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The concept of aging-in-place has gained notable significance in the last decade due to a dramatic demographic shift in global population dynamics that have considerably affected the ability of societies to adequately cater for their aging population. This paper examines some of the barriers to aging-in-place in the context of health needs, housing design and the role of retrofitting/smart home technologies in overcoming these barriers.

Using a narrative literature review approach, the authors undertook a comprehensive search of recent relevant literature focusing on five core thematic areas: health and aging, aging in place, barriers to aging in place, retrofitting and smart home technologies for successful aging in place. The authors entered appropriate keywords into interdisciplinary research databases and synthesized a coherent narrative discussing the thematic areas using the data extracted from the literature search.

There is a bidirectional relationship between aging and the home environment. Barriers to aging-in-place are mainly related to progressive decline in health, which alters the environmental needs of individuals. Appropriate building designs can significantly facilitate aging-in-place. The authors, therefore, highlight the role of retrofitting and smart home technologies as practical solutions to the challenges of the aging-in-place.

Forward planning in building design is essential to guarantee that the home environment is well adapted for the challenges of aging-in-place while also promoting healthy aging.

The paper shows the relationship between aging and the home environment and how building design considerations could enhance healthy aging-in-place.

Traditional definitions of aging in place often define aging in place specifically as the ability to remain in one’s own home or community setting in later life. The purpose of this paper is to reframe aging in place and show how narrowly defined aging in place models can be potentially negative constructs that limit options for older adults. The authors propose a paradigm shift, or a re-framing of, the popularized idea of aging in place. The authors challenge mainstream and literature-based beliefs that are deeply rooted to the idea that aging in place ideally happens in the home in which a person has lived for many years.

The paper reviews common concepts and constructs associated with aging in place as well as gaps or exclusions, and US-based aging in place policy initiatives favoring the aging in place model.

An expanded definition of aging in place embraces heterogeneity in residence types and living options. A realistic assessment of person-environment fit, matching an older person’s capabilities to his or her environmental demands, allows for the development of additional aging in place options for those living across the continuum of care.

Aging in place should be moved from the personal “success” or “failure” of an older individual to include the role of society and societal views and policies in facilitating or hindering aging in place options. The authors demonstrate that these options, in facilities within the continuum of care, can be thought of as appealing for older persons of all levels of physical and cognitive functioning.

Research about aging in place tends to stress the value of one place (one’s home) over other living settings. This limits the ability of people to age in place and curtails discussion of all the items necessary to maintain place.

This conceptual paper aims to describe aging all over the place (AAOP), a federative framework for action, research and policy that considers older adults’ diverse experiences of place and life trajectories, along with person-centered care.

The framework was developed through group discussions, followed by an appraisal of aging models and validation during workshops with experts, including older adults.

Every residential setting and location where older adults go should be considered a “place,” flexible and adaptable enough so that aging in place becomes aging all over the place. Health-care professionals, policymakers and researchers are encouraged to collaborate around four axes: biopsychosocial health and empowerment; welcoming, caring, mobilized and supportive community; spatiotemporal life and care trajectories; and out-of-home care and services. When consulted, a Seniors Committee showed appreciation for flexible person-centered care, recognition of life transitions and care trajectories and meaningfulness of the name.

Population aging and the pandemic call for intersectoral actions and for stakeholders beyond health care to act as community leaders. AAOP provides opportunities to connect environmental determinants of health and person-centered care.

Building on the introduction of an ecological experience of aging, AAOP broadens the concept of care as well as the political and research agenda by greater integration of community and clinical actions. AAOP also endeavors to avoid patronizing older adults and to engage society in strengthening circles of benevolence surrounding older adults, regardless of their residential setting. AAOP’s applicability is evidenced by existing projects that share its approach.

The purpose of this study is to investigate the transfer of learning among older adults and the importance of physical activity (PA) related to aging in place.

A mixed-methods approach examined 10 older adults aged 65–88, who were receiving occupational therapy and contemplating aging in place. Semistructured interviews determined participants' perceptions of aging in place and PA. Accelerometers assessed levels of PA over 14 days.

Interviews revealed that most participants were aware of the importance of PA but did not specify PA as being a primary contributor to continued independence with aging. Accelerometer data revealed that, on average, 96.7% of the day is spent in sedentary behavior.

Health-care professionals may ask the question, “What will my patient do with the information he or she has learned?” This study was useful to increase understanding of older adults’ learning, lifestyles and effects on aging independently.

As older adults have true expectations of requirements for successful aging in place, realistic levels of PA and transfer of learning could improve the intended outcome of aging independently.

PA is often an overlooked factor for occupational engagement and aging in place and is novel to investigate in combination with interviews.

To understand ageing well, one needs to study not only those who are ageing but also the places within and with which people are ageing. In the past, much ageing‐well research has been focused on ensuring individuals have the “right” resources and are engaged in the “best” types of activities. However, recent theorizing has prompted the study of ageing well as a process of making sense of self amid later‐life changes. Building on Rowles' attachment‐to‐place work, the purpose of this paper is to consider how the “thick concreteness” of place influences later‐life meaning making.

This is a theoretical paper on ageing.

The paper draws on Casey's phenomenological conceptualization of places as imprinting themselves on bodies and selves, much as humans shape the places they inhabit. Data from interviews with older rural women in western Canada illustrates how this conceptualization can enhance understanding of ageing well relative to place as a physical, socio‐cultural and temporal phenomenon. In a place that has been depicted as inhospitable, participants have chosen to stay even as practically invisible kin and community “keepers” on the “frontier”.

This original paper suggests that to age well is to age locally and to make sense not only for self about self and one's own ageing but also for ageing in mutually compatible ways in that place.

The provision of home and community supports can enable people to successfully age-in-place by improving physical and mental health, supporting social participation and enhancing independence, autonomy and choice. One challenge concerns the integration of place-based supports available as older people transition into affordable housing. Sustainable solutions need to be developed and implemented with the full involvement of communities, service organizations and older people themselves. Partnership building is an important component of this process. The purpose of this paper is to detail the intricacies of developing partnerships with low-income older people, local service providers and nonprofit housing associations in the context of a Canadian housing development.

A community-based participatory approach was used to inform the data collection and partnership building process. The partnership building process progressed through a series of democratized committee meetings based on the principles of appreciative inquiry, four collaboration cafés with nonprofit housing providers and four community mapping workshops with low-income older people. Data collection also involved 25 interviews and 15 photovoice sessions with the housing tenants. The common aims of partnership and data collection were to understand the challenges and opportunities experienced by older people, service providers and nonprofit housing providers; identify the perspectives of service providers and nonprofit housing providers for the provision and delivery of senior-friendly services and resources; and determine actions that can be undertaken to better meet the needs of service providers and nonprofit housing providers in order to help them serve older people better.

The partnership prioritized the generation of a shared vision together with shared values, interests and the goal of co-creating meaningful housing solutions for older people transitioning into affordable housing. Input from interviews and photovoice sessions with older people provided material to inform decision making in support of ageing well in the right place. Attention to issues of power dynamics and knowledge generation and feedback mechanisms enable all fields of expertise to be taken into account, including the experiential expertise of older residents. This resulted in functional, physical, psychological and social aspects of ageing in place to inform the new build housing complex.

The time and effort required to conduct democratized partnerships slowed the decision-making process.

The findings confirm that the drive toward community partnerships is a necessary process in supporting older people to age well in the right place. This requires sound mechanisms to include the voice of older people themselves alongside other relevant stakeholders. Ageing well in a housing complex requires meaningful placemaking to include the functional, physical, psychological and social aspects of older people’s everyday life in respect to both home and community.

The purpose of this paper is to present alternative ways of addressing inequality in age-friendly work by drawing attention to the limitations of place-based approaches in meeting the needs of dispersed communities.

A case study of the age-friendly programme Ambition for Ageing (AfA) is used to explore three examples of working with minority communities.

Place-based age-friendly development risks further marginalising older people belonging to dispersed communities of identity or experience; therefore, we need to adopt adopt an intersectional approach to inequality in later life.

Three ways that age-friendly programmes may become more inclusive of minority groups who are geographically dispersed are identified: bringing community members together; co-production; and supporting visibility in mainstream settings.

This paper brings together insights from the AfA programme, critically assessing place-based approaches in relation to working with dispersed communities of identity. It offers some ways to mitigate limitations through adopting tailored equality approaches.

Ageing populations, although exhibiting marked differences across countries and cultures, are a global phenomenon. Old‐age dependency ratios in most developed countries are projected to double by the year 2050. In Australia there will be a strain on economic growth as a large part of the population moves from pre‐retirement to post‐retirement age over the next 25 years. A disproportionate amount of this strain will be concentrated in aged‐care housing or retirement accommodation. Current evidence suggests that existing housing stock for older people is inadequate. As the Australian population ages, the maintenance and long‐term performance of retirement housing is a key concern of government and housing providers. This study looked at four aged‐care or retirement providers across Australia and examined the performance of the current housing stock managed by these providers. The interviews revealed that housing design decisions in retirement stock, although critically important to the changing needs of occupants and the adequate supply of suitable housing, are often ill‐considered. The findings critically question the idea of simply building ‘more of the same’ to relieve demand. This study has major implications for the future of Australian retirement housing, especially as the population ages dramatically.

With the so-called greying of many nations, ageing is becoming a critical issue for social and urban policy (Polivka & Longino, 2004). While populations may be ageing chronologically in many countries, notions of ageing and ‘the elderly’ are shifting – influenced by economic, political and cultural changes. People are living longer, and are living more diverse and flexible lives. The shape of their lives is changing in relation to factors such as government policy, the economy, leisure and work practice, and the giving and receiving of care (OECD, 1996). Such changes pose challenges for policy makers as these societal shifts have both social and spatial consequences. ‘Ageing’ is consequently a concept which needs unpacking in order to make informed decisions about planning and public policy – to understand how the concept of age is shaped, negotiated and experienced differentially in place (Williams & Ylanne-McEwen, 2000). This chapter shows how the personal stories and experiences of older individuals form narratives which can both shape and challenge policy makers’ views of ageing and place relationships.

Most older people wish to age “in place”. However, as current housing is mainly unsuitable for later life, architects have a key role to play. Yet, there is little architectural consideration for the notion of “ageing in place” and its various facets, beyond a functional focus. Architects seem to lack support to grasp inhabitants' sensible needs, and thus synergies with other human-centred disciplines could be enlightening. To ensure homes are designed in line with people's wellbeing, the authors aim to provide a state-of-the-art view, as to build a model supporting architects through their understanding of older people-environment relationships.

In this paper, the authors investigate the key concepts that could enrich architects' design approaches on “ageing in place”. A narrative literature review scrutinising English- and French-written publications from the last twenty years in various disciplines was conducted, with a focus on older people and non-institutionalised housing.

The results highlight five essential perspectives to be taken into account when questioning housing for older people: health, affective, social, built and contextual perspectives. Their meaning and ties are developed and then synthesised into considerations, calling for architectural creativity.

This fivefold theoretical model adds to the existing architectural body of knowledge by adopting a multidisciplinary and multidimensional angle, going beyond the predominantly pragmatic vision associated with ageing. It provides stakeholders in architecture with a fresh and clear insight of meaningful relationships between older people and their residential environment.