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      Employing Participatory Citizen Science Methods to Promote Age-Friendly Environments Worldwide

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          Abstract

          The trajectory of aging is profoundly impacted by the physical and social environmental contexts in which we live. While “top–down” policy activities can have potentially wide impacts on such contexts, they often take time, resources, and political will, and therefore can be less accessible to underserved communities. This article describes a “bottom–up”, resident-engaged method to advance local environmental and policy change, called Our Voice, that can complement policy-level strategies for improving the health, function, and well-being of older adults. Using the World Health Organization’s age-friendly cities global strategy, we describe the Our Voice citizen science program of research that has specifically targeted older adults as environmental change agents to improve their own health and well-being as well as that of their communities. Results from 14 Our Voice studies that have occurred across five continents demonstrate that older adults can learn to use mobile technology to systematically capture and collectively analyze their own data. They can then successfully build consensus around high-priority issues that can be realistically changed and work effectively with local stakeholders to enact meaningful environmental and policy changes that can help to promote healthy aging. The article ends with recommended next steps for growing the resident-engaged citizen science field to advance the health and welfare of all older adults.

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          Understanding the relationships between the physical environment and physical activity in older adults: a systematic review of qualitative studies

          Background While physical activity (PA) provides many physical, social, and mental health benefits for older adults, they are the least physically active age group. Ecological models highlight the importance of the physical environment in promoting PA. However, results of previous quantitative research revealed inconsistencies in environmental correlates of older adults’ PA that may be explained by methodological issues. Qualitative studies can inform and complement quantitative research on environment-PA relationships by providing insight into how and why the environment influences participants’ PA behaviors. The current study aimed to provide a systematic review of qualitative studies exploring the potential impact of the physical environment on older adults’ PA behaviors. Methods A systematic search was conducted in databases of various disciplines, including: health, architecture and urban planning, transportation, and interdisciplinary databases. From 3,047 articles identified in the physical activity, initial search, 31 articles published from 1996 to 2012 met all inclusion criteria. An inductive content analysis was performed on the extracted findings to identify emerging environmental elements related to older adults’ PA. The identified environmental elements were then grouped by study methodologies [indoor interviews (individual or focus groups) vs spatial methods (photo-voice, observations, walk-along interviews)]. Results This review provides detailed information about environmental factors that potentially influence older adults’ PA behaviors. These factors were categorized into five themes: pedestrian infrastructure, safety, access to amenities, aesthetics, and environmental conditions. Environmental factors especially relevant to older adults (i.e., access to facilities, green open spaces and rest areas) tended to emerge more frequently in studies that combined interviews with spatial qualitative methods. Conclusions Findings showed that qualitative research can provide in-depth information on environmental elements that influence older adults’ PA. Future qualitative studies on the physical environment and older adults’ PA would benefit from combining interviews with more spatially-oriented methods. Multidisciplinary mixed-methods studies are recommended to establish quantitative relationships complemented with in-depth qualitative information.
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            What makes a community age-friendly: A review of international literature.

            This paper undertakes a comprehensive review of the growing international literature on age-friendly communities. It examines a range of approaches and identifies the key attributes associated with creating a sustainable environment for seniors. The authors critically evaluate emerging policy trends and models and suggest directions for future research attention. The discussion provides important information and insights for the development of ageing policy and planning in Australia.
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              Ageing in urban environments: Developing 'age-friendly' cities

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                27 February 2020
                March 2020
                : 17
                : 5
                : 1541
                Affiliations
                [1 ]Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305, USA
                [2 ]Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA; banchoff@ 123456stanford.edu (A.B.); jennahua3@ 123456gmail.com (J.H.); lgrosas@ 123456stanford.edu (L.G.R.); prespinosa@ 123456stanford.edu (P.R.E.); sjwinter@ 123456stanford.edu (S.J.W.); jsheats@ 123456tulane.edu (J.S.); dsalvo@ 123456wustl.edu (D.S.)
                [3 ]Center for Behavioral Health Research and Services, Institute of Social and Economic Research, University of Alaska Anchorage, Anchorage, AK 99508, USA; dkking@ 123456alaska.edu
                [4 ]JDC Eshel, Jerusalem 91034, Israel; smadarso@ 123456jdc.org (S.S.); ofirb@ 123456jdc.org (O.B.N.)
                [5 ]Faculty of Medicine, The University of Queensland, Brisbane QLD 4072, Australia; p.gardiner@ 123456uq.edu.au
                [6 ]Department of Physical Education, Sports and Recreation, Universidad de La Frontera, Temuco 4780000, Chile; nicolas.aguilar@ 123456ufrontera.cl
                [7 ]School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; A.Stathi@ 123456bham.ac.uk
                [8 ]Postgraduate Program in Health Technology (PPGTS), Polytechnic School, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba (PR) 80215-901, Brazil; akira.hino@ 123456pucpr.br
                [9 ]Centre on Aging, and Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, MB R3T 2N2, Canada; michelle.porter@ 123456umanitoba.ca
                Author notes
                [* ]Correspondence: king@ 123456stanford.edu
                Author information
                https://orcid.org/0000-0002-7949-8811
                https://orcid.org/0000-0002-0185-2200
                https://orcid.org/0000-0002-8072-2673
                https://orcid.org/0000-0003-4053-7972
                https://orcid.org/0000-0002-9726-0882
                https://orcid.org/0000-0002-6974-1312
                https://orcid.org/0000-0003-2162-777X
                https://orcid.org/0000-0003-1649-9419
                Article
                ijerph-17-01541
                10.3390/ijerph17051541
                7084614
                32121001
                f6bd48ea-8e9c-4d78-aacc-3002362ee139
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 19 December 2019
                : 24 February 2020
                Categories
                Article

                Public health
                citizen science,participatory research,older adults,aging,age-friendly environments,who,health promotion,health equity,digital health,built environment

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