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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.
Community livability for older adults involves actively negotiating their environment, not just amenities. Key processes include aging ideology, social infrastructure, and daily participation, crucial for well-being.
Area of Science:
- Gerontology
- Urban Studies
- Sociology
Background:
- Community livability is a frequently used term but lacks a clear conceptual definition.
- Understanding livability is essential for supporting older adults who wish to age in place.
Purpose of the Study:
- To develop a theoretical framework for community livability among older adults aging in place.
- To explore the dynamic processes that constitute livability for this demographic.
Main Methods:
- A multiple-case study design involving twelve community-dwelling adults aged 70 and above.
- Data collection over six months using interviews, naturalistic observations, and Global Positioning System (GPS) tracking.
- Grounded theory analysis to interpret the complex interplay of factors.
Main Results:
- Older adults' experience of livability is defined by active negotiation of physical and social community aspects, rather than mere presence of amenities.
- Identified three core processes: enacting an ideology of aging, building social infrastructure, and negotiating daily participation.
- These processes were dynamic and interdependent, influencing and being influenced by daily activities.
Conclusions:
- Community livability is a dynamic process, differing significantly from existing conceptualizations.
- A deeper understanding of livability factors can enhance the well-being of older adults aging in their communities.
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