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Updated: Mar 11, 2026

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
Processes of developing 'community livability' in older age
Kendra S Heatwole Shank1, Malcolm P Cutchin2
1Department of Occupational Therapy and Occupational Science, Towson University, 8000 York Rd., Towson, MD 21252, United States.
Objective:
'Community livability' is a widely used term that is still under-conceptualized. The purpose of the project was to theorize key dynamics of livability for older adults who are aging in place in their homes and communities.
Methods:
Twelve community-dwelling adults (70+) were recruited in a multiple-case study design. Interviews and naturalistic observations were used over the course of 6months. Global positioning system (GPS) devices were used to generate maps (routines, routes, type and duration of activities) to elicit additional insights through interviews. We used grounded theory analysis.
Results:
For older adults, livability is not experienced as the presence of amenities, but rather involves active and ongoing negotiation of physical and social dimensions of their communities. We identify three core processes of livability including enacting an ideology of aging, building social infrastructure, and negotiating daily participation. These three processes unfolded in varied ways, yet closely shaped-and were shaped by-the older adults' participation in their necessary and chosen daily activities.
Discussion:
Community livability is a process that varies considerably from the current conceptualizations. Understanding and expanding livability considerations will have positive implications for older adults' well-being while aging in community settings.
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