Feature Article
Exploring the meaning of community for older Australians
Melanie Hoyle, Carly Ryan and Louise Gustafsson
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Qld, Australia
Background/aim: As the population ages, older adults
are being encouraged through policy to remain living in
their home and community. Occupational therapists are
in a position to support individuals to engage in mean-
ingful occupations, acknowledging the influence of per-
sonal and environmental factors on community
participation. The purpose of this study was to under-
stand the meaning and experience of community for older
Australian adults.
Methods: A cross-sectional phenomenological research
study design was utilised. Convenience and snowball sam-
pling were used to recruit 32 participants with ages rang-
ing from 65 to 94 years living in the south east region of
Queensland, Australia. Semi-structured interviews were
conducted and thematic analysis was used to explore the
participants’ responses.
Results: Four final themes were revealed: organised
things in the community, community is people, commu-
nity is what you make of it and the meaning of commu-
nity is life.
Conclusion: The results support that community extends
beyond physicality, with personal motivation, the social
environment and community involvement identified as
important constructs within each of the themes. The find-
ings provide a foundation for future research and occupa-
tional therapy practices to support older adults to age in
place.
KEY WORDS ageing, occupation, older adult, participa-
tion, qualitative research.
Introduction
Population ageing is a global phenomenon that occurs
as the proportion of older people becomes larger in
relation to the total population (World Health Organisa-
tion, 2007). Australian statistics clearly reflect this, with
the proportion of adults aged over 65 years expected to
increase from 13.8% in 2011 to 22.3% by 2051 (Austra-
lian Bureau of Statistics, 2008; Australian Bureau of
Statistics, 2012a). This shift has widespread implications
for governments (Australian Bureau of Statistics, 2012b),
resulting in key policy changes to meet the needs of the
ageing population. The World Health Organisation’s
Active Ageing Framework (World Health Organisation,
2002) provided the foundation for the development of
Australia’s Positive Ageing Agenda and the Living
Longer Living Better reform, with a focus on supporting
individuals to age in their place of choice while max-
imising participation, maintaining functional indepen-
dence and a connection to their community
(Commonwealth of Australia, 2012). The framework
acknowledges that active and positive ageing occurs
both in the home and community. Therefore, it is
important that the meaning of these diverse environ-
ments is understood from the perspective of older
adults.
Across occupational therapy literature, the meaning
and experience of the home environment for older
adults is well researched and documented (Gardner,
2011). However, ageing in place is more complex than
maintaining home occupancy (Feist, 2011; Siebert, 2007),
and evidence suggests that people are more likely to
spend increased time in the environments immediately
outside the home as they age (Feist, 2011; Means &
Evans, 2012). The World Health Organisation Global
Network of Age-friendly Cities and Communities has
identified core features of age-friendly cities that opti-
mise the environment for people as they age (World
Health Organisation, 2007). This work has driven policy
and subsequent research, focusing predominantly on
physical aspects of the environment rather than the per-
sonal experiences of individuals (Gardner, 2011; Plouffe
& Kalache, 2010). The experience of community is not
homogenous; it is shaped by a complex interplay of fac-
tors, including an individual’s perceptions, interpreta-
tions and experience (Cloutier-Fisher & Harvey, 2009;
Melanie Hoyle MOccThySt, PostGradDipPsych, Grad-
DipHlthSc, BSci(Psych); Associate Lecturer in Occupational
Therapy. Carly Ryan BOccThy(Hons), Undergraduate Hon-
ours Student in Occupational Therapy. Louise Gustafsson
PhD, BOccThy(Hons); Head of Occupational Therapy.
Correspondence: Melanie Hoyle, School of Health and
Rehabilitation Sciences, University of Queensland, St Lucia,
Qld 4072, Australia. Email: m.hoyle@uq.edu.au
Accepted for publication 12 October 2015.
© 2015 Occupational Therapy Australia
Australian Occupational Therapy Journal (2016) 63, 86–94 doi: 10.1111/1440-1630.12251