Rights statement: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Age and Ageing following peer review. The definitive publisher-authenticated version Ian W Garner, Carol A Holland, Age-friendliness of living environments from the older person’s viewpoint: development of the Age-Friendly Environment Assessment Tool, Age and Ageing, Volume 49, Issue 2, March 2020, Pages 193–198 is available online at: https://academic.oup.com/ageing/article/49/2/193/5648145
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Age-friendliness of living environments from the older person’s viewpoint
T2 - development of the Age-friendly Environment Assessment Tool
AU - Garner, Ian
AU - Holland, Carol
N1 - This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Age and Ageing following peer review. The definitive publisher-authenticated version Ian W Garner, Carol A Holland, Age-friendliness of living environments from the older person’s viewpoint: development of the Age-Friendly Environment Assessment Tool, Age and Ageing, Volume 49, Issue 2, March 2020, Pages 193–198 is available online at: https://academic.oup.com/ageing/article/49/2/193/5648145
PY - 2020/3/1
Y1 - 2020/3/1
N2 - AbstractBackgroundaccording to the World Health Organisation, the role of the environment for older adults is to maintain and facilitate independence and promote quality of life. However, measures that examine the environment in terms of its potential impact on older people are either oriented towards specific aspects of the environment, specifically designed for community-level assessment rather than individually oriented, or are unwieldy for everyday use.Objectivesthis article describes the development and validation of the Age-friendly Environment Assessment Tool (AFEAT), assessing whether individual function and frailty impact on perceptions of environmental age-friendliness. The extent to which such perceptions may have moderate impacts of frailty on outcomes such as need for care support, quality of life and loneliness is examined.Methodsa total of 132 participants aged 58–96 were recruited from retirement villages and local communities in the Midlands of the UK. Participants completed the AFEAT, and a series of measures designed to assess frailty and assessments of quality of life, loneliness and perceptions of functional limitations.Resultsinternal reliability assessment indicated that the AFEAT possesses a Cronbach’s Alpha score of 0.745. The AFEAT significantly predicted quality of life and loneliness, accounting for 17.1% and 5.8% of variance respectively, indicating high concurrent and predictive validity. Furthermore, the AFEAT moderated the predictive strength of frailty in predicting the amount of formal care an individual receives, but not quality of life or loneliness.Discussionthe AFEAT is a valid and reliable tool, and analyses highlight the need for an individual-oriented age-friendly environment tool.
AB - AbstractBackgroundaccording to the World Health Organisation, the role of the environment for older adults is to maintain and facilitate independence and promote quality of life. However, measures that examine the environment in terms of its potential impact on older people are either oriented towards specific aspects of the environment, specifically designed for community-level assessment rather than individually oriented, or are unwieldy for everyday use.Objectivesthis article describes the development and validation of the Age-friendly Environment Assessment Tool (AFEAT), assessing whether individual function and frailty impact on perceptions of environmental age-friendliness. The extent to which such perceptions may have moderate impacts of frailty on outcomes such as need for care support, quality of life and loneliness is examined.Methodsa total of 132 participants aged 58–96 were recruited from retirement villages and local communities in the Midlands of the UK. Participants completed the AFEAT, and a series of measures designed to assess frailty and assessments of quality of life, loneliness and perceptions of functional limitations.Resultsinternal reliability assessment indicated that the AFEAT possesses a Cronbach’s Alpha score of 0.745. The AFEAT significantly predicted quality of life and loneliness, accounting for 17.1% and 5.8% of variance respectively, indicating high concurrent and predictive validity. Furthermore, the AFEAT moderated the predictive strength of frailty in predicting the amount of formal care an individual receives, but not quality of life or loneliness.Discussionthe AFEAT is a valid and reliable tool, and analyses highlight the need for an individual-oriented age-friendly environment tool.
U2 - 10.1093/ageing/afz146
DO - 10.1093/ageing/afz146
M3 - Journal article
VL - 49
SP - 193
EP - 198
JO - Age and Ageing
JF - Age and Ageing
SN - 0002-0729
IS - 2
ER -