Asmita V Manchha, Bridget Burton, Samantha Siyambalapitiya, Joanne M Wood, Louise Hickson, Deirdre Fetherstonhaugh, Michelle King, Sarah J Wallace
{"title":"影响长者在住宅及社区养老服务中沟通的因素：一项范围回顾。","authors":"Asmita V Manchha, Bridget Burton, Samantha Siyambalapitiya, Joanne M Wood, Louise Hickson, Deirdre Fetherstonhaugh, Michelle King, Sarah J Wallace","doi":"10.1093/geront/gnaf140","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>Older adults often experience communication changes due to aging and an increased prevalence of conditions affecting speech, language, cognition, and sensory functions. Although individual health conditions and contextual factors (e.g., personal and environmental) are known to influence communication, limited research has examined how these factors interact. Our scoping review summarizes how health conditions, impairments, and contextual factors can interact to influence communication in residential and community aged care settings.</p><p><strong>Research design and methods: </strong>Peer-reviewed articles published 2003-2023 were identified through searches of PubMed, PsycINFO, CINAHL, Scopus, and ProQuest. Using the International Classification of Functioning, Disability and Health as a framework, we extracted information about health conditions, impairments to body structures and functions, and personal and environmental factors reported to influence communication. Data were synthesized using thematic analysis.</p><p><strong>Results: </strong>From 75 articles, we identified combinations of health conditions (e.g., dementia), impairments to body functions and structures (e.g., hearing impairment), personal (e.g., language, culture, gender), and environmental factors (e.g., relationships, health services, products/technology), reported to affect communication for older adults in aged care environments. Language and culture, and support and relationships, were both key facilitators and barriers to communication.</p><p><strong>Discussion and implications: </strong>Older adults may experience complex and diverse communication support needs that result from multiple intersecting factors. Research to date has focused on communication in residential aged care, with few studies exploring community aged care services. Our findings will inform the development of resources for identifying and supporting the communication needs of older adults who receive aged care services.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314601/pdf/","citationCount":"0","resultStr":"{\"title\":\"Factors Influencing Communication for Older Adults in Residential and Community Aged Care: A Scoping Review.\",\"authors\":\"Asmita V Manchha, Bridget Burton, Samantha Siyambalapitiya, Joanne M Wood, Louise Hickson, Deirdre Fetherstonhaugh, Michelle King, Sarah J Wallace\",\"doi\":\"10.1093/geront/gnaf140\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objectives: </strong>Older adults often experience communication changes due to aging and an increased prevalence of conditions affecting speech, language, cognition, and sensory functions. Although individual health conditions and contextual factors (e.g., personal and environmental) are known to influence communication, limited research has examined how these factors interact. Our scoping review summarizes how health conditions, impairments, and contextual factors can interact to influence communication in residential and community aged care settings.</p><p><strong>Research design and methods: </strong>Peer-reviewed articles published 2003-2023 were identified through searches of PubMed, PsycINFO, CINAHL, Scopus, and ProQuest. Using the International Classification of Functioning, Disability and Health as a framework, we extracted information about health conditions, impairments to body structures and functions, and personal and environmental factors reported to influence communication. Data were synthesized using thematic analysis.</p><p><strong>Results: </strong>From 75 articles, we identified combinations of health conditions (e.g., dementia), impairments to body functions and structures (e.g., hearing impairment), personal (e.g., language, culture, gender), and environmental factors (e.g., relationships, health services, products/technology), reported to affect communication for older adults in aged care environments. Language and culture, and support and relationships, were both key facilitators and barriers to communication.</p><p><strong>Discussion and implications: </strong>Older adults may experience complex and diverse communication support needs that result from multiple intersecting factors. Research to date has focused on communication in residential aged care, with few studies exploring community aged care services. Our findings will inform the development of resources for identifying and supporting the communication needs of older adults who receive aged care services.</p>\",\"PeriodicalId\":51347,\"journal\":{\"name\":\"Gerontologist\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-06-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314601/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gerontologist\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/geront/gnaf140\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gerontologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/geront/gnaf140","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GERONTOLOGY","Score":null,"Total":0}
Factors Influencing Communication for Older Adults in Residential and Community Aged Care: A Scoping Review.
Background and objectives: Older adults often experience communication changes due to aging and an increased prevalence of conditions affecting speech, language, cognition, and sensory functions. Although individual health conditions and contextual factors (e.g., personal and environmental) are known to influence communication, limited research has examined how these factors interact. Our scoping review summarizes how health conditions, impairments, and contextual factors can interact to influence communication in residential and community aged care settings.
Research design and methods: Peer-reviewed articles published 2003-2023 were identified through searches of PubMed, PsycINFO, CINAHL, Scopus, and ProQuest. Using the International Classification of Functioning, Disability and Health as a framework, we extracted information about health conditions, impairments to body structures and functions, and personal and environmental factors reported to influence communication. Data were synthesized using thematic analysis.
Results: From 75 articles, we identified combinations of health conditions (e.g., dementia), impairments to body functions and structures (e.g., hearing impairment), personal (e.g., language, culture, gender), and environmental factors (e.g., relationships, health services, products/technology), reported to affect communication for older adults in aged care environments. Language and culture, and support and relationships, were both key facilitators and barriers to communication.
Discussion and implications: Older adults may experience complex and diverse communication support needs that result from multiple intersecting factors. Research to date has focused on communication in residential aged care, with few studies exploring community aged care services. Our findings will inform the development of resources for identifying and supporting the communication needs of older adults who receive aged care services.
期刊介绍：
The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.
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