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The process of mediated aging-in-place: a theoretically and empirically based model

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  • Cutchin, Malcolm P.

Abstract

Aging-in-place is a complex geographical process mediated by institutions and other social forces. Two relatively under-studied services based on an aging-in-place strategy are adult day centers (ADCs) and assisted living residences (ALRs). This paper begins by re-casting aging-in-place as a process of place integration, based on a combination of geographical theory and John Dewey's philosophy of experience. Using empirical evidence from qualitative fieldwork and analysis of that evidence, the paper then introduces a theoretical model of the place integration process for older adults using ADCs and ALRs. The analysis describes how the domains of home and community are central to the originating problematic situation of these persons. It suggests that 'socio-geographical differentiation of older adults' situations' is involved in these domain problems and describes how the process works to influence the core processes of place integration generated by the ADC or ALR setting. The analysis then explains three core processes of the model: 're-shaping the experiential context through space and place', 'creating meaning through place-centered activity', and 'contesting space and place'. The model also includes two final component processes. One is the distillate of the core processes, termed 'approximating home and community'. The other is 'instability as ongoing challenge' to place integration. A brief conclusion discusses theoretical and policy implications drawn from the study.

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  • Cutchin, Malcolm P., 2003. "The process of mediated aging-in-place: a theoretically and empirically based model," Social Science & Medicine, Elsevier, vol. 57(6), pages 1077-1090, September.
    • Handle: RePEc:eee:socmed:v:57:y:2003:i:6:p:1077-1090
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    Cited by:

    1. Andrews, Gavin J. & Cutchin, Malcolm & McCracken, Kevin & Phillips, David R. & Wiles, Janine, 2007. "Geographical Gerontology: The constitution of a discipline," Social Science & Medicine, Elsevier, vol. 65(1), pages 151-168, July.
    2. Rishworth, Andrea & Elliott, Susan J., 2019. "Global environmental change in an aging world: The role of space, place and scale," Social Science & Medicine, Elsevier, vol. 227(C), pages 128-136.
    3. Singh, Namrita S. & Bass, Judith & Sumbadze, Nana & Rebok, George & Perrin, Paul & Paichadze, Nino & Robinson, W. Courtland, 2018. "Identifying mental health problems and Idioms of distress among older adult internally displaced persons in Georgia," Social Science & Medicine, Elsevier, vol. 211(C), pages 39-47.
    4. Carolina Del-Valle-Soto & Juan Arturo Nolazco-Flores & Jose Alberto Del Puerto-Flores & Ramiro Velázquez & Leonardo J. Valdivia & Julio Rosas-Caro & Paolo Visconti, 2022. "Statistical Study of User Perception of Smart Homes during Vital Signal Monitoring with an Energy-Saving Algorithm," IJERPH, MDPI, vol. 19(16), pages 1-29, August.
    5. Wusi Zhou & Adekunle Sabitu Oyegoke & Ming Sun & Hailong Zhu, 2020. "Older Clients’ Pathway through the Adaptation System for Independent Living in the UK," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
    6. Minh Thi, Tran Thị, 2019. "Institutional and Cultural Aspects of Care for Rural Elderly in Vietnam," Village and Agriculture (Wieś i Rolnictwo), Polish Academy of Sciences (IRWiR PAN), Institute of Rural and Agricultural Development, vol. 184(3), September.
    7. repec:ags:ijag24:344587 is not listed on IDEAS
    8. Sara Chimento-Díaz & Pablo Sánchez-García & Cristina Franco-Antonio & Esperanza Santano-Mogena & Isabel Espino-Tato & Sergio Cordovilla-Guardia, 2022. "Factors Associated with the Acceptance of New Technologies for Ageing in Place by People over 64 Years of Age," IJERPH, MDPI, vol. 19(5), pages 1-18, March.
    9. Myong Sun Cho & Mi Young Kwon, 2023. "Factors Associated with Aging in Place among Community-Dwelling Older Adults in Korea: Findings from a National Survey," IJERPH, MDPI, vol. 20(3), pages 1-14, February.
    10. Nguyen Tan Loi & Nguyen Tien Dung & Ho Nhut Quang, 2021. "The cost effectiveness of aging in place: A literature review," HO CHI MINH CITY OPEN UNIVERSITY JOURNAL OF SCIENCE - SOCIAL SCIENCES, HO CHI MINH CITY OPEN UNIVERSITY JOURNAL OF SCIENCE, HO CHI MINH CITY OPEN UNIVERSITY, vol. 11(1), pages 40-54.
    11. H. Shellae Versey & Serene Murad & Paul Willems & Mubarak Sanni, 2019. "Beyond Housing: Perceptions of Indirect Displacement, Displacement Risk, and Aging Precarity as Challenges to Aging in Place in Gentrifying Cities," IJERPH, MDPI, vol. 16(23), pages 1-21, November.
    12. Gonzalo Correa & Miquel Domènech, 2013. "Care Networking: A Study of Technical Mediations in a Home Telecare Service," IJERPH, MDPI, vol. 10(7), pages 1-17, July.
    13. Christine Milligan, 2005. "From Home to ‘Home’: Situating Emotions within the Caregiving Experience," Environment and Planning A, , vol. 37(12), pages 2105-2120, December.
    14. Magdalena Sacha & Jerzy Sacha & Katarzyna Wieczorowska-Tobis, 2020. "Determinants of Multidimensional and Physical Frailty and Their Individual Components: Interactions between Frailty Deficits," IJERPH, MDPI, vol. 17(22), pages 1-21, November.
    15. Maria Haak & Agneta Malmgren Fänge & Susanne Iwarsson & Synneve Dahlin-Ivanoff, 2011. "The importance of successful place integration for perceived health in very old age: a qualitative meta-synthesis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(6), pages 589-595, December.
    16. Sunita Shrestha & Sanjana Arora & Alistair Hunter & Jonas Debesay, 2024. "Aging in place or aging out of place? Family caregivers’ perspectives on care for older Pakistani migrants in Norway," European Journal of Ageing, Springer, vol. 21(1), pages 1-15, December.
    17. Sixsmith, J. & Sixsmith, A. & Fänge, A. Malmgren & Naumann, D. & Kucsera, C. & Tomsone, S. & Haak, M. & Dahlin-Ivanoff, S. & Woolrych, R., 2014. "Healthy ageing and home: The perspectives of very old people in five European countries," Social Science & Medicine, Elsevier, vol. 106(C), pages 1-9.
    18. Dan Zhu & Haichao Xu & Yuan Yao, 2022. "The Wellbeing of Chinese Migrating Grandparents Supporting Adult Children: Negotiating in Home-Making Practices," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    19. Wiles, Janine L. & Rolleston, Anna & Pillai, Avinesh & Broad, Joanna & Teh, Ruth & Gott, Merryn & Kerse, Ngaire, 2017. "Attachment to place in advanced age: A study of the LiLACS NZ cohort," Social Science & Medicine, Elsevier, vol. 185(C), pages 27-37.
    20. Vikki McCall & Friederike Ziegler & Jane Robertson & Melanie Lovatt & Judith Phillips & Jeremy Porteus & Zhan McIntyre & Alasdair Rutherford & Judith Sixsmith & Ryan Woolrych & Jim Eadie & Jim Wallman, 2020. "Housing and Ageing: Let’s Get Serious—“How Do You Plan for the Future while Addressing Immediate Chaos?”," Social Inclusion, Cogitatio Press, vol. 8(3), pages 28-42.

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