Hi all -
I thought this might be of interest to you:
http://jah.sagepub.com/content/early/2014/04/24/0898264314527610.abstract
Objective: The objective of this study was to determine the environmental features that
best support aging in place. Method: We conducted a realist synthesis, a theory-driven
interpretive method of evidence synthesis, of 120+ articles (published 1991-2011) that
attempts to explain how place may influence older adults’ decisions about mobility (e.g.,
physical activity). We developed an initial program theory, reviewed the literature,
identified outcomes, analyzed and synthesized patterns, and created a final program
theory. Results: Safety was a central mechanism, serving as one of the bridges between
environmental components (e.g., connectivity, aesthetics, retail and services) and
decisions about mobility. Population density, sidewalk presence, and park proximity did
not emerge as key factors. Discussion: Safety considerations are one of the most prominent
influences of older adults’ decisions about mobility. Street connectivity, pedestrian
access and transit, and retail and services were also important. These factors are
amenable to change and can help promote mobility for older adults.
thanks,
Irene
Irene H. Yen, Ph.D., M.P.H.
Associate Professor
Division of General Internal Medicine
Department of Medicine
University of California, San Francisco
Associate Director, Experiential Learning, Health & Society Pathway
3333 California Street, Suite 335
Box 0856
San Francisco, CA 94143-0856 [for FedEx - use 94118]
(415) 502 8291 (fax)
http://dgim.ucsf.edu/about/yen.html
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EMAIL ADDRESS: irene.yen(a)ucsf.edu
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