{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:21:45Z","timestamp":1789845705548,"version":"4.0.1"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Most persons living with dementia in Canada reside at home, relying on support from family and\/or friends as caregivers. Evidentially, knowledge gaps exist when trying to understand how caregivers and persons living with dementia can be better supported in their community and health care environments. This research examined the effect of aging in place with a focus on providing a comprehensive understanding of the barriers to aging in place for persons living with dementia and their caregivers using the social-ecological model. Fourteen caregivers were recruited to participate in one-on-one semi-structured interviews. The subsequent theme,\n                    <jats:italic>they do not make it easy<\/jats:italic>\n                    , emphasizes issues faced with community and societal domains of aging in place care. These findings shed light on the unmet needs of persons living with dementia and their caregivers while aging in place, as well as the need to address systemic barriers to sincerely promote aging in place for\n                    <jats:italic>all<\/jats:italic>\n                    persons.\n                  <\/jats:p>","DOI":"10.1017\/s0714980825100287","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T07:53:22Z","timestamp":1758268402000},"page":"520-529","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Caregiver Perspectives of Aging in Place with Dementia: A Qualitative Exploration of Barriers Using the Social Ecological Model"],"prefix":"10.1017","volume":"44","author":[{"given":"Jessica L.","family":"Russell","sequence":"first","affiliation":[{"name":"University of Waterloo"},{"id":[{"id":"https:\/\/ror.org\/00fn7gb05","id-type":"ROR","asserted-by":"publisher"}],"name":"Wilfrid Laurier University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula C.","family":"Fletcher","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00fn7gb05","id-type":"ROR","asserted-by":"publisher"}],"name":"Wilfrid Laurier University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"S0714980825100287_r6","volume-title":"Dementia in Canada survey","year":"2023a"},{"key":"S0714980825100287_r16","first-page":"e12408","article-title":"Dementia care navigation: Building toward a common definition, key principles, and outcomes","volume":"9","author":"Kallmyer","year":"2023","journal-title":"Alzheimer\u2019s and Dementia: Translational Research and Clinical Interventions"},{"key":"S0714980825100287_r24","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1093\/geronb\/61.4.P220","article-title":"Long-term-care placement and survival of persons with Alzheimer\u2019s disease","volume":"61","author":"McClendon","year":"2006","journal-title":"The Journals of Gerontology Series B: Psychological Sciences and Social Sciences"},{"key":"S0714980825100287_r29","volume-title":"Qualitative research and evaluation methods","author":"Patton","year":"2002"},{"key":"S0714980825100287_r28","first-page":"1","article-title":"The representation of personal support workers in dementia-specific learning need assessments: A scoping review","author":"Norris","year":"2024","journal-title":"Educational Gerontology"},{"key":"S0714980825100287_r26","unstructured":"Milhaildis, A. (2023). Population aging is one of our most urgent challenges. Toronto star. https:\/\/www.thestar.com\/opinion\/contributors\/2023\/02\/19\/population-aging-is-one-of-our-most-urgent-challenges.html"},{"key":"S0714980825100287_r41","volume-title":"and mixed methods approaches","author":"Creswell","year":"2018"},{"key":"S0714980825100287_r19","doi-asserted-by":"crossref","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic inquiry","author":"Lincoln","year":"1985"},{"key":"S0714980825100287_r38","doi-asserted-by":"crossref","first-page":"36","DOI":"10.29173\/pandp14931","article-title":"Practicing phenomenological writing","volume":"2","author":"van Manen","year":"1984","journal-title":"Phenomenology + Pedagogy"},{"key":"S0714980825100287_r5","first-page":"163","article-title":"Quality home care for persons living with dementia: Personal support workers\u2019 perspectives in Ontario, Canada","volume":"29","author":"Breen","year":"2021","journal-title":"Community Health and Social Care in the Community"},{"key":"S0714980825100287_r40","doi-asserted-by":"publisher","DOI":"10.12927\/hcpol.2017.25324"},{"key":"S0714980825100287_r22","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.24.456"},{"key":"S0714980825100287_r14","unstructured":"Jakobi, J. (2022). Aging in place reflections from Canadians. Aging in place. https:\/\/aginginplace.ok.ubc.ca\/wp-content\/uploads\/Aging-in-Place-reflections-from-Canadians.-stakeholderreport_final.pdf"},{"key":"S0714980825100287_r1","unstructured":"Alzheimer Society of Canada, 2022. Dementia numbers in Canada. https:\/\/alzheimer.ca\/en\/about-dementia\/what-dementia\/dementia-numbers-canada"},{"key":"S0714980825100287_r8","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1002\/gps.1558","article-title":"Illness representations in early-stage dementia: A preliminary investigation","volume":"21","author":"Clare","year":"2006","journal-title":"International Journal of Geriatric Psychiatry"},{"key":"S0714980825100287_r13","doi-asserted-by":"crossref","first-page":"E422","DOI":"10.1503\/cmaj.190999","article-title":"Five-year risk of admission to long-term care home and death for older adults given a new diagnosis of dementia: A population-based retrospective cohort study","volume":"192","author":"Huyer","year":"2020","journal-title":"Canadian Medical Association Journal"},{"key":"S0714980825100287_r39","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2012\/590724","article-title":"Dementia home care resources: How are we managing?","volume":"2012","author":"Ward-Griffin","year":"2012","journal-title":"Journal of Aging Research"},{"key":"S0714980825100287_r4","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"S0714980825100287_r33","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18536"},{"key":"S0714980825100287_r15","doi-asserted-by":"publisher","DOI":"10.1080\/01621420802700952"},{"key":"S0714980825100287_r32","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303448"},{"key":"S0714980825100287_r11","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-022-00643-7"},{"key":"S0714980825100287_r30","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1037\/0022-0167.52.2.126","article-title":"Qualitative research in counselling psychology: A primer on research paradigms and philosophy of science","volume":"52","author":"Ponterotto","year":"2005","journal-title":"Journal of Counseling Psychology"},{"key":"S0714980825100287_r27","doi-asserted-by":"publisher","DOI":"10.1177\/1471301211418096"},{"key":"S0714980825100287_r35","doi-asserted-by":"publisher","DOI":"10.4324\/9781003221982-16"},{"key":"S0714980825100287_r3","article-title":"Using care navigation to address caregiver burden in dementia: A qualitative case study analysis","volume":"6","author":"Bernstein","year":"2020","journal-title":"Alzheimer\u2019s and Dementia: Translational Research and Clinical Interventions"},{"key":"S0714980825100287_r7","volume-title":"Infographic: Canada\u2019s senior population outlook: Uncharted territory","year":"2023b"},{"key":"S0714980825100287_r2","volume-title":"Patient safety and healthcare error in the Canadian healthcare system: A systematic review and analysis of leading practices in Canada with reference to key initiatives elsewhere [report to Health Canada]","author":"Baker","year":"2001"},{"key":"S0714980825100287_r12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.02.011"},{"key":"S0714980825100287_r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2013.02.002"},{"key":"S0714980825100287_r21","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1111\/j.1365-2524.2011.01032.x","article-title":"Navigation roles support chronically ill older adults through healthcare transitions: A systematic review of the literature: Navigation roles: Review of literature","volume":"20","author":"Manderson","year":"2012","journal-title":"Health and Social Care in the Community"},{"key":"S0714980825100287_r37","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.gerinurse.2017.05.003","article-title":"Facilitating aging in place: A qualitative study of practical problems preventing people with dementia from living at home","volume":"39","author":"Thoma-L\u00fcrken","year":"2018","journal-title":"Geriatric Nursing"},{"key":"S0714980825100287_r18","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2022.104808"},{"key":"S0714980825100287_r23","first-page":"17","volume-title":"Voice in qualitative inquiry: Challenging conventional, interpretive, and critical conceptions in qualitative research","author":"Mazzei","year":"2009"},{"key":"S0714980825100287_r34","doi-asserted-by":"publisher","DOI":"10.1177\/1471301217692130"},{"key":"S0714980825100287_r36","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20210004"},{"key":"S0714980825100287_r31","doi-asserted-by":"publisher","DOI":"10.32481\/djph.2022.08.007"},{"key":"S0714980825100287_r20","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s11133-007-9062-0","article-title":"Efficiency and the fix revisited: Informal relations and mock routinization in a nonprofit nursing home","volume":"30","author":"Lopez","year":"2007","journal-title":"Qualitative Sociology"},{"key":"S0714980825100287_r17","first-page":"1358971","article-title":"Breadth of the socio-ecological model","volume":"1059924X","author":"Kilanowski","year":"2017","journal-title":"Journal of Agromedicine"},{"key":"S0714980825100287_r10","unstructured":"Government of Canada (2023). Dementia: Symptoms and treatment. https:\/\/www.canada.ca\/en\/public-health\/services\/diseases\/dementia\/symptoms-treatment.html"}],"container-title":["Canadian Journal on Aging \/ La Revue canadienne du vieillissement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980825100287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:02:10Z","timestamp":1769688130000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0714980825100287\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,19]]},"references-count":40,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S0714980825100287"],"URL":"https:\/\/doi.org\/10.1017\/s0714980825100287","relation":{},"ISSN":["0714-9808","1710-1107"],"issn-type":[{"value":"0714-9808","type":"print"},{"value":"1710-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,19]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of The Canadian Association on Gerontology","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}