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. 2020 Nov 10;17(22):8305. doi: 10.3390/ijerph17228305

Table 2.

Charting the data of included studies in the systematic review.

ID. Authors and Year Objectives Geographical Context and Length Design and Approaches Participants Interventions Instruments and Measures Effectiveness
[60] Amoah et al., 2019 To study how conscious and collaborative interventions affect the older persons’ perception of age-friendliness of various AFC domains and the implications for health-related well-being over time Urban (Hong Kong’s Islands District)
17 months
NC
AFCC
NI: 946
PA: ≥50
MA: 71.4%
W: 78.1%
Randomness: NR
TY: Environmental
AP: Risk reduction; environmental adaptations
ST: Prevention; management
Domain: H; T; OS; CS; SP; RS; CP; IC
FI: Individually based
Quantitative methods: pre- and post-intervention study
M: self-rated health (Likert scale)
DA: Binary logistic regression
HE: with no improvement in self-rated health
BE: more participation
DE: improvement in 5 domains of AFCC
TEE: short term
[61] Atkins, 2019 To examine how stakeholders (government, peak bodies and the not-for-profit sectors) prioritize age-friendly communities through interventions to improve older people’s well-being Metropolitan (metropolitan area of Perth, Australia)
2 months
NC
AFCC
NI: 117
NG: 23
PA: n/d
MA: n/d
%W: n/d
Randomness: NR
TY: Environmental
AP: Risk reduction
ST: Prevention
Domain: H; T; OS; CS; SP; RS; CP; IC
FI: Group format
Quantitative and qualitative methods: Q methodology; semi-structured interviews; focus groups
M: n/d
DA: Factor analysis
HE: n/d
BE: more social participation among older adults
DE: ease of use of transport
TEE: short term
[62] Broome et al., 2013 To evaluate the impact of implementing age-friendly guidelines for public buses on bus use, usability and social participation for older persons Urban (Hervey Bay and North of Brisbane, Queensland, Australia)
24 months
NRC
AFCC
N: 335
NI: 100 (users and non-users)
PA: ≥60
MA: 72.4
% W:78.9%
Randomness: NR
TY: Environmental
AP: Risk reduction; socials.
ST: Prevention; management
Domain: T
FI: Individually based
Quantitative methods: pre- and post-intervention study; data were compared with nominal group technique data collected from a previous study
M: Social Activities Participation (based on the Social Activities Checklist: SOCACT: frequency and satisfaction scale)
DA: Multinomial logistic regression
HE: n/d
BE: the frequency of use of transport for older adults Does not increaseDE: improvement the ease of use of transportation
TEE: short term
[63] Gough and Cassidy, 2017 In the context of the Fountain of Health Initiative for Optimal Ageing, related to the AFCC, this paper aimed at assessing the effectiveness of the peer-led educational groups to promote health knowledge and behaviours at the community level Urban areas (Halifax Regional Municipality) and rural areas (Annapolis Valley, Nova Scotia), Canada
6 weeks (90 min per series)
NRCr
AFCC through the Fountain of Health Initiative for Optimal Ageing areas, related to AFCC
Ni: 51
PA: ≥50
MA: n/d
%W: 75.3%
Randomness: NR
TY: Multicomponent
AP: Information and education
ST: Management
Domain: SP; RS
FI: Group format
Quantitative and qualitative methods: pre- and post-intervention study; peer-led education series
M: Self-perception of aging based on the Attitudes Towards Own Aging subscale.
DA: Chi squared; paired samples t-test.
HE: n/d
BE: improvement attitudes towards ageing
DE: more social participation
TEE: short term
[64] Jitramontree et al., 2015 To develop and implement a Multifactorial Age-friendly Fall Prevention program (MAFPP) among older people living in the community Intraurban (west of Bangkok, Thailand)
Several months (no specification)
NC
AFCC Through the Multifactorial Age-friendly Fall Prevention Program (MAFPP)
NI: 50
NF: 20
NP: 10
PA: ≥60
MA: n/d
%W: n/d
Randomness: NR
TY: Multicomponent
AP: Risk reduction; support groups.
ST: Prevention; management
Domain: H; CP
FI: Group format
Qualitative methods: focus groups and in-depth interviews
M: Thai Fall Risk Assessment Test (Thai-FRAT)
DA: thematic analysis
HE: improvement in the prevention of falls
BE: better communication
DE: decrease environmental risk in housing
TEE: short term
[65] Kam, 2020 Evaluate the effectiveness of the EPS (Empowerment, Participation and Strengths) intervention model in older users of the public transport system Intraurban (Hong Kong districts)
Several months (no specification)
NC
AFCCthrough the EPS principles (Empowerment, Participation and Strength)
N: 1683
NI: 30
PA: ≥60
MA: n/d
%W: n/d
Randomness: NR
TY: Psychosocial
AP: Socials
ST: Prevention
Domain: T
FI: Group format
Quantitative and qualitative methods: survey; focus groups; observational study through site visits;
M: structured questionnaireDA: n/d
HE: n/d
BE: user satisfaction; empowerment
DE: transport service adaptation improvements
TEE: short term
[66] Kuo and Chen, 2019 Under the assumption of the knowledge and attitudes of employees toward ageing are important for successful of Age-Friendly Hospital (AFH), this observational study aimed at examining the certification process of an AFH using John Kotter’s change model and evaluating the changes in employees’ knowledge of ageing and their attitudes towards the elderly Building
(the Cardinal Tien Hospital, Taipei, Taiwan, as a teaching hospital)
8 months
RCr
AFCC based on the Age-Friendly Hospital certification process
N: 336
Ni: 163
PA: ≥20
MA: 39.2
%W: n/d
Randomness: R
TY: Psychosocial
AP: Training
ST: Management
Domain: CS; RS
FI: Individually based and Group format
Quantitative and qualitative methods: self-administered online questionnaire pre- and post-intervention; observational study
M: Facts on Ageing Quiz (FAQ1) scale assess physical, psychological and social factors; the Geriatric Attitudes Scale (GAS); change evaluation through SWOT analysis
DA: Paired samples t-test.
HE: n/d
BE: positive effect of employees’ attitude towards ageing
DE: improvements in health service
SO: improvements in organization and management
TEE: short term
[67] Lee et al., 2018 To evaluate the impact of a community transport intervention on the independence and well-being of older people living in an urban community Urban (Perth, Australia)
4 months
NC
AFCC
NI: 32 (functional disability, no cognitive impairment)
PA: ≥65
MA: n/d
%W: 75%
Randomness: n/d
TY: Environmental
AP: Risk reduction; environmental adaptations
ST: Prevention
Domain: T
FI: Individually based
Longitudinal analysis based on quantitative and qualitative methods: pre- and post-intervention interviews, in-depth interviews
M: The Personal Component of the Housing Enabler
(Functional Limitations and Dependence on Mobility devices)
DA: descriptive analyses. Qualitative analysis through NVivo software
HE: no health improvements
BE: improves independence and the perception of safety at exits. No communications improvements
DE: relative effectiveness of the transport service adaptation improvements
TEE: short term
[68] Levert et al., 2016 This observational analysis aimed at adapting, implementing and evaluating an intervention based on personalized citizen support (Citizen Intervention in Community Living project) for older people with traumatic brain injury (TBI), in order to know the facilitators or the barriers in their use of public spaces in the residential environment. Intraurban (Montreal, Canadá)
20 h
RCr
AFCC
NI: 3
PA: ≥65
MA: 85.3
%W: 66.6%
Randomness: R
TY: Multicomponent
AP: Risk reduction; socials
ST: Prevention
Domain: H; T; SP; RS
FI: Individually based
Qualitative methods: direct observational study with inductive approach through site visits
M: fieldwork script
DA: Thematic and cross-sectional analysis
HE: n/d
BE: proactive behaviour in exits; preventive social support
DE: social participation improvement
TEE: short term
[69] Pejner et al., 2019 To develop and evaluate healthcare technologies through designing, developing and evaluating an age-friendly smart home that uses smart technologies to collect and compile health-related evidence in order to support decision making and communication regarding medication self-managing among older people Urban (municipalities of Halmstad and Hylte, Halland, Sweden)
3 months (3 h per session)
NRCr
AFCC through the Intelligent Age-Friendly Home (IAFH)
NI: 10 participants with polypharmacy and home care
NF: 10
NP: 10
PA: ≥65
MA: n/d
%W: 69%
Randomness: NR
TY: Multicomponent
AP: Risk reduction; environmental adaptations; incorporation of assistive technology; training
ST: Prevention; management
Domain: CS
FI: Individually based and group format
Quantitative and qualitative methods: survey; focus groups; participatory design. Several phases: conceptualization of the system; development; pilot study; full-scale intervention
M: Morisky Medication Adherence Scale; Personal Well-being Index-Adult; Satisfaction with Life Scale; Serenity Scale
DA: n/d
HE: relative effectiveness of adherence to medication
BE: relative effectiveness due to an unwilling attitude to the use of assistive technology
DE: relative effectiveness of technological systems in the home
TEE: short term
[70] Thompson et al., 2014 To evaluate the effects of residential streets improvements for the support of physical activity and well-being among older adults Intraurban in locations of England, Wales and Scotland
30 months
NRC
AFCC
N: 96
NI: 56 (residents); 40 (non-residents)
PA: ≥65
MA: 75.2
%W: 60.4%
Randomness: NR
TY: Multicomponent
AP: Risk reduction; environmental adaptations; socials
ST: Prevention; Management
Domain: OS
FI: Individually based
Quantitative methods: pre- and post-intervention surveys;
Accelerometry. M: general health (EQ-5D) scale; quality of life (CASP-19); frequency of outdoor visits (walking, recreational walking, gardening, outdoor sports, other outdoor activities); Instrumental Activities of Daily Living (IADL); neighbourhood open space
(NOS) scale
AD: Paired samples t-test; factor analysis; hierarchical blocked
linear regressions; non-parametric tests (Mann–Whitney U or Kruskal–Wallis)
HE: no health improvements
BE: no improvements in activity participation
DE: street safety perception improvement
TEE: medium term (between 3 and 6 months)

-Col. ID: the same as in the references section. -Col. Design of the intervention and Approaches: NRC: Non-Randomised Controlled intervention; RCr: Randomised Crossover intervention; NRCr: Non-randomised Crossover intervention; NC: Non-Controlled intervention. AFCC Age-Friendly Cities and Communities. -Col. Participants: N: Total participants; NI: Total participants in the intervention; NF: Total family participants; NP: Total professional participants; NG: Total participants of the Government; PA: Age of the participants; MA: Mean age; %W: percentage of women; Randomness: R: Randomized; NR: Non-randomized. -Col. Interventions: TY: Type; AP: Approach; ST: Strategy. Domain of the interventions: H (housing); T (transportation); OS (outdoor spaces and buildings); CS (community support and health services); SP (social participation); RS (respect and social inclusion); CP (civic participation and employment); IC (information and communication). FI: Format of the interventions: single; collective. -Col. Instruments/Measures: M: Measures; DA: Data analysis. -Col. Effectiveness of the interventions: HE: Effectiveness in improving risk factors for physical and psychological health; BE: Effectiveness of behavioural changes in lifestyle; OE: Effectiveness of changes in the results of organizations; DE: Effectiveness of changes in the results of the AFCC domains; TEE: Time elapsed at the end of the intervention for its evaluation. n/d: no data. Source: Own elaboration based on the included studies.