Examining mobility patterns and social health of older Canadians living at home to inform decision aids about housing: a mixed-methods study (Preprint)
Notice bibliographique
Résumé
BACKGROUND A variety of tools exist to support decision-making about housing among older adults; however, older adults’ mobility patterns and social health have not been adequately considered as pivotal considerations in decisions about housing. OBJECTIVE Examine mobility patterns and social health of older Canadians living at home to inform decisions about housing options. METHODS Using a mixed-methods study, we recruited a convenience sample of 20 older adults in Quebec and Alberta. Eligibility criteria were: a) aged 65 years or older, b) living autonomously at home or in a senior residence, and c) with outdoor mobility. Data gathered included: i) a sociodemographic, health and quality-of-life survey, ii) GPS tracking, iii) a walking interview, iv) a daily journal, and v) an in-depth interview. Participants recorded their mobility patterns outside the home for 14 days using a GPS tracker and a daily journal which provided information on destinations, activity purpose, length, type, frequency, with whom, and weather. Walking interviews and in-depth interviews provided information about participants’ existing physical and social assets as well as obstacles to their social health and mobility that could affect future housing decisions. We triangulated data to add qualitative dimensions to our quantitative results. Finally, we selected four contrasting participants, 2 in Quebec and 2 in Alberta, to create activity space maps based on GPS data and interpreted them using the other data sources. RESULTS Out of 25 people approached, 20 participants agreed to participate in the study. Of these, 14 (8 from Alberta and 6 from Quebec) agreed to use GPS trackers and completed the survey, interviews and journals. Maps generated from GPS showed people mostly left home to drive to stores and go for walks. In 14 days, the mean number of trips per person was 10.4 (±5.8). The average distance travelled per person was 186.9 km (±130.4), and average per day was 16.8 km (±29.8). GPS shows the means of transportation was mostly car (n=9) and walking (n=5), while 2 participants used the bus. Daily journals showed that participants typically travelled alone. The interviews showed that their mobility gave them access to important physical assets, among which the 2 most frequently reported were libraries and supermarkets (n=10), and to important social assets, notably family support when desired (n=13) and familiarity with the neighborhood (n=14), contributing to their overall social health. Winter weather was the most frequently mentioned factor affecting how much or whether participants went out (n=13). CONCLUSIONS In a Canadian cohort of older adults, mobility patterns and existing social and physical assets, such as contact with the neighborhood, made important contributions to their social health and are important to inform decisions about housing options. INTERNATIONAL REGISTERED REPORT RR2-10.2196/19244
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,010 | 0,009 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,002 |
| Bibliométrie | 0,003 | 0,006 |
| Études des sciences et des technologies | 0,007 | 0,001 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».