Evidence map›Paper›PMID 30447872›Full record

ArticleJournal of aging studies2018

Contours of "here": Phenomenology of space for assisted living residents approaching end of life.

Ann E Vandenberg, Mary M Ball, Candace L Kemp, Patrick J Doyle, Meredith Fritz, Sean Halpin, Lee Hundley, Molly M Perkins

Abstract read
In one paragraph

Article in Journal of aging studies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Turning It Over to God: African American Assisted Living Residents' End-of-Life Preferences and Advance Care Planning.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Review
  4. Article
  5. Article
  6. Ethics of Health Information Sharing and Social Relationships at End of Life in Assisted Living.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  7. Article
  8. Assisted Living Administrators' Approaches to Advance Care Planning.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  9. Barriers and Facilitators to Exercise Participation Among Frail Older African American Assisted Living Residents.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ann E VandenbergDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: avanden@emory.edu.
Mary M BallDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: mary.ball@emory.edu.
Candace L KempThe Gerontology Institute, Georgia State University, Atlanta, GA, United States. Electronic address: ckemp@gsu.edu.
Patrick J DoyleCenter for Innovative Care in Aging, Johns Hopkins School of Nursing, Baltimore, MD, United States; Brightview Senior Living, Baltimore, MD, United States. Electronic address: pdoyle@bvsl.net.
Meredith FritzDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States.
Sean HalpinDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: sean.nathaniel.halpin@emory.edu.
Lee HundleyDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States.
Molly M PerkinsDivision of General Medicine and Geriatrics, Emory University School of Medicine, Atlanta, GA, United States; Department of Sociology, Emory University, Atlanta, GA, United States; Atlanta Site, Birmingham/Atlanta VA Geriatric, Research, Education and Clinical Center (GRECC), Atlanta, GA, United States. Electronic address: molly.m.perkins@emory.edu.

Funding

Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
End-of-Life in Assisted Living: Links between Structure, Process, and OutcomesR01AG047408 · NIA · EMORY UNIVERSITY · PI PERKINS, MOLLY M · 2015 to 2019
$1.9M
NCATS NIH HHS UL1 TR000424NIA NIH HHS R01 AG047408
6 · The paper itself

Abstract

Informed by theory from environmental gerontology, this study investigates how assisted living residents who are approaching end of life navigate and experience space. Since its development, environmental gerontology has moved beyond the concept of person-environment fit to encompass aspects of place attachment and place integration, processes by which inhabited impersonal space becomes a place of individual personal meaning and this person-place relationship evolves with changing needs. Our study is a secondary data analysis of in-depth interviews completed with the first 15 residents (mean age 88, range 65-103; 8 white and 7 black) recruited from four diverse assisted living communities in metropolitan Atlanta. Using interpretative phenomenological analysis, we identify five overarching themes within and across assisted living communities and their subthemes. Findings show that participants experience a neutral theme of shrinking space, negative themes of confinement and vulnerability, and positive themes of safety and intimacy. Results dovetail with other phenomenologically based environmental gerontology research from community-dwelling populations that indicate behavioral changes to accommodate aging and health decline. Findings have implications for interventions to improve place integration in AL and enhance residents' quality of life at end of life, including developing strategies to promote small meaningful journeys within context of shrinking life space.

Indexed as

Assisted Living FacilitiesHealth Facility EnvironmentHealth Services for the AgedTerminal CareAgedAged, 80 and overAgingFemaleHumansInterviews as TopicMaleQuality of LifeUnited StatesAssisted livingEnd-of-life careEnvironmental gerontologyPhenomenologyPlace integration

Identifiers

PMID30447872
PMCPMC6242343

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.