{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T06:59:15Z","timestamp":1774681155088,"version":"3.50.1"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"5","funder":[{"name":"VA Center for Health Equity Research and Promotion"},{"name":"Eugene Marsh Pilot Grant"},{"name":"Get Experience in Aging Research Undergraduate Program","award":["R25 AG069719"],"award-info":[{"award-number":["R25 AG069719"]}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>The Housing and Urban Development-Veterans Affairs Supported Housing (HUD-VASH) program provides rental subsidies, case management, and supportive services to Veterans who are currently or formerly homeless, 77% of whom are aged \u226550. Few interventions have been developed to address the needs of older Veterans in HUD-VASH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>We conducted a 2-stage study to inform the development of an intervention to promote aging in place in HUD-VASH. First, we completed qualitative interviews with 21 older Veterans in HUD-VASH and focus groups with 13 staff members to identify unmet needs for supporting aging in place. Second, we used a modified Delphi process with 9 staff and 1 Veteran to prioritize 66 intervention elements based on perceived feasibility and importance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 4 main themes: need for services to support aging in place, expanding the HUD-VASH workforce, focus on home delivery, and importance of trust. The top-rated intervention elements spanned 5 categories: (1) staffing (by social workers, primary care providers, nurses, home health aides); (2) focus (on geriatric needs, mental health needs, dementia care, medication management); (3) modality (in the home or medical center); (4) timing (delivery of the intervention when Veterans have functional impairment, memory impairment, mental health problems, trouble caring for themselves, or are new to HUD-VASH); and (5) duration (regularly scheduled or ongoing as needed).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Veterans and staff members identified key intervention elements which can help inform Veterans Affairs (VA) efforts to develop and implement interventions to enhance aging in place in HUD-VASH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geront\/gnaf018","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T23:37:30Z","timestamp":1738021050000},"source":"Crossref","is-referenced-by-count":1,"title":["Developing an Intervention to Enhance Aging in Place for Older Veterans Living in Permanent Supportive Housing"],"prefix":"10.1093","volume":"65","author":[{"given":"Kelly","family":"Su","sequence":"first","affiliation":[{"name":"Department of Science & Technology Studies, Cornell University , Ithaca, New York ,","place":["USA"]},{"name":"Population Aging Research Center at the University of Pennsylvania , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Medha Romee","family":"Maitra","sequence":"additional","affiliation":[{"name":"Population Aging Research Center at the University of Pennsylvania , Philadelphia, Pennsylvania ,","place":["USA"]},{"name":"Departments of Genetics and Sociology, University of Georgia , Athens, Georgia ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4471-7957","authenticated-orcid":false,"given":"Amanda D","family":"Peeples","sequence":"additional","affiliation":[{"name":"Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Octavia","family":"Goodman","sequence":"additional","affiliation":[{"name":"Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Tsai","sequence":"additional","affiliation":[{"name":"National Center on Homelessness among Veterans, U.S. Department of Veterans Affairs Central Office , Washington, DC ,","place":["USA"]},{"name":"School of Public Health, University of Texas Health Science Center at Houston , Houston, Texas ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Lee","sequence":"additional","affiliation":[{"name":"Housing and Urban Development-Veterans Affairs Supportive Housing, Department of Veterans Affairs , Washington, DC ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8148-2421","authenticated-orcid":false,"given":"Kenneth","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatric Medicine, University of Colorado Anschutz Medical Campus , Aurora, Colorado ,","place":["USA"]},{"name":"Department of Medicine, Division of Hospital Medicine, University of Colorado Anschutz Medical Campus , Aurora, Colorado ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Lubens","sequence":"additional","affiliation":[{"name":"Institute for Veteran Policy, Swords to Plowshares , San Francisco, California ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kara","family":"Zamora","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Healthcare System , San Francisco, California ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Shak","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Healthcare System , San Francisco, California ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7483-4137","authenticated-orcid":false,"given":"Rebecca T","family":"Brown","sequence":"additional","affiliation":[{"name":"Center for Health Equity Research and Promotion, Corporal Michael J. 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