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The quality of life of older people aging in place: a literature review

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Abstract

Purpose

In order to cope with the challenges that are the result of an aging population, policies and services promote keeping elders in the community and letting them age in place rather than sending them to specialized institutions. Aging in place refers to the option where people can stay in their homes as they age. This policy option, however, poses various challenges and may also threaten the quality of life of the aging. A literature review was performed on the quality of life of older people aging in place to determine whether the actual assessment of quality of life can be used within aging in place.

Methods

Web of Science, PubMed, CINAHL, Sociological Abstracts and Social Science Research Network were searched for publications on “Ag(e)ing in place” AND “Quality of life.”

Results

Although assessment is crucial to a policy pursuing a good quality of life, literature reveals that it is seldom performed. Only a small part of the studies report on the assessment of quality of life, including the instruments used and the results. The findings also indicate that there is no consensus on the definition of quality of life or its domains structures.

Conclusion

As no existing instrument assessing the quality of life of older people aging in place could be identified, such a tool should be developed, because any policy towards this growing group of people should be complemented by an evaluation.

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References

  1. Eurostat. (2015). Past and future population ageing trends in the EU. Statistics Explained. Retrieved from http://ec.europa.eu/eurostat/statistics-explained/

  2. United Nations, D. o. E. a. S. A., Population Division (2015). World Population Prospects: The 2015 Revision, Key Findings and Advance Tables. Working paper No. ESA/P/WP.241.

  3. van Bilsen, P. M. A., Hamers, J. P. H., Groot, W., & Spreeuwenberg, C. (2008). Sheltered housing compared to independent housing in the community. Scandinavian Journal of Caring Sciences, 22(2), 265–274.

    Article  PubMed  Google Scholar 

  4. Ilinca, S., Leichsenring, K., & Rodrigues, R. (2015). From care in homes to care at home: European experiences with (de)institutionalisation in long-term care. Policy Brief (Vol. December 2015): European Centre.

  5. WHO Centre for Health Development. (2004). A glossary of terms for community health care and services for older persons (p. 109). Geneva: World Health Organisation.

    Google Scholar 

  6. Gilleard, C., Hyde, M., & Higgs, P. (2007). The impact of age, place, aging in place, and attachment to place on the well-being of the over 50s in England. Research on Aging, 29(6), 590–605. doi:10.1177/0164027507305730.

    Article  Google Scholar 

  7. Gonyea, J. G., & Burnes, K. (2013). Aging well at home: Evaluation of a neighborhood-based pilot project to “put connection back into community”. Journal of Housing for the Elderly, 27(4), 333–347. doi:10.1080/02763893.2013.813425.

    Article  Google Scholar 

  8. Teti, A., Grittner, U., Kuhlmey, A., & Bluher, S. (2014). Residential mobility in old age. Age-appropriate housing as a primary preventive strategy. Zeitschrift Fur Gerontologie Und Geriatrie, 47(4), 320–328. doi:10.1007/s00391-013-0538-0.

    Article  CAS  PubMed  Google Scholar 

  9. Cutchin, M. P. (2003). The process of mediated aging-in-place: A theoretically and empirically based model. Social Science and Medicine, 57(6), 1077–1090. doi:10.1016/s0277-9536(02)00486-0.

    Article  PubMed  Google Scholar 

  10. Bowling, A., Gabriel, Z., Dykes, J., Dowding, L. M., Evans, O., Fleissig, A., et al. (2003). Let’s ask them: A national survey of definitions of quality of life and its enhancement among people aged 65 and over. International Journal of Aging and Human Development, 56(4), 269–306.

    Article  PubMed  Google Scholar 

  11. Andrews, G. J., Cutchin, M., McCracken, K., Phillips, D. R., & Wiles, J. (2007). Geographical gerontology: The constitution of a discipline. Social Science and Medicine, 65(1), 151–168. doi:10.1016/j.socscimed.2007.02.047.

    Article  PubMed  Google Scholar 

  12. Marek, K., Stetzer, F., Adams, S. J., Popejoy, L., & Rantz, M. (2012). Aging in place versus nursing home care. Research in Gerontological Nursing, 5(2), 123–129.

    Article  PubMed  Google Scholar 

  13. Sixsmith, A., & Sixsmith, J. (2008). Ageing in place in the United Kingdom. Ageing International, 32(3), 219–235. doi:10.1007/s12126-008-9019-y.

    Article  Google Scholar 

  14. Mitzner, T. L., Chen, T. L., Kemp, C. C., & Rogers, W. A. (2014). Identifying the potential for robotics to assist older adults in different living environments. International Journal of Social Robotics, 6(2), 213–227. doi:10.1007/s12369-013-0218-7.

    Article  PubMed  Google Scholar 

  15. Horner, B., & Boldy, D. P. (2008). The benefit and burden of “ageing-in-place” in an aged care community. Australian Health Review, 32(2), 356–365.

    Article  PubMed  Google Scholar 

  16. Perez, F. R., Fernandez-Mayoralas, F., Rivera, F. E. P., & Abuin, J. M. R. (2001). Ageing in place: Predictors of the residential satisfaction of elderly. Social Indicators Research, 54(2), 173–208.

    Article  Google Scholar 

  17. Bowling, A., & Gabriel, Z. (2007). Lay theories of quality of life in older age. Ageing & Society, 27(06), 827. doi:10.1017/s0144686x07006423.

    Article  Google Scholar 

  18. Mandzuk, L., & McMillan, D. (2005). A concept analysis of quality of life. Journal of Orthopaedic Nursing, 9, 12–18.

    Article  Google Scholar 

  19. Moons, P., Budts, W., & De Geest, S. (2006). Critique on the conceptualisation of quality of life: A review and evaluation of different conceptual approaches. International Journal of Nursing Studies, 43(7), 891–901.

    Article  PubMed  Google Scholar 

  20. Gabriel, Z., & Bowling, A. (2004). Quality of life from the perspectives of older people. Ageing and Society, 24(5), 675–691.

    Article  Google Scholar 

  21. Cummins, R. A. (2005). Moving from the quality of life concept to a theory. Journal of Intellectual Disability Research, 49(10), 699–706.

    Article  CAS  PubMed  Google Scholar 

  22. Hambleton, P., Keeling, S., & McKenzie, M. (2008). Quality of life is…: The views of older recipients of low-level home support. Social Policy Journal of New Zealand, (33), 146–162.

  23. Allison, P. J., Docker, D., & Feine, J. S. (1997). Quality of life: A dynamic construct. Social Science and Medicine, 45(2), 221–230.

    Article  CAS  PubMed  Google Scholar 

  24. Carr, A., Gibson, B., & Robinson, P. (2001). Measuring quality of life. Is quality of life determined by expectations or experience? British Medical Journal, 322, 1240–1243.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. The WHOQOL Group. (1995). The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409.

    Article  Google Scholar 

  26. Farquhar, M. (1995). Elderly people’s definitions of quality of life. Social Science and Medicine, 41(10), 1439–1446.

    Article  CAS  PubMed  Google Scholar 

  27. Birren, J. E., & Dieckmann, L. (1991). Concepts and content of quality of life in the later years: An overview. In J. E. Birren, J. E. Lubben, J. C. Rowe, & D. E. Deutchman (Eds.), The Concept and Measurement of Quality of Life in the Frail Elderly (1st ed., pp. 344–360). New York: Academic Press.

    Google Scholar 

  28. Yip, J. Y., Wilber, K. H., Myrtle, R. C., & Grazman, D. N. (2001). Comparison of older adult subject and proxy responses on the SF-36 health-related quality of life instrument. Aging & Mental Health, 5(2), 136–142.

    Article  CAS  Google Scholar 

  29. Pickard, S., & Knight, S. (2005). Proxy evaluation of health-related quality of life. Medical Care, 43(5), 493–499.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Punjabi, N. M. (2008). Patient Versus proxy ratings of quality of life. In J. C. Vester, S. R. Pandi-Perumal, & D. L. Streiner (Eds.), Sleep and quality of life in medical ilness. New York: Humana Press.

    Google Scholar 

  31. Svensson, T. (1991). Intellectual exercise and quality of life in the frail elderly. In J. E. Birren, D. Deutchman, J. E. Lubben, & J. Rowe (Eds.), The Concept and Measurement of Quality of Life in the frail elderly. San Diego: Academic press.

    Google Scholar 

  32. Paul, C., Fonseca, A. M., Martin, I., & Amado, J. (2003). Psychosocial profile of rural and urban elders in Portugal. European Psychologist, 8(3), 160–167. doi:10.1027//1016-9040.8.3.160.

    Article  Google Scholar 

  33. Classen, S., Mann, W., Wu, S. S., & Tomita, M. R. (2004). Relationship of number of medications to functional status, health, and quality of life for the frail home-based older adult. Occupation, Participation & Health, 24(4), 151–160.

    Article  Google Scholar 

  34. Kempen, G. I. J. M., Brilman, E. I., Ranchor, A. V., & Ormel, J. (1999). Morbidity and quality of life and the moderating effects of level of education in the elderly. Social Science and Medicine, 49(1), 143–149. doi:10.1016/S0277-9536(99)00129-X.

    Article  CAS  PubMed  Google Scholar 

  35. Klesges, L. M., Pahor, M., Shorr, R. I., Wan, J. Y., Williamson, J. D., & Guralnik, J. M. (2001). Financial difficulty in acquiring food among elderly disabled women: results from the Women’s Health and Aging Study. American Journal of Public Health, 91(1), 68–75.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Muraki, T., Nagao, T., & Ishikawa, Y. (2001). A Preliminary investigation to explore the effects of daytime physical activity patterns on health-related QOL in healthy community-dwelling elderly subjects. Physical & Occupational Therapy In Geriatrics. doi:10.1080/J148v19n02_04.

    Google Scholar 

  37. Ball, M. M., Whittington, F. J., Perkins, M. M., Patterson, V. L., Hollingsworth, C., Sharon, V. K., et al. (2000). Quality of life in assisted living facilities: Viewpoints of residents. Journal of Applied Gerontology, 19(3), 304–325. doi:10.1177/073346480001900304.

    Article  Google Scholar 

  38. Molzahn, A. E., Gallagher, E., & McNulty, V. (2009). Quality of life associated with adult day centers. Journal of Gerontological Nursing, 35(8), 37–46. doi:10.3928/00989134-20090706-02.

    Article  PubMed  Google Scholar 

  39. Prieto-Flores, M. E., Fernandez-Mayoralas, G., Rosenberg, M. W., & Rojo-Perez, F. (2010). Identifying connections between the subjective experience of health and quality of life in old age. Qualitative Health Research, 20(11), 1491–1499. doi:10.1177/1049732310374062.

    Article  PubMed  Google Scholar 

  40. Szanton, S. L., Thorpe, R. J., Boyd, C., Tanner, E. K., Leff, B., Agree, E., et al. (2011). Community aging in place, advancing better living for elders: A bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults. Journal of the American Geriatrics Society, 59(12), 2314–2320. doi:10.1111/j.1532-5415.2011.03698.x.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Fenge, L.-A., Hean, S., Worswick, L., Wilkinson, C., Fearnley, S., & Ersser, S. (2012). The impact of the economic recession on well-being and quality of life of older people. Health and Social Care in the Community, 20(6), 617–624. doi:10.1111/j.1365-2524.2012.01077.x.

    Article  PubMed  Google Scholar 

  42. Kelley-Gillespie, N. (2009). An integrated conceptual model of quality of life for older adults based on a synthesis of the literature. Applied Research in Quality of Life, 4(3), 259–282. doi:10.1007/s11482-009-9075-9.

    Article  Google Scholar 

  43. Markle-Reid, M., Browne, G., & Gafni, A. (2013). Nurse-led health promotion interventions improve quality of life in frail older home care clients: lessons learned from three randomized trials in Ontario, Canada. Journal of Evaluation in Clinical Practice, 19(1), 118–131. doi:10.1111/j.1365-2753.2011.01782.x.

    Article  PubMed  Google Scholar 

  44. Ratcliffe, J., Lester, L. H., Couzner, L., & Crotty, M. (2013). An assessment of the relationship between informal caring and quality of life in older community-dwelling adults - more positives than negatives? Health and Social Care in the Community, 21(1), 35–46. doi:10.1111/j.1365-2524.2012.01085.x.

    Article  PubMed  Google Scholar 

  45. Diener, E., & Suh, E. (1997). Measuring quality of life: Economic, social, and subjective indicators. Social Indicators Research, 40(1), 189–216. doi:10.1023/a:1006859511756.

    Article  Google Scholar 

  46. Sheffield, C., Smith, C. A., & Becker, M. (2013). Evaluation of an agency-based occupational therapy intervention to facilitate aging in place. Gerontologist, 53(6), 907–918. doi:10.1093/geront/gns145.

    Article  PubMed  Google Scholar 

  47. Doyle, J., Kealy, A., Loane, J., Walsh, L., O’Mullane, B., Flynn, C., et al. (2014). An integrated home-based self-management system to support the wellbeing of older adults. Journal of Ambient Intelligence and Smart Environments, 6(4), 359–383. doi:10.3233/ais-140270.

    Google Scholar 

  48. van Leeuwen, K. M., Malley, J., Bosmans, J. E., Jansen, A. P. D., Ostelo, R. W., van der Horst, H. E., et al. (2014). 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. Health & Place, 29, 104–113. doi:10.1016/j.healthplace.2014.06.004.

    Article  Google Scholar 

  49. Deshmukh, P. R., Dongre, A. R., Rajendran, K. P., & Kumar, S. (2015). Role of social, cultural and economic capitals in perceived quality of life among old age people in Kerala, India. Indian Journal of Palliative Care, 21(1), 39–44. doi:10.4103/0973-1075.150175.

    Article  PubMed  PubMed Central  Google Scholar 

  50. McKee, K. J., Kostela, J., & Dahlberg, L. (2015). Five years from now: Correlates of older people’s expectation of future quality of life. Research on Aging, 37(1), 18–40. doi:10.1177/0164027513520329.

    Article  PubMed  Google Scholar 

  51. Wilhelmson, K., Andersson, C., Waern, M., & Allebeck, P. (2005). Elderly people’s perspectives on quality of life. Ageing & Society, 25(4), 585–600. doi:10.1017/s0144686x05003454.

    Article  Google Scholar 

  52. Henchoz, Y., Meylan, L., Goy, R., Guessous, I., Bula, C., Demont, M., et al. (2015). Domains of importance to the quality of life of older people from two Swiss regions. Age and Ageing, 44(6), 979–985. doi:10.1093/ageing/afv130.

    Article  PubMed  Google Scholar 

  53. Schalock, R. L. (2004). The concept of quality of life: what we know and do not know. Journal of Intellectual Disability Research, 48(3), 203–216.

    Article  CAS  PubMed  Google Scholar 

  54. Schalock, R. L., Verdugo, M. A., Gomez, L. E., & Reinders, H. S. (2016). Moving us toward a theory of individual quality of life. American Journal on Intellectual and Developmental Disabilities, 121(1), 1–12. doi:10.1352/1944-7558-121.1.1.

    Article  PubMed  Google Scholar 

  55. Jenaro, C., Verdugo, M. A., Caballo, C., Balboni, B., Lachapelle, Y., Otrebski, W., et al. (2005). Cross-cultural study of person-centered quality of life domains and indicators: A replication. Journal of Intellectual Disability Research, 49(10), 734–739.

    Article  CAS  PubMed  Google Scholar 

  56. Bowling, A., & Gabriel, Z. (2007). Lay theories of quality of life in older age. [Article]. Ageing & Society, 27(6), 827–848.

    Article  Google Scholar 

  57. Vasunilashorn, S., Steinman, B. A., Liebig, P. S., & Pynoos, J. (2012). Aging in place: Evolution of a research topic whose time has come. Journal of Aging Research, 2012, 1–6. doi:10.1155/2012/120952.

    Article  Google Scholar 

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Correspondence to Patricia Vanleerberghe.

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Vanleerberghe, P., De Witte, N., Claes, C. et al. The quality of life of older people aging in place: a literature review. Qual Life Res 26, 2899–2907 (2017). https://doi.org/10.1007/s11136-017-1651-0

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