Person-environment fit of formal and informal caregivers for older adults: a scoping review
摘要
Caring for older adults is a dynamic and complex process, and analyzing personal and environmental factors separately fails to capture its full nature. The person-environment fit theory offers a valuable framework to explore interactions between caregivers and their environments. This review aimed to synthesize evidence on the person-environment fit of formal and informal caregivers for older adults, identify gaps in existing literature, and propose future research directions.
MethodsThe scoping review was conducted following the six-step guidance of the Joanna Briggs Institute 2020. A literature search was conducted in June 2024 across seven databases: Scopus, ProQuest, Web of Science, Embase, PubMed, MEDLINE, and CINAHL. Empirical studies published after 2000 regarding the person-environment fit of caregivers for older adults were included.
ResultsA total of 15 eligible articles were included, with nine focusing on formal caregivers and six focusing on informal caregivers. Research on formal caregivers’ person-environment fit often came from human resource management perspectives and was supported by various theories. In contrast, studies on informal caregivers tended to draw from environmental gerontology theories and lacked a systematic analytical model. Most studies used self-designed questionnaires or interviews, with one employing a standard person-environment fit measurement scale. Caregivers’ person-environment fit was analyzed through “demands-abilities fit” and “needs-supplies fit” dimensions, covering various types like person-physical, person-interpersonal, value, goal, and caregiving-life fit. Findings indicated that a high level of person-environment fit was associated with better physical and mental well-being, stronger caregiving commitment, and improved care quality.
ConclusionThe holistic and dynamic nature of person-environment fit theory is closely aligned with the caregiving process, enhancing our understanding of the experiences of caregivers. Based on existing evidence, this review proposes a theoretical framework for analyzing informal caregivers’ person-environment fit. Further investigation into the theoretical framework of caregiver person-environment fit, along with the development of standardized assessment instruments, will significantly advance the well-being of both caregivers and care recipients.
Trial registrationOpen Science Framework https://doi.org/10.17605/OSF.IO/YV26C.