Evidence map›Paper›PMID 37152222›Full record

ArticleHealth science reports2023

Rural age-friendly ecosystems for older adults: An international scoping review with recommendations to support age-friendly communities.

Daniel Liebzeit, Anna Krupp, Jacinda Bunch, Shalome Tonelli, Emily Griffin, Sarah McVeigh, Nai-Ching Chi, Saida Jaboob, Lynn Nakad, Alicia I Arbaje and 1 more

Abstract readScoping Review
In one paragraph

Article in Health science reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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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

11 authors.

Daniel LiebzeitThe University of Iowa College of Nursing Iowa City Iowa USA.ORCID 0000-0002-2384-7410
Anna KruppThe University of Iowa College of Nursing Iowa City Iowa USA.ORCID 0000-0002-0815-9441
Jacinda BunchThe University of Iowa College of Nursing Iowa City Iowa USA.ORCID 0000-0001-6139-3547
Shalome TonelliThe University of Iowa College of Nursing Iowa City Iowa USA.
Emily GriffinThe University of Iowa College of Nursing Iowa City Iowa USA.
Sarah McVeighThe University of Iowa College of Nursing Iowa City Iowa USA.
Nai-Ching ChiThe University of Iowa College of Nursing Iowa City Iowa USA.
Saida JaboobThe University of Iowa College of Nursing Iowa City Iowa USA.
Lynn NakadThe University of Iowa College of Nursing Iowa City Iowa USA.
Alicia I ArbajeDepartment of Medicine, Division of Geriatric Medicine and Gerontology, Center for Transformative Geriatric Research Johns Hopkins University School of Medicine Baltimore Maryland USA.
Harleah BuckThe University of Iowa College of Nursing Iowa City Iowa USA.

Funding

Exploratory Center of Excellence for Advancing Multimorbidity Science (CAMS)P20NR018081 · NINR · UNIVERSITY OF IOWA · PI WILLIAMS, JANET K. · 2018 to 2022
$2.2M
NINR NIH HHS P20 NR018081
6 · The paper itself

Abstract

Background and Aims: The population of older adults in rural areas is rising, and they experience higher rates of poverty and chronic illness, have poorer health behaviors, and experience different challenges than those in urban areas. This scoping review seeks to (1) map the state of the science of age-friendly systems in rural areas regarding structural characteristics, processes for delivering age-friendly practices, and outcomes of age-friendly systems, (2) analyze strengths, weakness, opportunities, and threats of age-friendly system implementation, and (3) make person, practice, and policy-level recommendations to support active aging and development of age-friendly communities. Methods: An international scoping review was conducted of articles that used age-friendly framing, had a sample age of 45 years of age or older, self-identified as rural, and reported empiric data. Searches were conducted in PubMed, CINAHL, AgeLine, PsychINFO, EMBASE, Scopus, and Academic Search Elite on October 26, 2021, and rerun March 10, 2023. Data were charted across three analytic layers: socioecological model, Donabedian's framework, and SWOT analysis. Results: Results reveal limited data on outcomes relevant to organizations, such as return on investment or healthcare utilization. While the SWOT analysis revealed many strengths of age-friendly systems, including their impact on persons' outcomes, it also revealed several weaknesses, threats, and gaps. Namely, age-friendly systems have weaknesses due to reliance on trained volunteers and staff, communication, and teamwork. System-level threats include community and health system barriers, and challenges in poor/developing areas. Conclusions: While age-friendly systems in this review were heterogeneous, there is an opportunity to focus on unifying elements including the World Health Organization age-friendly cities framework or 4Ms framework for age-friendly care. Despite the many benefits of age-friendly systems, we must acknowledge limitations of the evidence base, pursue opportunities to examine organizational metrics to support implementation and sustainability of age-friendly systems, and leverage improvements in age-friendliness at a community level.

Indexed as

community health servicesdelivery of healthcarehealthy agingrural health servicesrural population

Identifiers

PMID37152222
PMCPMC10162383

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.