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Research projects

Different ways to successfully aging in place

About this project

About this project

Project information

Project status

In progress 2016 - 2023


Marie Holmefur

Research subject

Research environments

In Sweden, elderly people are, by the principle of "ageing in place", encouraged to remain living at their own homes, with help from home healthcare and home help services. If an elderly person does not want to live at home anymore, he/she has, according to The Social Services Act, the right to apply for an accommodation in a nursing home. However, following the principle of aging in place, the number of nursing homes has been reduced in the last decades, which might be the reason to the shortage of nursing homes leading to waiting times ranging from weeks to months for applying eldely persons. The fact that elderly persons in Sweden apply to nursing home on a daily basis, is an indication of that the principle of aging in place cannot meet the needs of all people in the elderly population.

The PhD- project "Different ways to successfully age in place" therefore includes studies that intend to identify the needs that affect the elderly choose to apply for nursing home, to plan for preventive factors which could enable more successful aging at home. The PhD-project will result in a dissertation which aims is to provide recommended interventions for further planning and investment in geriatric care. The growing population of elderly will make higher demands on society when it comes to standard of living, including aging at home. To determine factors that influence the elderlys’ wellbeing is therefore important both in the current situation but also for the future, as more and more of Sweden's population grows older and lives longer.

Ongoing research: Study 1, is an interview study with people waiting for an accommodation at a nursing home with a somatic focus. The purpose of the study was to describe the daily life experiences that influence people who age in place to apply to a nursing home. The results showed that the participants described moving to a nursing homes as an opportunity to remain their integrity. Participants with experience in home-based care described how neither their home nor themselves was respected. That activities in everyday life were made more difficult when staff from home-based care put things in the wrong place or, due to a high staff turn-over, could receive support with self-care by up to 80 different people per week. Some participants refused to receive home-based care because they did not want to let strangers into the home. The opinion was shared that they could accept losing some part of their integrity at a nursing home but not in their own home.

Study 2, is a case-control study where people waiting for an accommodation at a nursing home with a somatic focus are matched with people who have not applied to a nursing home but otherwise demographically match the case-group. Both the case- and control groups answer a questionnaire consisting of three surveys, which measure difficulties in everyday life (WHODAS 2.0), depression (GDS 20) and life satisfaction (SWLS).

Study 3, is a longitudinal survey study aiming to describe how the well-being changes during the move from home to a nursing home in which participants in study study 2 who answered the quesionnaire while waiting for a nursing home, also choose to answer after moving into a nursing home and also after living there for about three months. In this way, their difficulties in everyday life, depression and life satisfaction are measured over time.

The project is part of the university's strategic initiative Successful Ageing.


Research teams

Research funding bodies

  • Örebro University