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Participation in community activities through Naturally Occurring Retirement Community (NORC) Supportive Service Programs

Published online by Cambridge University Press:  30 August 2016

EMILY A. GREENFIELD*
Affiliation:
School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, USA.
REBECCA L. MAULDIN
Affiliation:
Graduate College of Social Work, University of Houston, Texas, USA.
*
Address for correspondence: Emily A. Greenfield, School of Social Work Rutgers, The State University of New Jersey536 George St. New Brunswick, NJ 08901 USA E-mail: egreenf@ssw.rutgers.edu

Abstract

Naturally Occurring Retirement Community Supportive Service Programs (NORC Programs) constitute a national model in the United States of America that aims to benefit older adults ageing in place in their own homes and communities. One central aspect of NORC Programs is the provision of community activities to facilitate older adults’ connections with others. Guided by ecological systems theory, we explored from older adults’ perspectives what influences their participation in the community activities offered by NORC Programs, as well as the meaning of the social contact that such participation affords. We used data from an in-depth interview study with 41 older residents across seven NORC Program sites in the greater New York City area. Themes regarding influences on participation included individual circumstances (personal desire for social activity and health status), programmatic factors (relationships with staff and appeal of the activities) and community contexts (appeal of the other attendees). Perceptions of other attendees also emerged as an influence on the social effects of participation, which ranged from experiencing social contact alone to creating independent friendships. Overall, findings indicate that programme features combine with individual and community contexts to influence diverse experiences of community activities. In addition to implications for organisational practice, we interpret the results in terms of directions for future research regarding how community-based organisations can influence social integration in later life.

Type
Articles
Copyright
Copyright © Cambridge University Press 2016 

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References

Abramson, C. M. 2015. The End Game: How Inequality Shapes Our Final Years. Oxford University Press, New York, 118.Google Scholar
Altman, A. 2006. The New York NORC-supportive service program. Journal of Jewish Communal Service, 81, 3/4, 195200.Google Scholar
Anetzberger, G. J. 2010. Community options of greater Cleveland, Ohio: preliminary evaluation of a Naturally Occurring Retirement Community program. Clinical Gerontologist, 33, 1, 115.CrossRefGoogle Scholar
Ashida, S. and Heaney, C. A. 2008. Social networks and participation in social activities at a new senior center: reaching out to older adults who could benefit the most. Activities, Adaptation and Aging, 32, 1, 4058.Google Scholar
Bedney, B. J., Goldberg, R. B. and Josephson, K. 2010. Aging in place in naturally occurring retirement communities: transforming aging through supportive service programs. Journal of Housing for the Elderly, 24, 3/4, 304–21.Google Scholar
Berwick, D. M., Nolan, T. W. and Whittington, J. 2008. The triple aim: care, health, and cost. Health Affairs, 27, 3, 759769.Google Scholar
Bøen, H., Dalgard, O. S., Johansen, R. and Nord, E. 2010. Socio-demographic, psychosocial and health characteristics of Norwegian senior centre users: a cross-sectional study. Scandinavian Journal of Public Health, 38, 5, 508–17.Google Scholar
Bronfenbrenner, U. 1979. Ecology of Human Development: Experiments by Nature and Design. Harvard University Press, Cambridge, Massachusetts.Google Scholar
Bronfenbrenner, U. 1999. Environments in developmental perspective: theoretical and operational models. In Friedman, S. L. and Wachs, T. D. (eds), Measuring Environment Across the Life Span: Emerging Methods and Concepts. American Psychological Association Press, Washington DC, 328.Google Scholar
Bronfenbrenner, U. and Morris, P. A. 2006. The bioecological model of human development. In Lerner, R. M. (ed.), Handbook of Child Psychology. Volume 1, John Wiley & Sons, Hoboken, New Jersey, 793828.Google Scholar
Carpenter, B. D., Edwards, D. F., Pickard, J. G., Palmer, J. L., Stark, S., Neufeld, P. S., Morrow-Howell, N., Perkinson, M. A. and Morris, J. C. 2012. Anticipating relocation: concerns about moving among NORC residents. In McCallion, P. (ed.), Housing for the Elderly: Policy and Practice Issues. Haworth Press, Binghamton, New York, 165–84.Google Scholar
Cattan, M., Newell, C., Bond, J. and White, M. 2003. Alleviating social isolation and loneliness among older people. International Journal of Mental Health Promotion, 5, 3, 2030.Google Scholar
Cattan, M., White, M., Bond, J. and Learmouth, A. 2005. Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing & Society, 25, 1, 4167.Google Scholar
Cohen, S. and Janicki-Deverts, D. 2009. Can we improve our physical health by altering our social networks? Perspectives on Psychological Science, 4, 4, 375–8.CrossRefGoogle ScholarPubMed
Colello, K. J. 2007. Supportive services programs to Naturally Occurring Retirement Communities. Report RL34289, Congressional Research Service, Domestic Social Policy, Washington DC.Google Scholar
Constantino, R. E. 1988. Comparison of two group interventions for the bereaved. IMAGE: Journal of Nursing Scholarship, 20, 2, 83–7.Google ScholarPubMed
Corbin, J. M. and Strauss, A. L. 2008. Basics of Qualitative Research. Third edition, Sage, Thousand Oaks, California.Google Scholar
Cornwell, B., Laumann, E. O. and Schumm, L. P. 2008. The social connectedness of older adults: a national profile. American Sociological Review, 73, 2, 185203.CrossRefGoogle ScholarPubMed
de Jong Gierveld, J., van Tilburg, T. and Dykstra, P. A. 2006. Loneliness and social isolation. In Vangelisti, A. and Perlman, D. (eds), Cambridge Handbook of Personal Relationships. Cambridge University Press, Cambridge, 485500.Google Scholar
Dickens, A. P., Richards, S. H., Greaves, C. J. and Campbell, J. L. 2011. Interventions targeting social isolation in older people: a systematic review. BMC Public Health, 11, 647, 122.Google Scholar
DiNapoli, E. A., Wu, B. and Scogin, F. 2014. Social isolation and cognitive function in Appalachian older adults. Research on Aging, 36, 2, 161–79.Google Scholar
Ellwardt, L., van Tilburg, T. G. and Aartsen, M. 2015. The mix matters: complex personal networks relate to higher cognitive functioning in old age. Social Science & Medicine, 125, 2015, 107–15.Google Scholar
Enguidanos, S., Pynoos, J., Denton, A., Alexman, S. and Diepenbrock, L. 2010. Comparison of barriers and facilitators in developing NORC programs: a tale of two communities. Journal of Housing for the Elderly, 24, 3/4, 291303.Google Scholar
Findlay, R. A. 2003. Interventions to reduce social isolation amongst older people: where is the evidence? Ageing & Society, 23, 5, 647–58.Google Scholar
Fiori, K. L., Antonucci, T. C. and Cortina, K. S. 2006. Social network typologies and mental health among older adults. Journals of Gerontology: Psychological Sciences and Social Sciences, 61B, 1, P2532.CrossRefGoogle Scholar
Fitzgerald, K. G. and Caro, F. G. 2014. An overview of age-friendly cities and communities around the world. Journal of Aging & Social Policy, 26, 1/2, 118.Google Scholar
Flouri, E. 2008. Contextual risk and child psychopathology. Child Abuse & Neglect, 32, 10, 913–17.Google Scholar
Gelfand, D. E. 2006. The Aging Network: Programs and Services. Springer, New York.Google Scholar
Glaser, B. G. and Strauss, A. L. 1967. The Discovery of Grounded Theory: Strategies for Qualitative Research. Aldine Publishing, Chicago.Google Scholar
Greenfield, E. A. 2013. Community aging initiatives and social capital: developing theories of change in the context of NORC Supportive Service Programs. Journal of Applied Gerontology, 33, 2, 227–50.Google Scholar
Greenfield, E. A. 2015. Support from neighbors and aging in place: can NORC programs make a difference? The Gerontologist, 55, 2, 191198. doi:10.1093/geront/gnu162.Google Scholar
Greenfield, E. A., Scharlach, A. E., Graham, C. L., Davitt, J. K. and Lehning, A. J. 2012 a. An Overview of NORC Programs in New York: Results from a 2012 Organizational Survey. Rutgers School of Social Work, New Brunswick, New Jersey. Available online at http://agingandcommunity.com/wp-content/uploads/2012/12/NY-NORC-FINAL.pdf [Accessed 5 September 2015].Google Scholar
Greenfield, E. A., Scharlach, A. E., Graham, C. L., Davitt, J. K. and Lehning, A. J. 2012 b. An Overview of Programs in the National NORCs Aging in Place Initiative: Results from a 2012 Organizational Survey. Rutgers School of Social Work, New Brunswick, New Jersey. Available online at http://agingandcommunity.com/wp-content/uploads/2012/12/National-NORC-FINAL.pdf [Accessed 5 September 2015].Google Scholar
Greenfield, E. A., Scharlach, A. E., Lehning, A. J., Davitt, J. K. and Graham, C. L. 2013. A tale of two community initiatives for promoting aging in place: similarities and differences in the national implementation of NORC programs and Villages. The Gerontologist, 53, 6, 928–38.Google Scholar
Heaton, J. 2004. Reworking Qualitative Data. Sage, London.Google Scholar
Hemingway, A. and Jack, E. 2013. Reducing social isolation and promoting well being in older people. Quality in Ageing and Older Adults, 14, 1, 2535.Google Scholar
Holt-Lunstad, J., Smith, T. B. and Layton, J. B. 2015. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science, 10, 2, 227–37.CrossRefGoogle ScholarPubMed
Jason, L. A., Stevens, E. and Ram, D. 2015. Development of a three-factor psychological sense of community scale. Journal of Community Psychology, 43, 8, 973–85.CrossRefGoogle ScholarPubMed
Krause, N. 2006. Social relationships in late life. In Binstock, R. and George, L. (eds), Handbook of Aging and the Social Sciences. Academic Press, Burlington, Massachusetts, 181201.Google Scholar
LaRossa, R. 2005. Grounded theory methods and qualitative family research. Journal of Marriage and Family, 67, 4, 837–57.Google Scholar
Leszczensky, L. and Pink, S. 2015. Ethnic segregation of friendship networks in school: testing a rational-choice argument of differences in ethnic homophily between classroom- and grade-level networks. Social Networks, 42, 2015, 1826.Google Scholar
Lincoln, Y. S. and Guba, E. G. 1985. Naturalistic Inquiry. Sage, Beverly Hills, California.Google Scholar
Litwin, H. 2011. The association between social network relationships and depressive symptoms among older Americans: what matters most? International Psychogeriatrics, 23, 6, 930–40.CrossRefGoogle ScholarPubMed
Litwin, H. and Shiovitz-Ezra, S. 2011. Social network type and subjective well-being in a national sample of older Americans. Gerontologist, 51, 3, 379–88.Google Scholar
Machielse, A. 2015. The heterogeneity of socially isolated older adults: a social isolation typology. Journal of Gerontological Social Work, 58, 4, 338–56.Google Scholar
Martina, C. M. S. and Stevens, N. L. 2006. Breaking the cycle of loneliness? Psychological effects of a friendship enrichment program for older women. Aging & Mental Health, 10, 5, 467–75.Google Scholar
McPherson, M., Smith-Lovin, L. and Cook, J. M. 2001. Birds of a feather: homophily in social networks. Annual Review of Sociology, 27, 415–44.CrossRefGoogle Scholar
Moody, E. and Phinney, A. 2012. A community-engaged art program for older people: fostering social inclusion. Canadian Journal on Aging, 31, 1, 5564.Google Scholar
Nicholson, N. R. 2012. A review of social isolation: an important but underassessed condition in older adults. Journal of Primary Prevention, 33, 2/3, 137–52.Google Scholar
Pardasani, M. 2010. Senior centers: characteristics of participants and nonparticipants. Activities, Adaptation and Aging, 34, 1, 4870.Google Scholar
Pillemer, K. 2009. Environmental volunteering in later life: benefits and barriers. Generations, 33, 4, 5863.Google Scholar
Powell, K. H. 2015. A theoretical exploration of PSOC in an ecological context: the town–gown example. Community Psychology in Global Perspective, 1, 2, 121.Google Scholar
Reid, R. C. and Chappell, N. L. 2015. Family involvement in nursing homes: are family caregivers getting what they want? Journal of Applied Gerontology. Published online 31 August, doi:10.1177/0733464815602109.Google Scholar
Saito, T., Kai, I. and Takizawa, A. 2012. Effects of a program to prevent social isolation on loneliness, depression, and subjective well-being of older adults: a randomized trial among older migrants in Japan. Archives of Gerontology and Geriatrics, 55, 3, 539–47.CrossRefGoogle ScholarPubMed
Seong Ho, Y. and Chul Soo, K. 2005. Factors affecting the frequency of senior center participation in Korea. Asia Pacific Journal of Social Work & Development, 15, 1, 6373.Google Scholar
South, J., Higgins, T. J., Woodall, J. and White, S. M. 2008. Can social prescribing provide the missing link? Primary Health Care Research & Development, 9, 4, 310–8.Google Scholar
Stewart, M., Craig, D., MacPherson, K. and Alexander, S. 2001. Promoting positive affect and diminishing loneliness of widowed seniors through a support intervention. Public Health Nursing, 18, 1, 5463.Google Scholar
Strauss, A. and Corbin, J. 1990. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Sage, Newbury Park, California.Google Scholar
Vaughan, M., LaValley, M. P., AlHeresh, R. and Keysor, J. J. 2015. Which features of the environment impact community participation of older adults? A systematic review and meta-analysis. Journal of Aging and Health. Published online 17 November 2015, doi:10.1177/0898264315614008.Google ScholarPubMed
Vladeck, F. 2004. A Good Place to Grow Old: New York's Model for NORC Supportive Service Programs. United Hospital Fund, New York. Available online at http://www.uhfnyc.org/publications/203833 [Accessed 5 September 2015].Google Scholar
Vladeck, F., Segel, R., Oberlink, M., Gursen, M. D. and Rudin, D. 2010. Health indicators: a proactive and systematic approach to healthy aging. Cityscape: A Journal of Policy Development and Research, 12, 2, 6784.Google Scholar