Age-Friendly Space Design in Continuing Care Retirement Communities: A Scoping Review

Since the beginning of the 21st century, improvements in medical care and the popularization of healthy lifestyles have significantly extended life expectancy, accelerating the global aging trend. Consequently, the rapid growth of the older population has led to a substantial increase in demand for age-friendly products and services, making it essential for residential space design better to address the living and activity needs of older adults. In China, home-based care remains the preferred choice for most older adults, while traditional institutional care is often met with psychological resistance due to its closed environment. Positioned between these two models, the Continuing Care Retirement Community (CCRC) model provides a sustainable approach to aging by meeting the multi-stage and life-cycle needs of older adults, ranging from independent living to assisted care. Using a scoping review approach, this study identifies the research hotspots in the field of elderly care and spatial design, and integrates these findings with the design principles of elderly-oriented architecture to establish the key focal points in the design of Continuing Care Retirement Communities (CCRCs). These key points provide theoretical guidance for optimizing age-friendly residential space design and enhancing the overall quality of life for older adults in CCRC settings.