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"It Made Me Change the Way I Do Business": Outcomes From Age-Friendly Community Initiatives as Systems Change.
Emily A Greenfield1, Natalie E Pope1
1School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.
The Gerontologist
|October 25, 2024
Summary
Age-friendly communities (AFC) initiatives show strong results in changing organizational practices, resource flows, community connections, and mental models about aging. However, impacts on power dynamics and policy were less evident.
Area of Science:
- Gerontology
- Community Health
- Sociology of Aging
Background:
- The global Age-Friendly Communities (AFC) movement aims to improve environments for aging populations.
- Research on the outcomes of AFC initiatives is still developing.
- This study uses the "Water of Systems Change" framework to evaluate AFC progress.
Purpose of the Study:
- To explore how AFC initiative accomplishments align with six conditions for systems change.
- To assess the impact of AFC initiatives on policies, organizational practices, resource allocations, power dynamics, relationships, and mental models.
Main Methods:
- Qualitative analysis of 26 key informant interviews from eight mature AFC initiatives in the northeastern U.S.
- Iterative thematic analysis to map initiative accomplishments to systems change conditions.
Main Results:
- Robust evidence of enhanced organizational practices, resource flows, community connections, and mental models regarding older adults.
- More limited evidence for changes in power dynamics and policy.
Conclusions:
- Viewing AFC initiatives as systems-change interventions can enhance research and program development.
- Findings support empowering AFC leaders to foster societal "successful aging".
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