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Biophilic Design Strategies in Long-Term Residential Care Environments for Persons with Dementia 痴呆症患者长期住宿护理环境的亲生物设计策略
IF 2 Q3 GERONTOLOGY Pub Date : 2021-06-08 DOI: 10.1080/26892618.2021.1918815
T. Peters, S. Verderber
Abstract The number of persons living with dementia and related cognitive disorders is predicted to increase dramatically in the coming years. As a consequence, the need is increasing for appropriately designed long-term care (LTC) environments and design guidelines for these settings. This investigation presents the findings of a broad literature review on biophilic design and its application to a set of LTC architectural case studies selected for the degree to which each variously expresses key attributes of a set of ten biophilic patterns particularly rooted in the day to day experience of the aged in these care settings: visual connections with nature, non-visual connection with nature, non-rhythmic sensory stimuli, thermal and airflow variability, presence of water, dynamic and diffused light, complexity and order, prospect, refuge, and mystery. The three methodological aims are to conduct an in-depth literature review, to distill the aforementioned subset of biophilic patterns with respect to how the aged experience their built surroundings, and third, to examine these in light of their various expression in recently built state-of-the art LTC settings for persons with dementia and related cognitive disorders. Residents’ engagement with and proximity to nature and landscape, and transactions with biophilia-inspired artifacts was the principal focus. The case studies are further examined in relation to the planning and design of LTC environments in the context of the COVID-19 pandemic. Future biophilic-inspired directions for evidence-based research and design for persons with dementia and related cognitive disorders are discussed.
据预测,在未来几年,患有痴呆症和相关认知障碍的人数将急剧增加。因此,对适当设计长期护理(LTC)环境和针对这些环境的设计指南的需求正在增加。本调查展示了关于亲生物设计的广泛文献综述的发现,并将其应用于一系列LTC建筑案例研究,这些案例研究的选择程度是,每个案例都不同地表达了一组十种亲生物模式的关键属性,特别是根植于这些护理环境中老年人的日常体验:与自然的视觉联系,与自然的非视觉联系,无节奏的感官刺激,热和气流的变化,水的存在,动态和漫射光,复杂性和秩序,前景,庇护和神秘。三个方法学目标是进行深入的文献综述,提取上述亲生物模式的子集,以了解老年人如何体验他们的建筑环境,第三,根据它们在最近为患有痴呆症和相关认知障碍的人建立的最先进的LTC设置中的各种表达来检查这些模式。居民与自然和景观的接触和接近,以及与生物爱好启发的文物的交易是主要焦点。在COVID-19大流行的背景下,进一步审查了与LTC环境规划和设计相关的案例研究。讨论了痴呆症及相关认知障碍患者的循证研究和设计的未来亲生物启发方向。
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引用次数: 9
Risk Assessment of Retirement Village Public-Private Partnership Homes 养老村公私合作院舍风险评估
IF 2 Q3 GERONTOLOGY Pub Date : 2021-06-02 DOI: 10.1080/26892618.2021.1932010
R. Osei-Kyei, V. Tam, Mingxue Ma
Abstract This study aims to identify and evaluate the potential risks associated with the development of retirement village through public-private partnership (PPP) approach. An international questionnaire survey was conducted with experienced practitioners. The findings show that five risk factors are very significant in the development of retirement village PPPs; these are “inexperience of private partner/developer,” “high operational and maintenance cost,” “inappropriate location of land for project,” “lack of highly skilled operational staff,” and “poor communication among stakeholders”. The results will inform developers and government agencies of the potential risk factors they should consider when engaging in future retirement village PPP arrangements.
摘要本研究旨在通过公私合作(PPP)方法识别和评估与退休村发展相关的潜在风险。对有经验的从业人员进行了一次国际问卷调查。研究结果表明,五个风险因素对退休村购买力平价的发展非常重要;这些问题包括“私人合作伙伴/开发商缺乏经验”、“运营和维护成本高”、“项目用地位置不合适”、“缺乏高技能的运营人员”以及“利益相关者之间沟通不畅”。研究结果将告知开发商和政府机构,他们在参与未来退休村PPP安排时应考虑的潜在风险因素。
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引用次数: 1
“Home is Home:” Exploring the Meaning of Home across Long-Term Care Settings “家就是家:在长期护理机构中探索家的意义”
IF 2 Q3 GERONTOLOGY Pub Date : 2021-06-01 DOI: 10.1080/26892618.2021.1932012
Diana Cater, Ozcan Tunalilar, D. White, S. Hasworth, J. Winfree
Abstract To feel “at home” in long term care (LTC) is an important programmatic goal. Few large studies, however, have examined resident perspectives about feeling at home across different types of LTC settings. We asked 632 older adults living in nursing homes, assisted living, and adult foster homes in Oregon whether or not their setting felt “like home” and to describe their experiences with “at-homeness.” Our qualitative analysis revealed five distinct themes that encompassed social connection; autonomy, control, and choice; engagement with the physical environment; organizational environment; and perceptions and coping. Our findings demonstrate how organizational features, interacting with resident characteristics, can facilitate or constrain the experience of home in LTC settings.
在长期护理(LTC)中感到“宾至如归”是一个重要的项目目标。然而,很少有大型研究调查了居民在不同类型的LTC环境中对家的感觉的看法。我们询问了632位住在俄勒冈州养老院、辅助生活和成人寄养家庭的老年人,他们的环境是否感觉“像家”,并描述了他们“在家”的经历。我们的定性分析揭示了包含社会联系的五个不同主题;自主、控制和选择;参与自然环境;组织环境;感知和应对。我们的研究结果表明,在LTC环境中,组织特征如何与居民特征相互作用,促进或限制家庭体验。
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引用次数: 4
Sheltered Housing and Independent Housing in Israel During the COVID-19 Pandemic: A Comparison of Attitudes and Feelings Among Older Adults 新冠肺炎大流行期间以色列的遮蔽住房和独立住房:老年人态度和感受的比较
IF 2 Q3 GERONTOLOGY Pub Date : 2021-05-27 DOI: 10.1080/26892618.2021.1932011
A. Shuv-Ami, Anat Toder Alon, Liad Bareket-Bojmel
Abstract The current study compares the perceptions of older persons living in sheltered housing to those living independently in the community during the COVID-19 pandemic. The study targeted respondents aged 70+ years in Israel. Nine hundred and sixty-one (961) older adults completed the survey. Respondents living in sheltered accommodation were more satisfied with their lives and more optimistic than those living in independent housing. In addition, they reported more positively on indicators of meaning in life. Moreover, older people living in sheltered housing tended to assess their health status more positively than those living in the community.
摘要当前的研究比较了新冠肺炎大流行期间居住在庇护住房中的老年人和独立居住在社区中的老人的看法。这项研究的对象是以色列70岁以上的受访者。九百六十一(961)名老年人完成了这项调查。与住在独立住房的受访者相比,住在庇护住所的受访者对自己的生活更满意,也更乐观。此外,他们对生活意义指标的报告更为积极。此外,住在庇护住房的老年人往往比住在社区的老年人更积极地评估自己的健康状况。
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引用次数: 4
Prisoner and Creator of Space and Place: An Interpretive Descriptive QGIS Study to Understand Exercise Experiences of Community-Dwelling Older Adults in a Low-Income Neighborhood 囚犯与空间和场所的创造者:解读性描述性QGIS研究以了解低收入社区老年人的锻炼体验
IF 2 Q3 GERONTOLOGY Pub Date : 2021-05-26 DOI: 10.1080/26892618.2021.1932009
J. L. Lee, Yingqi Guo, T. L. T. Lo, R. Ho
Abstract Age-friendly community design is a crucial agenda globally. This study used a qualitative geographic information system (QGIS) approach and an interpretive descriptive orientation to analyze the spatially oriented exercise experiences of community-dwelling older adults living in a low-income neighborhood in Hong Kong. Fifteen community-dwelling older adults aged 62–88 years were involved in the study. Participants were found to make use of different places (i.e., footbridges and children’s playgrounds) proximal to their home locations and create space for their habitual physical exercise routines. These interpretative results add a new dimension of understanding to the planning and design of age-friendly communities.
摘要适合老年人的社区设计是全球的一项重要议程。本研究采用定性地理信息系统(QGIS)方法和解释性描述性取向来分析香港低收入社区老年人的空间定向锻炼体验。15名62岁至88岁的社区老年人 这项研究花费了数年时间。研究发现,参与者利用离家较近的不同地方(即人行桥和儿童游乐场),为他们习惯性的体育锻炼创造空间。这些解释性结果为老年友好社区的规划和设计增加了一个新的理解维度。
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引用次数: 3
Aging in Community Mechanism: Transforming Communities to Achieving Person–Environment Fit Across Time 社区机制中的老龄化:转变社区实现人与环境的跨时代适配
IF 2 Q3 GERONTOLOGY Pub Date : 2021-05-17 DOI: 10.1080/26892618.2021.1926042
Xian Cao, S. Hou
Abstract Aging-in-Community (AIC) has been the preferred way to aging. However, there is a mismatch between the communities' design and the needs of older adults. With the rapidly growing aging population globally, it is urgent to create a community environment that is constructive for older adults aging in the community. There have been limited scholars investigating the theoretical and conceptual mechanisms behind how the environment encourages or hinders older adults' AIC. This paper reviewed existing environment-related aging theories, aiming to clarify the AIC mechanisms to achieve person–environment (P–E) fit. Two conceptual frameworks were developed to help visualize the mechanisms of P–E fit and P–E misfit processes.
摘要社区老龄化(AIC)已成为老龄化的首选方式。然而,社区的设计与老年人的需求不匹配。随着全球老龄化人口的快速增长,迫切需要为社区中的老年人创造一个有建设性的社区环境。研究环境如何鼓励或阻碍老年人AIC背后的理论和概念机制的学者有限。本文回顾了现有的与环境相关的老龄化理论,旨在阐明实现人-环境(P–E)匹配的AIC机制。开发了两个概念框架,以帮助可视化P–E匹配和P–E不匹配过程的机制。
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引用次数: 0
Understanding How Older Adults Negotiate Environmental Hazards in Their Home 了解老年人如何在家中应对环境危害
IF 2 Q3 GERONTOLOGY Pub Date : 2021-05-05 DOI: 10.1080/26892618.2021.1918814
Daejin Kim
Abstract The purpose of this research was to examine environmental hazards related to falling risk by using two different approaches and to discuss older adults’ adaptive coping strategies. Environmental hazards were identified by a researcher and residents in 88 older adults’ independent living units at a senior retirement community. This research employed two statistical analyses including a dependent sample t-test and pair-wise Kappa statistics in order to identify a significant difference in environmental hazards from two assessment tools as well as examine the inter-rater reliability on each item. Research findings show that older adults could hardly identify as many environmental hazards as the objective measurement did because of their different coping strategies, knowledge, experience, and health status. The residents' perception is a necessary component in that it could provide new insights about hazards. This research provides empirical evidence of how older adults negotiate their environmental hazards.
摘要本研究的目的是通过使用两种不同的方法来检查与跌倒风险相关的环境危害,并讨论老年人的适应性应对策略。一名研究人员和一个老年退休社区88个老年人独立生活单元的居民发现了环境危害。本研究采用了两种统计分析,包括依赖样本t检验和成对Kappa统计,以确定两种评估工具在环境危害方面的显著差异,并检查每个项目的评分者间可靠性。研究结果表明,由于老年人的应对策略、知识、经验和健康状况不同,他们很难像客观测量那样识别出那么多环境危害。居民的感知是一个必要的组成部分,因为它可以提供关于危险的新见解。这项研究为老年人如何应对环境危害提供了经验证据。
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引用次数: 2
Senior Migration and Housing Consumption Findings from Metropolitan Baltimore 来自巴尔的摩大都会的老年移民和住房消费调查结果
IF 2 Q3 GERONTOLOGY Pub Date : 2021-04-09 DOI: 10.1080/26892618.2020.1848964
Jiny Y. Kim
Abstract This study examines the intersection between residential mobility and housing consumption for seniors who migrate inward from the suburbs of the Baltimore metropolitan statistical area (MSA), with a particular focus on marital status. Using probit and multinomial logistic specifications that are developed with the dataset drawn from the 2013–2017 Public Use Microdata Sample (PUMS), the findings support the argument that preferences for tenure vary greatly with respect to the life-cycle phase. Throughout the Baltimore MSA, seniors show a strong tendency toward downsizing and becoming renters – specifically of apartments – regardless of location. Single status itself does not have a positive effect on the likelihood that a senior may migrate inward nor does it directly impact whether or not a senior adjusts their housing wealth. Nonetheless, recent widowhood significantly increases one’s propensity to move inward; but there is mixed evidence on one’s decision to dissave their housing wealth. This study seeks to provide a better understanding of the varied correlations between senior migration and housing consumption in the Baltimore MSA.
摘要本研究考察了从巴尔的摩大都会统计区(MSA)向内迁移的老年人的居住流动性和住房消费之间的交集,特别关注婚姻状况。利用2013-2017年公共使用微数据样本(PUMS)的数据集开发的probit和多项逻辑规范,研究结果支持了使用权偏好在生命周期阶段差异很大的论点。在整个巴尔的摩MSA,老年人表现出缩小规模和租房的强烈趋势,特别是公寓,无论地点如何。单身身份本身不会对老年人向内迁移的可能性产生积极影响,也不会直接影响老年人是否调整其住房财富。尽管如此,最近的丧偶显著增加了一个人向内移动的倾向;但是,关于一个人是否决定把自己的住房财富取出来,证据不一。本研究旨在更好地了解巴尔的摩MSA老年人迁移与住房消费之间的各种相关性。
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引用次数: 1
Age-Friendly City Indicators from the Viewpoint of Older Adults in Kashan City, Iran 伊朗卡山市老年人视角下的老年友好型城市指标
IF 2 Q3 GERONTOLOGY Pub Date : 2021-03-22 DOI: 10.1080/26892618.2021.1898075
M. Morowatisharifabad, L. Tagharrobi, S. Jambarsang, Masumeh Abbasi Shavvazi
Abstract The World Health Organization (WHO) introduced the age-friendly city as a response based on the challenges of demographic aging to maintain participation of the older adults in society. The purpose of this study was to assess the status of age-friendly city indicators from the viewpoints of older adults living in Kashan City, Iran. The cross-sectional study was conducted among 379 seniors in Kashan in 2020. The study tool was a questionnaire measuring the age-friendly indicators designed by Zarghani and colleagues, according to the criteria set by the WHO. Data were analyzed by SPSS and t-test was run to compare the indicators’ mean scores with those of the desired standard. The mean (standard deviation) of the social, communicational, cultural-recreational, and health-care indicators were 2.34 (0.82), 2.02 (0.78), 2.13 (0.79), and 2.56 (0.94), respectively. In comparing the desirability of the four indicators with the desired standard, no significant difference was observed only in the health-care indicator (p > .05) and in the other indicators; a significant difference was observed which indicates the low desirability of the social, communicational, and cultural-recreational indicators. So, the authorities are suggested to create welfare for the older adults.
摘要世界卫生组织(世界卫生组织)介绍了老年友好城市,以应对人口老龄化的挑战,以保持老年人对社会的参与。本研究的目的是从居住在伊朗卡山市的老年人的角度评估老年友好型城市指标的现状。这项横断面研究于2020年在喀山379名老年人中进行。该研究工具是一份调查问卷,测量Zarghani及其同事根据世界卫生组织制定的标准设计的年龄友好指标。数据通过SPSS进行分析,并进行t检验,将指标的平均得分与所需标准的平均得分进行比较。社会、沟通、文化娱乐和医疗保健指标的平均值(标准差)分别为2.34(0.82)、2.02(0.78)、2.13(0.79)和2.56(0.94)。在将四个指标的可取性与期望的标准进行比较时,仅在医疗保健指标(p>0.05)和其他指标上没有观察到显著差异;观察到显著差异,这表明社交、交流和文化娱乐指标的可取性较低。因此,建议当局为老年人创造福利。
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引用次数: 1
A Preliminary Study of the Correlates of Leisure Interests and Constraints Among Adults Residing in Public Housing 居住在公共住房中的成年人休闲兴趣与约束关系的初步研究
IF 2 Q3 GERONTOLOGY Pub Date : 2021-03-01 DOI: 10.1080/26892618.2021.1887041
A. Sardina, Shyuan Ching Tan, Jillian L. Perry, Alyssa A. Gamaldo
Abstract This preliminary study explored the correlates of leisure interests and constraints among 39 adult public housing residents from North Carolina and Pennsylvania. Most preferred activities included walking, volunteering, reading, cards, dining out, travel, movies, and music. Pearson and Spearman correlations revealed significant associations between education quality and leisure interests. Education quantity and quality, pain severity and interference, loneliness, and depressive symptoms were significantly associated with leisure constraints. With the growing number of adults depending upon public housing, it is imperative to understand leisure interests and constraints within these communities, to ensure the availability of appropriate community programs and services.
摘要本初步研究探讨了北卡罗莱纳州和宾夕法尼亚州39名成年公共住房居民的休闲兴趣与制约因素的相关关系。最受欢迎的活动包括散步、志愿服务、阅读、打牌、外出就餐、旅行、看电影和听音乐。皮尔逊和斯皮尔曼相关性揭示了教育质量和休闲兴趣之间的显著关联。教育的数量和质量、疼痛的严重程度和干扰、孤独感和抑郁症状与休闲限制显著相关。随着越来越多的成年人依赖公共住房,了解这些社区的休闲兴趣和限制是必要的,以确保适当的社区项目和服务的可用性。
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引用次数: 0
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Journal of Aging and Environment
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