Person-environment fit of formal and informal caregivers for older adults: a scoping review

Abstract Background 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....

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Main Authors: Yuting Huang, Vivian Weiqun Lou, Wenling Zhang, Gehao Yang, Xiaobo Ke, Fan Yang, Haochu Li, Junyao Zheng, Yiyan Zhou, Wenjie Li, Shihan Lu
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03657-x
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Summary:Abstract Background 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. Methods The 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. Results A 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. Conclusion The 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 registration Open Science Framework https://doi.org/10.17605/OSF.IO/YV26C .
ISSN:1472-6955