Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2016Co-Authors: Shiri Shinan-altman, Liat AyalonAbstract:This study examined the perspectives of continuing care Retirement Community (CCRC) residents and their adult children regarding services provided by staff in the CCRC. The study is based on semist...
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do not hear see or speak views of older residents and their adult children about the nursing unit in the continuing care Retirement Community
International Psychogeriatrics, 2016Co-Authors: Liat AyalonAbstract:Background: The present study evaluated views of continuing care Retirement Community (CCRC) residents and their adult children concerning the nursing unit (NU) within the CCRC. Methods: Qualitative interviews with older adults and their adult children were conducted. Analysis consisted of 187 interviews with older adults and their adult children over a period of up to six years. Analysis relied on constant comparisons within the same interview, over interviews of the same person over time, and between CCRC residents and their adult children. Major themes were identified to construct a coherent storyline. Results: The NU was viewed as a different universe that should be avoided at all costs. This was attributed to: (1) the association of the NU with one's impending decline and dependence and (2) beliefs about substandard care in the NU. Conclusions: The findings point to the ambivalence expressed by CCRC residents and their adult children concerning the NU, even though to some degree, the NU represents the main reason for the transition to a CCRC.
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Intergenerational Perspectives on Autonomy Following a Transition to a Continuing Care Retirement Community
Research on Aging, 2016Co-Authors: Liat AyalonAbstract:The study evaluated the concept of autonomy from the perspective of\nolder adults and their adult children following a transition of the\nolder adult to a continuing care Retirement Community (CCRC). Overall,\n70 interviews (with older adults and their adult children; 34 dyads)\nwere analyzed, using a line-by-line open coding, followed by dyadic\nanalysis. Autonomy was not portrayed as a uniform, homogenous construct,\nbut rather encompassed four different domains: (a) the focus of one's\nattention or concerns: on others, on self, or not at all; (b) the\nability to exercise decisions and make independent choices; (c) the\ndegree of physical functioning and ability of the older adult; and (d)\nthe financial ability of the older adult. The duality in the\nrelationships between older adults and their adult children is discussed\nin relation to the give and take of autonomy that occur following a\ntransition to a CCRC.
Emily A Greenfield - One of the best experts on this subject based on the ideXlab platform.
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participation in Community activities through naturally occurring Retirement Community norc supportive service programs
Ageing & Society, 2017Co-Authors: Emily A Greenfield, Rebecca L MauldinAbstract:Naturally Occurring Retirement Community Supportive Service Programs (NORC Programs) constitute a national model in the United States of America that aims to benefit older adults ageing in place in their own homes and communities. One central aspect of NORC Programs is the provision of Community activities to facilitate older adults’ connections with others. Guided by ecological systems theory, we explored from older adults’ perspectives what influences their participation in the Community activities offered by NORC Programs, as well as the meaning of the social contact that such participation affords. We used data from an in-depth interview study with 41 older residents across seven NORC Program sites in the greater New York City area. Themes regarding influences on participation included individual circumstances (personal desire for social activity and health status), programmatic factors (relationships with staff and appeal of the activities) and Community contexts (appeal of the other attendees). Perceptions of other attendees also emerged as an influence on the social effects of participation, which ranged from experiencing social contact alone to creating independent friendships. Overall, findings indicate that programme features combine with individual and Community contexts to influence diverse experiences of Community activities. In addition to implications for organisational practice, we interpret the results in terms of directions for future research regarding how Community-based organisations can influence social integration in later life.
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sustainability processes among naturally occurring Retirement Community supportive service programs
Journal of Community Practice, 2016Co-Authors: Emily A Greenfield, Mandy E FrantzAbstract:ABSTRACTSustainability remains a concern for Community models to better support older adults’ aging in place in their own homes and communities. Based on qualitative data from leaders of 53 Naturally Occurring Retirement Community (NORC) Supportive Service Programs, which is among the most prominent Community practice models in aging, we aimed to develop an empirically-grounded framework on sustainability processes. Results indicated that programs use funding, staff members, interorganizational partnerships, and volunteers to offer services to attract older adults, and that older adults’ participation, in turn, is perceived as influencing the accrual of additional resources. Across themes, respondents discussed the importance of being responsive to the Community and facilitating consumer participation.
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characterizing older adults involvement in naturally occurring Retirement Community norc supportive service programs
Journal of Gerontological Social Work, 2015Co-Authors: Emily A Greenfield, James P FedorAbstract:Naturally Occurring Retirement Community (NORC) Supportive Service Programs constitute one of the longest-standing models for age-friendly Community initiatives. As a support-focused model, NORC programs typically offer a range of benefits—including direct services, group activities, and broader Community development activities—that are intended to engage older adults with diverse needs, preferences, and interests. Moreover, NORC programs are designed to be used according to the needs of the particular participant engaging with them at a particular point in time. This range and flexibility of benefits indicate the importance of more systematically characterizing the ways in which older adults are involved with NORC programs. For this purpose, we used data from in-depth interviews with 35 residents across 6 NORC programs in New York City. Qualitative analysis revealed 6 ordered categories of involvement: (a) consciously no involvement; (b) involved, but not consciously; (c) relationship with staff only; (d...
James P Fedor - One of the best experts on this subject based on the ideXlab platform.
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characterizing older adults involvement in naturally occurring Retirement Community norc supportive service programs
Journal of Gerontological Social Work, 2015Co-Authors: Emily A Greenfield, James P FedorAbstract:Naturally Occurring Retirement Community (NORC) Supportive Service Programs constitute one of the longest-standing models for age-friendly Community initiatives. As a support-focused model, NORC programs typically offer a range of benefits—including direct services, group activities, and broader Community development activities—that are intended to engage older adults with diverse needs, preferences, and interests. Moreover, NORC programs are designed to be used according to the needs of the particular participant engaging with them at a particular point in time. This range and flexibility of benefits indicate the importance of more systematically characterizing the ways in which older adults are involved with NORC programs. For this purpose, we used data from in-depth interviews with 35 residents across 6 NORC programs in New York City. Qualitative analysis revealed 6 ordered categories of involvement: (a) consciously no involvement; (b) involved, but not consciously; (c) relationship with staff only; (d...