Abstract

The trajectory of aging is profoundly impacted by the physical and social environmental contexts in which we live. While “top–down” policy activities can have potentially wide impacts on such contexts, they often take time, resources, and political will, and therefore can be less accessible to underserved communities. This article describes a “bottom–up”, resident-engaged method to advance local environmental and policy change, called Our Voice, that can complement policy-level strategies for improving the health, function, and well-being of older adults. Using the World Health Organization’s age-friendly cities global strategy, we describe the Our Voice citizen science program of research that has specifically targeted older adults as environmental change agents to improve their own health and well-being as well as that of their communities. Results from 14 Our Voice studies that have occurred across five continents demonstrate that older adults can learn to use mobile technology to systematically capture and collectively analyze their own data. They can then successfully build consensus around high-priority issues that can be realistically changed and work effectively with local stakeholders to enact meaningful environmental and policy changes that can help to promote healthy aging. The article ends with recommended next steps for growing the resident-engaged citizen science field to advance the health and welfare of all older adults.

Highlights

  • The trajectory of aging is profoundly impacted by the physical and social environmental contexts in which we live

  • Our Voice sits within a socioecological framework of impacts, spanning person- to policy-level outcomes [37,38], and is informed by behavioral and social action theories of change, and implementation science theory aimed at maximal scalability and sustainability [43]

  • The framework environmental policy changesand occurring as part of the older citizen defined by the

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Summary

Introduction

The trajectory of aging is profoundly impacted by the physical and social environmental contexts in which we live. Results from 14 Our Voice studies that have occurred across five continents demonstrate that older adults can learn to use mobile technology to systematically capture and collectively analyze their own data They can successfully build consensus around high-priority issues that can be realistically changed and work effectively with local stakeholders to enact meaningful environmental and policy changes that can help to promote healthy aging. For a growing number of adults today, longevity increases have not been accompanied by better health compared to prior generations [3], and this is true among disadvantaged populations [4] In light of this alarming trend, the World Health Organization has recommended a global strategy whereby all populations, regardless of geographic region, living conditions, or economic circumstances, can benefit from evidence-based activities aimed at maximizing functional ability and health [2]. Among the key strategies described in this call for action is the development of age-friendly environments

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