Hi all -

I thought this might be of interest to you:


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 adultsí 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 adultsí 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.



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)
EMAIL ADDRESS: irene.yen@ucsf.edu