title: Psychosocial changes following transition to an aged care home: qualitative findings from Iran.
abstract: OBJECTIVE
  The study explored the psychosocial effects of transitioning from home to an aged care home for older Iranian people.
  
  
  BACKGROUND
  Moving from one's own home to a communal aged care home is challenging for older people and may give rise to numerous psychosocial responses. The extent and intensity of such changes have rarely been explored in Middle Eastern countries.
  
  
  METHODS
  Data were collected through purposive sampling by in-depth semi-structured interviews with 20 participants (17 people living in aged care homes and three formal caregivers). All the interviews were recorded and typed, and conventional qualitative content analysis was used, eliciting common themes.
  
  
  RESULTS
  There were four common themes: communication isolation, resource change, monotone institutional life and negative emotional response. Participants lost their previous support systems when transitioning to an aged care home and were not able to establish new ones. Routine care was provided by formal caregivers with little attention to individual needs, and minimal support was given to help maintain the older person's independence. These losses gave rise to negative emotions in some of the participants, depending on their previous lifestyle and accommodation arrangements.
  
  
  CONCLUSIONS
  The extent and intensity of psychosocial changes occurring in most of the participants following their transition to an aged care home indicates the need for a review of Iranian aged care services.
  
  
  CONCLUSIONS
  To assist older Iranian people adapt more readily when making the transition to aged care home and to meet their unique psychosocial needs, a family-centred approach to service delivery is recommended.
authors.affiliation: Medical-Surgical Nursing, Nursing & Midwifery Faculty of Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Zamanzadeh
authors.affiliation: Medical-Surgical Department, Nursing & Midwifery Faculty of Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran.
authors.forename: Azad
authors.initials: A
authors.lastname: Rahmani
authors.affiliation: Community Health Nursing Department, Nursing & Midwifery Faculty of Tabriz University of Medical Sciences, Student Research Committee, Tabriz, East Azerbaijan Province, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Pakpour
authors.affiliation: Centre for Healthy Brain Ageing, University of New South Wales, Sydney, NSW, Australia.
authors.forename: Lynnette Lorraine
authors.initials: LL
authors.lastname: Chenoweth
authors.affiliation: Medical-Surgical Nursing, Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
authors.forename: Eesa
authors.initials: E
authors.lastname: Mohammadi
mesh_terms: D000368:Aged / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D004644:Emotions; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D007407:Interviews as Topic; D007492:Iran; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012934:Social Isolation
keywords: Iran; aged care home; psychosocial effects; qualitative method; residence; transition