The importance of successful place integration for perceived health in very old age: a qualitative meta-synthesis
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The aim of this study was to increase our understanding of the multifaceted phenomenon of home and health, by exploring processes underlying these dynamics when living at home in very old age.
A qualitative meta-synthesis was used on four complementary qualitative studies, based on data from the Swedish ENABLE-AGE In-depth Study, focusing on very old, single-living people’s experiences of home in relation to participation, independence and health (N = 40).
Over time, very old people manage increased frailty by means of three intertwined processes concerning changes in everyday life: The turning points, The struggle and The negotiations. The findings show that these processes take place through the context of the Homelike functional home and a state of mind labelled, The awareness of frailty.
The results can be useful in constructing and implementing guidelines for more holistic approaches to housing provision for senior citizens. Further, the study delivers a deeper understanding about how very old people live their lives, useful for practitioners as well as it contributes to theory development within the context of ageing and environments.
KeywordsHome ENABLE-AGE Environmental gerontology Everyday life Meaningful activity Occupational therapy
This study was funded by the Swedish Research Council and the Swedish Council for Working Life and Social Research and was accomplished within the context of the Centre for Ageing and Supportive Environments (CASE), Lund University, Sweden.
Conflict of interest
The authors declare that they have no conflict of interest.
- Baltes PB, Baltes MM (1990) Psychological perspectives on successful aging: the model of selective optimization with compensation. In: Baltes PB, Baltes MM (eds) Successful aging: perspectives from the behavioral sciences. Cambridge University Press, New York, pp 1–34 Google Scholar
- Campbell J (1995) Understanding John Dewey: nature and cooperative intelligence. Open Court, ChicagoGoogle Scholar
- Charmaz K (2006) Constructing grounded theory: a practical guide through qualitative analysis. Sage Publications, LondonGoogle Scholar
- Christiansen C, Baum C, Bass-Haugen L (eds) (2005) Occupational therapy: performance, participation, and well-being. Slack Incorporated, ThorofareGoogle Scholar
- Dewey J (1989) Experience and nature. Open Court, LaSalle. (Original work published 1929)Google Scholar
- Glaser B, Strauss AL (1967) Discovery of grounded theory: strategies for qualitative research. Aldine, New YorkGoogle Scholar
- Haak M, Dahlin-Ivanoff S, Fänge A, Sixsmith J, Iwarsson S (2007a) Home as the locus and origin for participation: experiences among very old Swedish people. OTJR Occup Particip Health 27(3):95–103Google Scholar
- Iwarsson S (1997) Functional capacity and physical environmental demand. Exploration of factors influencing everyday activity and health in the elderly population. Doctoral dissertation Lund Faculty of Medicine Lund University SwedenGoogle Scholar
- Iwarsson S, Slaug B (2010) Housing enabler: an instrument for assessing and analysing accessibility problems in housing. Veten & Skapen HB, Slaug Enabling Development, LundGoogle Scholar
- Iwarsson S, Sixsmith J et al (2005) The ENABLE-AGE project: multi-dimensional methodology for European housing research. In: Vestbro DU, Hurol Y, Wilkinson N (eds) Methodologies in housing research. Urban International, GatesheadGoogle Scholar
- Leufstadius C, Erlandsson L-K, Björkman T, Eklund M (2008) Meaningfulness in daily occupations among individuals with persistent mental illness. J Occup Sci 15(1):27–35Google Scholar
- Oswald F, Wahl H-W, Naumann D, Mollenkopf H, Hieber A (2006) The role of the home environment in middle and late adulthood. In: Wahl H-W, Brenner H, Mollenkopf H, Rothenbacher D, Rott C (eds) The many faces of health, competence and well-being in old age: integrating epidemiological, psychological and social perspectives. Springer, Heidelberg, pp 7–24CrossRefGoogle Scholar
- Paterson BL (2001) Meta-study of qualitative health research: a practical guide to meta-analysis and meta-synthesis. SAGE, Thousand OaksGoogle Scholar
- Patton MQ (ed) (2002) Qualitative research & evaluation methods. SAGE, LondonGoogle Scholar
- Rowles GD (1983) Geographical dimensions of social support in rural Appalachia. In: Rowles GD, Ohta RJ (eds) Aging and milieu. Environmental perspectives on growing old. Academic Press, New York, pp 111–130Google Scholar
- Rubinstein RL (1989) The home environments of older people: a description of the psychological process linking person to place. J Gerontol 44(2):45–53Google Scholar
- Sandelowski M, Barroso J (2007) Handbook for synthesizing qualitative research. Springer, New YorkGoogle Scholar
- Strauss AL, Corbin J (1990) Basics of qualitative research. Sage Publications, San FranciscoGoogle Scholar
- Townsend EA, Polatajko HJ (eds) (2007) Enabling occupation II: advancing an occupational therapy vision for health, well-being & justice through occupation. Canadian Association of Occupational Therapists, OttawaGoogle Scholar
- Wahl H-W, Gitlin LN (2006) Environmental gerontology. In: Birrren JE (ed) Encyklopedia of gerontology. Elsevier, OxfordGoogle Scholar
- Wahl H-W, Oswald F (2010) Environmental perspectives on aging. In: Dannefer D, Phillipson C (eds) International handbook of social gerontology. Sage, London, pp 111–124Google Scholar
- Wahl H-W, Scheidt SJ, Windely PG (eds) (2003) Annual review of gerontology and geriatrics. Vol 23, focus on aging in context: socio-physical environments. Springer, New YorkGoogle Scholar
- Wahl H-W, Iwarsson S, Svensson T (2010) A European roadmap for environments of ageing. LundGoogle Scholar