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Choosing between staying at home or moving: A systematic review of factors influencing housing decisions among frail older adults

Author

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  • Noémie Roy
  • Roxanne Dubé
  • Carole Després
  • Adriana Freitas
  • France Légaré

Abstract

Background: Most older adults wish to stay at home during their late life years, but physical disabilities and cognitive impairment may force them to face a housing decision. However, they lack relevant information to make informed value-based housing decisions. Consequently, we sought to identify the sets of factors influencing the housing decision-making of older adults. Methods: We performed a systematic literature search for studies evaluating any factors influencing the housing decisions among older adults over 65 years old without cognitive disabilities. Primary research from any study design reported after 1990 in a peer-reviewed journal, a book chapter or an evaluated doctoral thesis and written in English, French or Spanish were eligible. We extracted the main study characteristics, the participant characteristics and any factors reported as associated with the housing decision. We conducted a qualitative thematic analysis from the perspective of the meaning and experience of home. Results: The search resulted in 660 titles (after duplicate removal) from which 86 studies were kept for analysis. One study out of five reported exclusively on frail older adults (n = 17) and two on adults over 75 years old. Overall, a total of 88 factors were identified, of which 71 seem to have an influence on the housing decision-making of older adults, although the influence of 19 of them remains uncertain due to discrepancies between research methodologies. No conclusion was made regarding 12 additional factors due to lack of evidence. Conclusion: A wealth of factors were found to influence housing decisions among older adults. However, very few of them have been studied extensively. Our results highlight the importance of interdisciplinary teamwork to study the influence of a broader range of factors as a whole. These results will help older adults make the best possible housing decision based on their unique situation and values.

Suggested Citation

  • Noémie Roy & Roxanne Dubé & Carole Després & Adriana Freitas & France Légaré, 2018. "Choosing between staying at home or moving: A systematic review of factors influencing housing decisions among frail older adults," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-32, January.
    • Handle: RePEc:plo:pone00:0189266
    DOI: 10.1371/journal.pone.0189266
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    1. Hannah C. Haacke & Friederike Enßle & Dagmar Haase & Ilse Helbrecht & Tobia Lakes, 2019. "Why Do(n’t) People Move When They Get Older? Estimating the Willingness to Relocate in Diverse Ageing Cities," Urban Planning, Cogitatio Press, vol. 4(2), pages 53-69.
    2. Ozlem Dundar & Volkan Alptekin, 2022. "Spatial Dependence of Nursing Home Preference of Older Age Population in Turkiye," Journal of Economy Culture and Society, Istanbul University, Faculty of Economics, vol. 65(65), pages 267-287, June.
    3. Hansen, Stine & Newbold, K. Bruce & Scott, Darren M. & Vrkljan, Brenda & Grenier, Amanda, 2020. "To drive or not to drive: Driving cessation amongst older adults in rural and small towns in Canada," Journal of Transport Geography, Elsevier, vol. 86(C).
    4. Rachel Kurian & Nicole Menke & Surrendra Santokhi & Erwin Tak, 2019. "Enabling Social Inclusion and Urban Citizenship of Older Adults through eHealth: The iZi Project in the Hague," Social Inclusion, Cogitatio Press, vol. 7(4), pages 108-118.
    5. Grace Katharine Forster & Leif Edvard Aarø & Maria Nordheim Alme & Thomas Hansen & Thomas Sevenius Nilsen & Øystein Vedaa, 2023. "Built Environment Accessibility and Disability as Predictors of Well-Being among Older Adults: A Norwegian Cross-Sectional Study," IJERPH, MDPI, vol. 20(10), pages 1-15, May.
    6. Susanna Nordin & Jodi Sturge & Maria Ayoub & Allyson Jones & Kevin McKee & Lena Dahlberg & Louise Meijering & Marie Elf, 2021. "The Role of Information and Communication Technology (ICT) for Older Adults’ Decision-Making Related to Health, and Health and Social Care Services in Daily Life—A Scoping Review," IJERPH, MDPI, vol. 19(1), pages 1-18, December.
    7. Hélène Elidor & Ali Ben Charif & Codjo Djignefa Djade & Rhéda Adekpedjou & France Légaré, 2020. "Decision Regret among Informal Caregivers Making Housing Decisions for Older Adults with Cognitive Impairment: A Cross-sectional Analysis," Medical Decision Making, , vol. 40(4), pages 416-427, May.
    8. Meijiao Song & Jun Cai & Yisi Xue, 2023. "From Technological Sustainability to Social Sustainability: An Analysis of Hotspots and Trends in Residential Design Evaluation," Sustainability, MDPI, vol. 15(13), pages 1-19, June.
    9. Evangelia Chrysikou & Jane P. Biddulph & Fernando Loizides & Eleftheria Savvopoulou & Jonas Rehn-Groenendijk & Nathan Jones & Amy Dennis-Jones & Akash Nandi & Chariklia Tziraki, 2024. "Creating Resilient Smart Homes with a Heart: Sustainable, Technologically Advanced Housing across the Lifespan and Frailty through Inclusive Design for People and Their Robots," Sustainability, MDPI, vol. 16(14), pages 1-13, July.
    10. David Bogataj & Marija Bogataj & Samo Drobne, 2022. "Long-Term Care Sustainable Networks in ADRION Region," Sustainability, MDPI, vol. 14(18), pages 1-23, September.
    11. Daniel Nadales Rodríguez & Guillermo Bermúdez-González & Ismael Pablo Soler-García, 2022. "Influence of the Corporate Image of Nursing Homes on the Loyalty of Residents’ Family Members," IJERPH, MDPI, vol. 19(15), pages 1-15, July.
    12. Manka Nkimbeng & Alvine Akumbom & Marianne Granbom & Sarah L. Szanton & Tetyana P. Shippee & Roland J. Thorpe & Joseph E. Gaugler, 2022. "Where to Retire? Experiences of Older African Immigrants in the United States," IJERPH, MDPI, vol. 19(3), pages 1-17, January.
    13. Salinda Horgan & Jeanette Prorok & Katie Ellis & Laura Mullaly & Keri-Leigh Cassidy & Dallas Seitz & Claire Checkland, 2024. "Optimizing Older Adult Mental Health in Support of Healthy Ageing: A Pluralistic Framework to Inform Transformative Change across Community and Healthcare Domains," IJERPH, MDPI, vol. 21(6), pages 1-21, May.
    14. Silvia Sörensen & Rachel L. Missell & Alexander Eustice‐Corwin & Dorine A. Otieno, 2021. "Perspectives on Aging‐Related Preparation," Journal of Elder Policy, John Wiley & Sons, vol. 1(2), pages 163-221, March.
    15. Aida Isabel Tavares, 2022. "Time and risk preferences among the European seniors, relationship and associated factors," Journal of Business Economics, Springer, vol. 92(8), pages 1283-1302, October.
    16. Nina Schwarz & Annegret Haase & Dagmar Haase & Nadja Kabisch & Sigrun Kabisch & Veronika Liebelt & Dieter Rink & Michael W. Strohbach & Juliane Welz & Manuel Wolff, 2021. "How Are Urban Green Spaces and Residential Development Related? A Synopsis of Multi-Perspective Analyses for Leipzig, Germany," Land, MDPI, vol. 10(6), pages 1-16, June.
    17. Luís Filipe Barreira & Abel Paiva & Beatriz Araújo & Maria Joana Campos, 2023. "Challenges to Systems of Long-Term Care: Mapping of the Central Concepts from an Umbrella Review," IJERPH, MDPI, vol. 20(3), pages 1-17, January.

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