Oasis Senior Supportive Living: Description of a Novel Aging-in-Place Model in Ontario

Publication: Canadian Journal of Dietetic Practice and Research
10 March 2023

Abstract

Older adults are the fastest-growing demographic group in Canada, and the majority of older adults want to age-in-place within their communities. Many older adults live in naturally occurring retirement communities (NORCs), unplanned communities with a high proportion of older residents. NORC supportive services programs can help older adults successfully age-in-place. One such program is Oasis Senior Supportive Living, a partnership between older adults, building owners and managers, community partners, funders, and researchers. Using a qualitative approach, interviews were conducted with Oasis participants to understand their experiences of Oasis. This article will describe the three pillars upon which Oasis programming is based and provide insights from Oasis participants. It will discuss nutrition programming implemented in these NORCs and suggest how dietitians can support NORC residents.

Résumé

Les aînés constituent le groupe démographique qui connaît la croissance la plus rapide au Canada et la majorité d’entre eux souhaitent vieillir chez eux, au sein de leur communauté. De nombreux aînés vivent dans des collectivités de retraités formées naturellement (NORC), des communautés non planifiées comptant une forte proportion de résidents âgés. Les programmes de services de soutien de ces collectivités peuvent aider les aînés à bien vieillir chez eux. L’Oasis Senior Supportive Living, l’un de ces programmes, est un partenariat entre des aînés, des propriétaires et des gestionnaires d’immeubles, des partenaires communautaires, des bailleurs de fonds et des chercheurs. À l’aide d’une approche qualitative, des entrevues ont été menées auprès de participants d’Oasis afin de comprendre leur expérience avec ce programme. Cet article décrit les trois piliers sur lesquels repose le programme Oasis et présente le point de vue des participants. Il aborde les programmes de nutrition mis en place au sein de ces collectivités et suggère des moyens pour les diététistes de soutenir les résidents qui y vivent.

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Source of financial support: The Oasis expansion was supported by funding from the Baycrest Centre for Aging and Brain Health Innovation, the Ministry of Health and Long-Term Care, and the Ministry for Seniors and Accessibility. Each grant was specifically designated to support the expansion to a particular Oasis community.
Conflicts of interest: Catherine Donnelly and Vincent DePaul are the two co-primary investigators on the Oasis research project. Simone Parniak is the program coordinator for the Oasis program.

REFERENCES

1
Statistics Canada. Population projections for Canada (2018 to 2068), Provinces and Territories (2018 to 2043) [Internet]. 2018 [cited 2021 Feb 16]. Available from: https://www150.statcan.gc.ca/n1/pub/91-520-x/91-520-x2019001-eng.htm
2
National Institute on Ageing. Enabling the future provision of long-term care in Canada. Toronto, ON: National Institute on Ageing White Paper. 2019.
3
Ramage-Morin PL, Gilmour H, and Rotermann M. Nutritional risk, hospitalization and mortality among community-dwelling Canadians aged 65 or older. Health Rep. 2017;28(9):17–27.
4
World Health Organization. World report on ageing and health [Internet]. Geneva, Switzerland: World Health Organization; 2015 [cited 2021 Apr 6] p. 260. Available from: http://apps.who.int/iris/bitstream/10665/186463/1/9789240694811_eng.pdf?ua=1
5
Sheats JL, Winter SJ, King AC. Nutrition interventions for aging populations. In: Bales CW, Locher JL, Saltzman E, editors. Handbook of Clinical Nutrition and Aging. 3rd ed. New York: Humana Press; 2015. p. 3–19.
6
Lengyel CO, Jiang D, and Tate RB. Trajectories of nutritional risk: The Manitoba follow-up study. J Nutr Health Aging. 2017;21(6).
7
Vesnaver E and Keller HH. Social influences and eating behavior in later life: A review. J Nutr Gerontol Geriatr. 2011;30(1):2–23.
8
Hunt ME and Gunter-Hunt G. Naturally occurring retirement communities. J Hous Elder. 1986 Dec 19;3(3–4):3–22.
9
Bedney BJ, Goldberg RB, and Josephson K. Aging in place in naturally occurring retirement communities: transforming aging through supportive service programs. J Hous Elder. 2010;24(3–4):304–321.
10
Parniak S, DePaul VG, Frymire C, DePaul S, and Donnelly C. Naturally occurring retirement communities: scoping review. JMIR Aging. 2022 Apr 14;5(2):e34577.
11
Glass AP and Vander Plaats RS. A conceptual model for aging better together intentionally. J Aging Stud. 2013;27(4):428–442.
12
Pine PP and Pine VR. Naturally occurring retirement community-supportive service program: an example of devolution. J Aging Soc Policy. 2002;14(3–4):181–193.
13
Vladeck F. A good place to grow old: New York’s model for NORC supportive service programs. New York: United Hospital Fund; 2004. 27 p.
14
Donnelly C, Mahoney J, Hay M, Parniak S, Goes S, and DePaul V. Oasis senior supportive living program: a model of active aging. Occup Ther Now. 2019;21(6):23–4.
15
Greenfield EA, Scharlach AE, Lehning AJ, Davitt JK, and Graham CL. A Tale of two community initiatives for promoting aging in place: similarities and differences in the national implementation of NORC programs and villages. The Gerontologist. 2013;53(6):928–938.
16
Keller HH. Meal programs improve nutritional risk: a longitudinal analysis of community-living seniors. J Am Diet Assoc. 2006;106(7):1042–1048.
17
Bookman A. Innovative models of aging in place: transforming our communities for an aging population. Community Work Fam. 2008;11(4):419–438.
18
Anetzberger GJ. Community options of greater Cleveland, Ohio: preliminary evaluation of a naturally occurring retirement community program. Clin Gerontol. 2009 Dec;33(1):1–15.
19
Campbell AD, Godfryd A, Buys DR, and Locher JL. Does participation in home-delivered meals programs improve outcomes for older adults? Results of a systematic review. J Nutr Gerontol Geriatr. 2015;34(2):124–167.
20
Young K, Bunn F, Trivedi D, and Dickinson A. Nutritional education for community dwelling older people: a systematic review of randomised controlled trials. Int J Nurs Stud. 2011 Jun;48(6):751–780.
21
Donnelly C, DePaul V, Oasis Study Collaborative. Oasis Senior’s Supportive Living: Empowering Seniors. In: Trent Aging 2019 [Internet]. 2019. Available from: trentaging2019.com
22
Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018 Jul;52(4):1893–1907.
23
Vesnaver E and Keller HH. Social influences and eating behavior in later life: a review. J Nutr Gerontol Geriatr. 2011;30(1):2–23.
24
Sharkey JR. The interrelationship of nutritional risk factors, indicators of nutritional risk, and severity of disability among home-delivered meal participants. The Gerontologist. 2002 Jun 1;42(3):373–380.
25
Ramage-Morin PL and Garriguet D. Nutritional risk among older Canadians. Health Rep. 2013;24(3):3–13.
26
Keller HH, McKenzie JD, and Goy RE. Construct validation and test-retest reliability of the seniors in the community: risk evaluation for eating and nutrition questionnaire. J Gerontol A Biol Sci Med Sci. 2001;56(9):M552–M558.
27
Davis MA, Murphy SP, Neuhaus JM, Gee L, and Quiroga SS. Living arrangements affect dietary quality for U.S. adults aged 50 years and older: NHANES III 1988–1994. J Nutr. 2000;130(9):2256–2264.

Information & Authors

Information

Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
Volume 84Number 2June 2023
Pages: 119 - 122
Editor: Naomi Cahill

History

Version of record online: 10 March 2023

Key Words

  1. older adults
  2. aging-in-place
  3. naturally occurring retirement communities
  4. NORCs
  5. NORC-SSP

Mots-clés

  1. aînés
  2. vieillir chez soi
  3. collectivités de retraités formées naturellement
  4. NORC
  5. NORC-SSP

Authors

Affiliations

Christine Marie Mills RD, MPH, PhD(candidate)
Aging & Health Program, School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
Simone Parniak BHSc, MA
Health Services and Policy Research Institute, Queen’s University, Kingston, ON, Canada
Vincent G. Depaul PT, PhD
School of Rehabilitation Therapy and Health Services and Policy Research Institute, Queen’s University, Kingston, ON, Canada
Catherine Donnelly OT Reg (Ont.), PhD
School of Rehabilitation Therapy and Health Services and Policy Research Institute, Queen’s University, Kingston, ON, Canada

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