Transition from community dwelling to retirement village in older adults: cognitive functioning and psychological health outcomes

Carol Holland*, Alexis Boukouvalas, Stuart Wallis, Danielle Clarkesmith, Richard Cooke, Leanne Liddell, Amanda Kay

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Supported living and retirement villages are becoming a significant option for older adults with impairments, with independence concerns or for forward planning in older age, but evidence as to psychological benefits for residents is sparse. This study examined the hypothesis that the multi-component advantages of moving into a supported and physically and socially accessible ‘extra-care’ independent living environment will impact on psychological and functioning measures. Using an observational longitudinal design, 161 new residents were assessed initially and three months later, in comparison to 33 older adults staying in their original homes. Initial group differences were apparent but some reduced after three months. Residents showed improvement in depression, perceived health, aspects of cognitive function and reduced functional limitations, while controls showed increased functional limitations (worsening). Ability to recall specific autobiographical memories, known to be related to social problem solving, depression and functioning in social relationships, predicted change in communication limitations, and cognitive change predicted changes in recreational limitations. Change in anxiety and memory predicted change in depression. Findings suggest that older adults with independent living concerns who move to an independent but supported environment can show significant benefits in psychological outcomes and reduction in perceived impact of health on functional limitations in a short period. Targets for focused rehabilitation are indicated, but findings also validate development of untargeted general supportive environments.
Original languageEnglish
Pages (from-to)1499-1526
JournalAgeing and Society
Volume37
Issue number7
Early online date26 May 2016
DOIs
Publication statusPublished - 1 Aug 2017

Fingerprint

Independent Living
Retirement
retirement
village
Depression
resident
Psychology
Health
health
Living Wills
community
Aptitude
Episodic Memory
social problem
Social Problems
Cognition
rehabilitation
Rehabilitation
Anxiety
Communication

Bibliographical note

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords

  • active ageing
  • cognitive functioning
  • extra-care supported living
  • independence
  • mental wellbeing

Cite this

Holland, Carol ; Boukouvalas, Alexis ; Wallis, Stuart ; Clarkesmith, Danielle ; Cooke, Richard ; Liddell, Leanne ; Kay, Amanda. / Transition from community dwelling to retirement village in older adults : cognitive functioning and psychological health outcomes. In: Ageing and Society. 2017 ; Vol. 37, No. 7. pp. 1499-1526.
@article{b255be24597f4c0788f03c8490a660b8,
title = "Transition from community dwelling to retirement village in older adults: cognitive functioning and psychological health outcomes",
abstract = "Supported living and retirement villages are becoming a significant option for older adults with impairments, with independence concerns or for forward planning in older age, but evidence as to psychological benefits for residents is sparse. This study examined the hypothesis that the multi-component advantages of moving into a supported and physically and socially accessible ‘extra-care’ independent living environment will impact on psychological and functioning measures. Using an observational longitudinal design, 161 new residents were assessed initially and three months later, in comparison to 33 older adults staying in their original homes. Initial group differences were apparent but some reduced after three months. Residents showed improvement in depression, perceived health, aspects of cognitive function and reduced functional limitations, while controls showed increased functional limitations (worsening). Ability to recall specific autobiographical memories, known to be related to social problem solving, depression and functioning in social relationships, predicted change in communication limitations, and cognitive change predicted changes in recreational limitations. Change in anxiety and memory predicted change in depression. Findings suggest that older adults with independent living concerns who move to an independent but supported environment can show significant benefits in psychological outcomes and reduction in perceived impact of health on functional limitations in a short period. Targets for focused rehabilitation are indicated, but findings also validate development of untargeted general supportive environments.",
keywords = "active ageing, cognitive functioning, extra-care supported living, independence, mental wellbeing",
author = "Carol Holland and Alexis Boukouvalas and Stuart Wallis and Danielle Clarkesmith and Richard Cooke and Leanne Liddell and Amanda Kay",
note = "This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.",
year = "2017",
month = "8",
day = "1",
doi = "10.1017/S0144686X16000477",
language = "English",
volume = "37",
pages = "1499--1526",
journal = "Ageing and Society",
issn = "0144-686X",
publisher = "Cambridge University Press",
number = "7",

}

Holland, C, Boukouvalas, A, Wallis, S, Clarkesmith, D, Cooke, R, Liddell, L & Kay, A 2017, 'Transition from community dwelling to retirement village in older adults: cognitive functioning and psychological health outcomes', Ageing and Society, vol. 37, no. 7, pp. 1499-1526. https://doi.org/10.1017/S0144686X16000477

Transition from community dwelling to retirement village in older adults : cognitive functioning and psychological health outcomes. / Holland, Carol ; Boukouvalas, Alexis; Wallis, Stuart ; Clarkesmith, Danielle; Cooke, Richard; Liddell, Leanne; Kay, Amanda.

In: Ageing and Society, Vol. 37, No. 7, 01.08.2017, p. 1499-1526.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Transition from community dwelling to retirement village in older adults

T2 - cognitive functioning and psychological health outcomes

AU - Holland, Carol

AU - Boukouvalas, Alexis

AU - Wallis, Stuart

AU - Clarkesmith, Danielle

AU - Cooke, Richard

AU - Liddell, Leanne

AU - Kay, Amanda

N1 - This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Supported living and retirement villages are becoming a significant option for older adults with impairments, with independence concerns or for forward planning in older age, but evidence as to psychological benefits for residents is sparse. This study examined the hypothesis that the multi-component advantages of moving into a supported and physically and socially accessible ‘extra-care’ independent living environment will impact on psychological and functioning measures. Using an observational longitudinal design, 161 new residents were assessed initially and three months later, in comparison to 33 older adults staying in their original homes. Initial group differences were apparent but some reduced after three months. Residents showed improvement in depression, perceived health, aspects of cognitive function and reduced functional limitations, while controls showed increased functional limitations (worsening). Ability to recall specific autobiographical memories, known to be related to social problem solving, depression and functioning in social relationships, predicted change in communication limitations, and cognitive change predicted changes in recreational limitations. Change in anxiety and memory predicted change in depression. Findings suggest that older adults with independent living concerns who move to an independent but supported environment can show significant benefits in psychological outcomes and reduction in perceived impact of health on functional limitations in a short period. Targets for focused rehabilitation are indicated, but findings also validate development of untargeted general supportive environments.

AB - Supported living and retirement villages are becoming a significant option for older adults with impairments, with independence concerns or for forward planning in older age, but evidence as to psychological benefits for residents is sparse. This study examined the hypothesis that the multi-component advantages of moving into a supported and physically and socially accessible ‘extra-care’ independent living environment will impact on psychological and functioning measures. Using an observational longitudinal design, 161 new residents were assessed initially and three months later, in comparison to 33 older adults staying in their original homes. Initial group differences were apparent but some reduced after three months. Residents showed improvement in depression, perceived health, aspects of cognitive function and reduced functional limitations, while controls showed increased functional limitations (worsening). Ability to recall specific autobiographical memories, known to be related to social problem solving, depression and functioning in social relationships, predicted change in communication limitations, and cognitive change predicted changes in recreational limitations. Change in anxiety and memory predicted change in depression. Findings suggest that older adults with independent living concerns who move to an independent but supported environment can show significant benefits in psychological outcomes and reduction in perceived impact of health on functional limitations in a short period. Targets for focused rehabilitation are indicated, but findings also validate development of untargeted general supportive environments.

KW - active ageing

KW - cognitive functioning

KW - extra-care supported living

KW - independence

KW - mental wellbeing

UR - http://www.scopus.com/inward/record.url?scp=84984684928&partnerID=8YFLogxK

UR - https://www.cambridge.org/core/journals/ageing-and-society/article/transition-from-community-dwelling-to-retirement-village-in-older-adults-cognitive-functioning-and-psychological-health-outcomes/B93C2CEC5194E5631746B2542E19AABA

U2 - 10.1017/S0144686X16000477

DO - 10.1017/S0144686X16000477

M3 - Article

AN - SCOPUS:84984684928

VL - 37

SP - 1499

EP - 1526

JO - Ageing and Society

JF - Ageing and Society

SN - 0144-686X

IS - 7

ER -