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Barriers to Aging in Place for Rural, Institutionalized Older Adults: A Qualitative Exploration
Claire Quinlan1, Christine McKibbin2, Cari Cuffney3
1Aging Division, Department of Health, Cheyenne, Wyoming, USA.
Clinical Gerontologist
|September 28, 2020
Summary
Rural older adults in Skilled Nursing Facilities (SNFs) faced barriers to aging in place, primarily due to caregiver support issues and a lack of advanced care planning. Improving caregiver support and service access is crucial for rural independence.
Area of Science:
- Gerontology
- Rural Health
- Sociology
Background:
- Most older adults prefer to age in place, but rural settings present unique challenges to long-term independence.
- Skilled Nursing Facilities (SNFs) house older adults who could not age in place, necessitating an understanding of their experiences.
Purpose of the Study:
- To understand the experiences of rural older adults residing in SNFs.
- To identify barriers to aging in place in rural environments by analyzing pre-institution care situations.
Main Methods:
- Conducted individual and group interviews in SNFs across seven rural communities.
- Employed a grounded, thematic analysis informed by the socio-ecological model (SEM).
Main Results:
- 32 participants (mean age 72) in SNFs revealed two primary barriers to aging in place.
- Barriers included caregiver-related support issues and a lack of advanced care planning (present focus).
Conclusions:
- Supporting caregivers is vital to reduce burden and enhance agency for rural older adults.
- Limited access to caregiver support and services hinders aging in place and future planning for rural elders.
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