{"doi":"10.1093/geront/gnaf018","title":"Developing an Intervention to Enhance Aging in Place for Older Veterans Living in Permanent Supportive Housing","abstract":"BACKGROUND AND OBJECTIVES: The Housing and Urban Development-Veterans Affairs Supported Housing (HUD-VASH) program provides rental subsidies, case management, and supportive services to Veterans who are currently or formerly homeless, 77% of whom are aged ≥50. Few interventions have been developed to address the needs of older Veterans in HUD-VASH. RESEARCH DESIGN AND METHODS: We conducted a 2-stage study to inform the development of an intervention to promote aging in place in HUD-VASH. First, we completed qualitative interviews with 21 older Veterans in HUD-VASH and focus groups with 13 staff members to identify unmet needs for supporting aging in place. Second, we used a modified Delphi process with 9 staff and 1 Veteran to prioritize 66 intervention elements based on perceived feasibility and importance. RESULTS: We identified 4 main themes: need for services to support aging in place, expanding the HUD-VASH workforce, focus on home delivery, and importance of trust. The top-rated intervention elements spanned 5 categories: (1) staffing (by social workers, primary care providers, nurses, home health aides); (2) focus (on geriatric needs, mental health needs, dementia care, medication management); (3) modality (in the home or medical center); (4) timing (delivery of the intervention when Veterans have functional impairment, memory impairment, mental health problems, trouble caring for themselves, or are new to HUD-VASH); and (5) duration (regularly scheduled or ongoing as needed). DISCUSSION AND IMPLICATIONS: Veterans and staff members identified key intervention elements which can help inform Veterans Affairs (VA) efforts to develop and implement interventions to enhance aging in place in HUD-VASH.","journal":"The Gerontologist","year":2025,"id":551402,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9406,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1251397,"name":"Medha Romee Maitra","orcid":null,"position":1,"is_corresponding":false},{"id":1447170,"name":"Amanda Peeples","orcid":"0000-0002-4471-7957","position":2,"is_corresponding":false},{"id":1447171,"name":"Octavia Goodman","orcid":"0000-0002-8768-0701","position":3,"is_corresponding":false},{"id":335,"name":"Jack Tsai","orcid":"0000-0002-0329-648X","position":4,"is_corresponding":false},{"id":1447172,"name":"Deborah Lee","orcid":"0000-0001-9938-3862","position":5,"is_corresponding":false},{"id":1245333,"name":"Kenneth Lam","orcid":"0000-0002-8148-2421","position":6,"is_corresponding":false},{"id":1447540,"name":"Pauline Lubens","orcid":null,"position":7,"is_corresponding":false},{"id":360897,"name":"Kara Zamora","orcid":"0000-0002-6566-3302","position":8,"is_corresponding":false},{"id":1447541,"name":"Emma B. Shak","orcid":null,"position":9,"is_corresponding":false},{"id":392711,"name":"Rebecca T. Brown","orcid":"0000-0001-7483-4137","position":10,"is_corresponding":false},{"id":1447539,"name":"Kelly Su","orcid":null,"position":0,"is_corresponding":true}],"reference_count":36,"raw_metadata":null,"created_at":"2026-07-19T02:54:25.065895Z","pmid":"39878691","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}