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Values and Principles Informing Designs for People Living With Dementia—an Emerging International Consensus 痴呆症患者设计的价值观和原则——一个新兴的国际共识
IF 2 Q2 Social Sciences Pub Date : 2022-04-13 DOI: 10.1080/26892618.2022.2062806
R. Fleming, Kirsty A Bennett, J. Zeisel
Abstract This article provides a perspective on the development of an international consensus on the values and principles guiding building designs that enable people living with dementia to live full lives. A manifesto based on views contained in the Alzheimer’s Disease International World Alzheimer’s Report 2020; Design, Dignity, Dementia was published on the web. Signatories were asked to comment on the values and principles it contained. Comments from signatories in 18 countries were thematically analyzed and the values and principles refined in light of the findings. The refined manifesto was then published. There is an emerging international consensus on the values and principles that should be applied when designing to afford people living with dementia the dignity, autonomy, independence, equality of opportunity and nondiscrimination that is their right.
摘要这篇文章提供了一个关于指导建筑设计的价值观和原则的国际共识的发展前景,使痴呆症患者能够过上充实的生活。基于《2020年阿尔茨海默病国际世界阿尔茨海默病报告》中所载观点的宣言;《设计、尊严、痴呆》在网上发布。要求签署国对其中所载的价值观和原则发表评论。对18个国家签署国的意见进行了专题分析,并根据调查结果完善了价值观和原则。随后发表了经过提炼的宣言。在设计为痴呆症患者提供尊严、自主、独立、机会平等和不歧视的权利时,国际上正在就应适用的价值观和原则达成共识。
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引用次数: 1
The Perimeter of the Home in Old Age: Reflecting on the Sense of Home in a Sheltered Housing Facility During the COVID-19 Pandemic 老年之家的周边:反思2019冠状病毒病大流行期间庇护住房设施中的家的感觉
IF 2 Q2 Social Sciences Pub Date : 2022-02-21 DOI: 10.1080/26892618.2022.2041144
M. Droz Mendelzweig, M. Bedin
Abstract This article focuses on the concept of home in old age in the context of a sheltered housing facility. Drawing on regulation theory, we examine how the SARS-CoV-2 pandemic shapes the sense of home in this type of housing. The search for control over one’s daily routine during the lockdown serves as an indicator of the dynamics of expansion and contraction in the perimeter of the home. The way in which sheltered housing tenants comply with stay-at-home recommendations during the lockdown reveals certain aspects of their sense of home. The unusual character of the regulatory measures introduced during confinement increases the importance of perceptions of the meaning of the home among older adults with regard to their self-image and relationship to the surrounding environment.
摘要:本文以一个庇护住房设施为背景,探讨老年之家的概念。根据监管理论,我们研究了SARS-CoV-2大流行如何塑造这类住房的家的感觉。在封锁期间,对日常生活的控制可以作为家庭周边扩张和收缩动态的一个指标。庇护住房租户在封锁期间遵守居家建议的方式,揭示了他们家的某些方面。在监禁期间采取的管制措施的不同寻常的特点增加了老年人对其自我形象和与周围环境的关系的家庭意义的认识的重要性。
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引用次数: 0
Walking and Talking: Recommendations for Doing Mobile Interviews with Older Adults 走路和说话:对老年人进行手机采访的建议
IF 2 Q2 Social Sciences Pub Date : 2022-02-03 DOI: 10.1080/26892618.2022.2030844
P. Carder, R. Croff, Aliza Tuttle, J. Towns
Abstract Mobile methods, including walking interviews, have rarely been used in research with older adults. We compare and contrast two studies that engaged older adults in walking interviews conducted by the coauthors. The first study examined the meaning of food access with residents of publicly-subsidized housing, and the second involved Black Americans in a study of brain health and gentrification. Older adults, including those with physical and mild cognitive impairment, can participate in walking interviews. Key decisions and advice for researchers interested in using mobile methods with this population, including participant safety, comfort abilities, and technology use, are provided.
摘要流动方法,包括步行访谈,很少用于老年人的研究。我们比较和对比了两项由合著者进行的让老年人参与步行采访的研究。第一项研究考察了公共补贴住房居民获得食物的意义,第二项研究让美国黑人参与了一项关于大脑健康和绅士化的研究。老年人,包括那些有身体和轻度认知障碍的人,可以参加步行采访。为有兴趣在这一人群中使用移动方法的研究人员提供了关键决策和建议,包括参与者的安全性、舒适性和技术使用。
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引用次数: 0
Small-Scale Living Environments' Impact on Positive Behaviors and Quality of Life for Residents with Dementia 小规模生活环境对痴呆症患者积极行为和生活质量的影响
IF 2 Q2 Social Sciences Pub Date : 2022-01-31 DOI: 10.1080/26892618.2022.2030845
S. Brennan, Therese Doan
Abstract This study explored the relationship of the environment in small-scaled nursing homes and positive behaviors on the residents' quality of life (QOL). The Environmental Assessment Tool-Higher Care was used to evaluate unit environments. Dementia Care Mapping was used to observe 113 residents' positive behaviors. Hierarchical linear modeling analysis showed that residents living in a dementia-friendly environment showed a significant correlation between their positive behaviors and QOL. In contrast, a non-dementia-friendly environment showed no notable impact upon their QOL despite the high/low frequency of positive behaviors. It is crucial to prioritize a comprehensive facility environment review to support residents' QOL.
摘要本研究探讨了小型疗养院的环境与居民生活质量的积极行为之间的关系。环境评估工具Higher Care用于评估单元环境。采用痴呆症护理图对113名居民的积极行为进行了观察。分层线性模型分析显示,生活在痴呆友好环境中的居民的积极行为与生活质量之间存在显著相关性。相反,尽管积极行为的频率很高/很低,但非痴呆友好环境对他们的生活质量没有显著影响。至关重要的是,要优先进行全面的设施环境审查,以支持居民的生活质量。
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引用次数: 3
Understanding Home Activities Challenges of Older Adults Aging with Long-term Mobility Disabilities: Recommendations for Home Environment Design. 了解老年人长期行动障碍的家庭活动挑战:家庭环境设计建议。
IF 2 Q2 Social Sciences Pub Date : 2022-01-01 DOI: 10.1080/26892618.2022.2092929
Widya A Ramadhani, Wendy A Rogers

As age-related changes progress, individuals with long-term mobility disabilities experience more challenges in engaging with everyday activities. This archival analysis identified common activity challenges older adults with long-term mobility disabilities report and the type of strategies they employed to respond to these challenges, using the interview data (n=60) from the ACCESS Study. We discovered that activity challenges come from intrinsic factors (i.e., mobility limitations, strength, health conditions) as well as extrinsic factors (transferring and physical access). With these challenges in mind, we constructed home environment design strategies that could meet the needs of people aging with mobility disabilities.

随着年龄相关变化的进展,长期行动障碍患者在参与日常活动方面面临更多挑战。本档案分析利用ACCESS研究的访谈数据(n=60),确定了长期行动障碍老年人报告中常见的活动挑战以及他们应对这些挑战所采用的策略类型。我们发现,活动挑战来自内在因素(即行动能力限制、力量、健康状况)和外在因素(转移和物理访问)。考虑到这些挑战,我们构建了能够满足行动不便的老年人需求的家庭环境设计策略。
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引用次数: 1
The Relationship between Perception of Care, Sense of Security, and Subjective Psychological Well-Being among Older Adults Living in Sheltered Housing vs. Independent Housing in Israel 以色列老年人庇护住房与独立住房的关怀感知、安全感和主观心理幸福感的关系
IF 2 Q2 Social Sciences Pub Date : 2021-12-21 DOI: 10.1080/26892618.2021.2019867
Anat Toder Alon, Liad Bareket-Bojmel, A. Shuv-Ami
Abstract While the home environment provides a crucial context for aging, considerable knowledge gaps remain regarding how perceptions of care and sense of security impact older people’s subjective psychological well-being. The current study aimed to assess the attitudes of older people during the COVID-19 pandemic in Israel and compared older people living in sheltered housing with those living in independent housing in the community. The participants included 235 respondents living in sheltered housing and 726 participants living in independent housing. Participants living in sheltered housing were more likely to feel that they were being cared for than those living in independent housing in the community. Perception of care received partially mediated the effect of type of housing on the sense of financial security and health security. In addition, a sense of security (both financial and health) partially mediated the effect of perception of care received on the sense of meaning in life, life satisfaction, and optimism.
虽然家庭环境为老龄化提供了一个重要的背景,但关于护理和安全感的感知如何影响老年人的主观心理健康,仍然存在相当大的知识空白。本研究旨在评估以色列老年人在2019冠状病毒病大流行期间的态度,并将居住在庇护住房中的老年人与居住在社区独立住房中的老年人进行比较。参与者包括235名住在庇护住房的受访者和726名住在独立住房的受访者。住在庇护住房的参与者比住在社区独立住房的参与者更有可能感到他们得到了照顾。受照顾感知部分中介了住房类型对经济安全感和健康安全感的影响。此外,安全感(经济和健康)部分介导了被照顾感知对生活意义感、生活满意度和乐观情绪的影响。
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引用次数: 2
In-Lab Development of a Mobile Interface for Cognitive Assistive Technology to Support Instrumental Activities of Daily Living in Dementia Homecare 认知辅助技术移动界面的实验室开发,以支持痴呆症家庭护理中日常生活的工具活动
IF 2 Q2 Social Sciences Pub Date : 2021-12-20 DOI: 10.1080/26892618.2021.2001710
Emily Roberts, Guoliang Fan, Xiaowei Chen
Abstract 5.5 million Americans have Alzheimer’s disease or some form of dementia and by mid-century, the number of people living with dementia in the United States is projected to grow to 13.8 million. About half of the persons with dementia currently live at home, 43% require occasional support, 47% daily support, and 10% continuous support; with most of this support provided by informal family caregivers. Caregivers face on-going significant risk throughout the ebb and flow of providing care, as care recipients may lose grasp of their understanding of their circumstances, relying heavily on caregivers for all aspects of support. This support includes prompting and cueing through the multi-step instrumental activities of daily living (IADLs) such as meal preparation and house-keeping which require complex cognitive processing and are cognitively demanding. This paper describes the preliminary pilot study work laying the groundwork for ongoing development of a cognitive assistive technology (CAT) to support IADLs in dementia homecare. Through a user-centered design methodology, an online survey for caregivers identified areas of the home with the highest levels of IADL needs, aiding in the development of an 800 sq ft mock-up apartment for preliminary testing of the mobile interface for the CAT tool.
摘要550万美国人患有阿尔茨海默病或某种形式的痴呆症,到本世纪中叶,美国痴呆症患者人数预计将增至1380万。目前约有一半的痴呆症患者住在家中,43%需要偶尔的支持,47%需要日常支持,10%需要持续支持;其中大部分支持由非正式的家庭照顾者提供。在提供护理的整个过程中,护理人员面临着持续的重大风险,因为护理人员可能会失去对自己情况的理解,严重依赖护理人员提供各个方面的支持。这种支持包括通过日常生活的多步骤工具性活动(IADL)进行提示和提示,如做饭和持家,这些活动需要复杂的认知处理,对认知要求很高。本文描述了初步的试点研究工作,为正在进行的认知辅助技术(CAT)的开发奠定了基础,以支持痴呆症家庭护理中的IADL。通过以用户为中心的设计方法,一项针对护理人员的在线调查确定了家庭中IADL需求最高的区域,帮助开发了一套800平方英尺的模拟公寓,用于CAT工具移动界面的初步测试。
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引用次数: 0
Suitable Home Environment for Elderly People in Colombo, Sri Lanka 斯里兰卡,科伦坡,适合长者的家居环境
IF 2 Q2 Social Sciences Pub Date : 2021-12-08 DOI: 10.1080/26892618.2021.2001708
R. Ariyawansa, M. Perera, H. E. S. Priyanka
Abstract This article discusses suitable home environments required for safe and convenient living of elderly people in Colombo, Sri Lanka, where a growing aging population is a serious concern. The literature records a rapid rise in population over 65 years in Sri Lanka, from 9.4% in 2015 to 21% by 2045 to 35.6% by 2100. Sri Lankan culture values home as a place of memories that connects family members with others. However, as families are structurally and functionally changed, a lack of safe and convenient features and facilities in houses has emerged as a severe problem for elders. This study adopted a questionnaire survey and observations of home environments to collect primary data from a convenience sample of 100 elders. Five in-depth interviews were also done. Results show that 92% of elders are in poor health conditions. Only 37% of elders are satisfied with their home environments. Suitable home facilities are not available in more than 50% of homes owned by elders. As most elders indicated a strong desire to stay in their own homes, the housing market and the relevant authorities have to implement suitable policies and strategies in the supply of houses to ensure suitable home environments for safe and convenient living for elderly people.
摘要本文讨论了斯里兰卡科伦坡老年人安全便捷生活所需的适宜家庭环境,该国人口老龄化日益严重。文献记录了65岁以上人口的迅速增长 从2015年的9.4%到2045年的21%到2100年的35.6%。斯里兰卡文化将家视为一个将家庭成员与他人联系在一起的记忆之地。然而,随着家庭结构和功能的变化,房屋缺乏安全方便的功能和设施已成为老年人面临的一个严重问题。本研究采用问卷调查和家庭环境观察,从100名老年人的便利样本中收集初步数据。还进行了五次深入访谈。结果显示,92%的老年人健康状况不佳。只有37%的老年人对自己的家庭环境感到满意。超过50%的老人家没有合适的家居设施。由于大多数长者都表示强烈希望入住自己的居所,房屋市场和有关当局必须在房屋供应方面实施适当的政策和策略,以确保为长者提供合适的家居环境,让他们能够安全方便地居住。
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引用次数: 1
Older Adults’ Out-of-Home Activities in a Super-Aged High-Rise, High-Density Neighborhood: A Qualitative Study† 超龄高层高密度社区老年人的户外活动:一项定性研究
IF 2 Q2 Social Sciences Pub Date : 2021-11-22 DOI: 10.1080/26892618.2021.2001709
Yuxin Cao, C. Heng, John Chye Fung
Abstract Out-of-home activities are critical for older adults’ health and quality of life. Using field observations and interviews, this study investigated what neighborhood environmental characteristics influence older adults’ out-of-home activities in a high-rise, high-density neighborhood in Singapore. Except for individual characteristics, this study revealed four environmental themes (i.e., physical environment, social environment, service environment/management, information and technological systems) and 18 subthemes affecting older adults’ out-of-home activities. It highlights the importance of neighborhood spaces for encouraging active and healthy aging. To further encourage out-of-home activities, neighborhood planning and design should protect the public domain and pay more attention to the pedestrian circulation system and design details.
摘要外出活动对老年人的健康和生活质量至关重要。本研究采用实地观察和访谈的方法,调查了新加坡一个高层、高密度社区的社区环境特征对老年人外出活动的影响。除了个人特征外,本研究揭示了四个环境主题(即物理环境、社会环境、服务环境/管理、信息和技术系统)和18个影响老年人外出活动的子主题。它强调了邻里空间对鼓励积极健康老龄化的重要性。为了进一步鼓励外出活动,社区规划和设计应保护公共领域,并更多地关注行人流通系统和设计细节。
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引用次数: 1
Lifelong Instability and Perceived Risk of Future Homelessness in Older Adults 老年人的终身不稳定和未来无家可归的感知风险
IF 2 Q2 Social Sciences Pub Date : 2021-11-17 DOI: 10.1080/26892618.2021.2001706
S. Dys, A. Steeves-Reece, P. Carder
Abstract Housing has long been considered a social determinant of individual and population health. Older adults with low incomes face several challenges to maintaining stable, affordable housing. Using data from a previous explanatory study of older adults waitlisted for housing assistance (n = 267), we explore individual characteristics and themes associated with older adults’ perceived housing instability and risk of future homelessness. This mixed-methods study identifies salient themes of financial insecurity, age discrimination, employment and health, interpersonal relationships, and trauma. Our analysis and findings highlight experiences of instability over the life course related to older adults’ current housing circumstances.
摘要长期以来,住房一直被认为是个人和人口健康的社会决定因素。低收入的老年人在维持稳定、负担得起的住房方面面临着一些挑战。使用先前对等待住房援助的老年人进行的解释性研究的数据(n = 267),我们探讨了与老年人感知的住房不稳定和未来无家可归风险相关的个人特征和主题。这项混合方法研究确定了经济不安全、年龄歧视、就业和健康、人际关系和创伤等突出主题。我们的分析和发现突出了与老年人当前住房环境有关的生活过程中的不稳定经历。
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引用次数: 2
期刊
Journal of Aging and Environment
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