Moving to a Continuing Care Retirement Community or Staying in the Community? A Comparison Between American and Israeli Older Adults

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Using the theory of diffusion of innovations, this study examined differences between American and Israeli older adults who decided to move to continuing care retirement communities (CCRC) and American and Israeli older adults who decided to stay at home. A total of 101 American participants (52 residents, 49 nonresidents) and 154 Israeli participants (104 residents, 50 nonresidents) completed measures of attitudes toward CCRCs, well-being, limitations in daily living, health status, proximity to services, and collectivism. Americans were more likely to relocate to CCRCs compared with staying at home when they reported positive attitudes toward CCRCs, higher well-being, and poorer subjective health. Among Israelis, positive attitudes toward CCRCs, better subjective health, and higher collectivism were associated with moving to CCRCs compared with staying at home. This study has implications for facilitating older adults’ decision-making and CCRC policies, as findings point to potential sources of influence on older adults’ decision to relocate.

Original languageEnglish
Pages (from-to)1221-1229
Number of pages9
JournalJournal of Applied Gerontology
Volume39
Issue number11
DOIs
StatePublished - 1 Nov 2020

Bibliographical note

Publisher Copyright:
© The Author(s) 2019.

Funding

https://orcid.org/0000-0002-8146-7491 Shinan-Altman Shiri 1 Gum Amber M. 2 https://orcid.org/0000-0003-3339-7879 Ayalon Liat 1 1 Bar-Ilan University, Ramat Gan, Israel 2 University of South Florida, Tampa, USA Shiri Shinan-Altman, Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan 52900, Israel. Email: shiri.altman@biu.ac.il 10 2019 0733464819879015 6 4 2019 31 8 2019 4 9 2019 © The Author(s) 2019 2019 Southern Gerontological Society Using the theory of diffusion of innovations, this study examined differences between American and Israeli older adults who decided to move to continuing care retirement communities (CCRC) and American and Israeli older adults who decided to stay at home. A total of 101 American participants (52 residents, 49 nonresidents) and 154 Israeli participants (104 residents, 50 nonresidents) completed measures of attitudes toward CCRCs, well-being, limitations in daily living, health status, proximity to services, and collectivism. Americans were more likely to relocate to CCRCs compared with staying at home when they reported positive attitudes toward CCRCs, higher well-being, and poorer subjective health. Among Israelis, positive attitudes toward CCRCs, better subjective health, and higher collectivism were associated with moving to CCRCs compared with staying at home. This study has implications for facilitating older adults’ decision-making and CCRC policies, as findings point to potential sources of influence on older adults’ decision to relocate. continuing care retirement communities community diffusion of innovation United States Israel cross-national long-term care Institute for Optimal Aging edited-state corrected-proof Ethical Considerations All materials and procedures for the American sample were approved by the University of South Florida Institutional Review Board. All materials and procedures for the Israeli sample were approved by the Ethics Committee of the School of Social Work of Bar Ilan University. Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Data collection for the U.S. sample was funded by a grant from the Institute for Optimal Aging. ORCID iDs Shiri Shinan-Altman https://orcid.org/0000-0002-8146-7491 Liat Ayalon https://orcid.org/0000-0003-3339-7879

FundersFunder number
Institute for Optimal Aging

    Keywords

    • Israel
    • United States
    • community
    • continuing care retirement communities
    • cross-national
    • diffusion of innovation
    • long-term care

    Fingerprint

    Dive into the research topics of 'Moving to a Continuing Care Retirement Community or Staying in the Community? A Comparison Between American and Israeli Older Adults'. Together they form a unique fingerprint.

    Cite this