New Article: Zisberg et al, Adaptation to Life in Continuing Care Communities among Older Adults

Zisberg, Anna, Waheed Kaabiya, and Elena O. Siegel. “Trait of Routinization and Adaptation to Life in Continuing Care Communities among Older Adults in Israel.” Geriatrics & Gerontology International 15.4 (2015): 501-507.






To examine the relationship between levels of adaptation to independent living in continuing care communities and the personality trait, routinization.


Using a correlative design, structured face-to-face interviews were carried out with 120 older adults residing in independent housing units across six continuing care facilities in Israel, using the Index of Relocation Adjustment and the Variety Assessment Scale questionnaires.


In a mixed model, one of the two routinization subscales (disliking disruption) was moderately associated with adaptation, controlling for decision to enter the facility, satisfaction with the facility, family relationship, functional status, education, family status and type of setting. Residents who expressed high levels of disliking disruption, higher functional status and less involvement in the decision to enter the facility reported poorer adaptation to their living conditions.


Our findings point out the complexity and intricacy of personal attributes as factors associated with adaptation to transitions in older age, and highlight the potential contribution of the trait of routinization to adaptation. Further research is required to identify ways to best support older adult transitions to institutional environments, considering different personality traits and environments.


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