Pub Date : 2020-01-28DOI: 10.1080/02763893.2019.1683671
C. Pettersson, I. Malmqvist, Sten Gromark, H. Wijk
Our aim was to explore enablers and barriers in ordinary housing for older people in care. We systematically searched Scopus, Web of Science, and Google Scholar for relevant published research and ...
我们的目的是探索老年人在普通住房中的促进因素和障碍。我们系统地检索了Scopus、Web of Science和b谷歌Scholar等相关已发表的研究和…
{"title":"Enablers and Barriers in the Physical Environment of Care for Older People in Ordinary Housing: A Scoping Review","authors":"C. Pettersson, I. Malmqvist, Sten Gromark, H. Wijk","doi":"10.1080/02763893.2019.1683671","DOIUrl":"https://doi.org/10.1080/02763893.2019.1683671","url":null,"abstract":"Our aim was to explore enablers and barriers in ordinary housing for older people in care. We systematically searched Scopus, Web of Science, and Google Scholar for relevant published research and ...","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"34 1","pages":"332-350"},"PeriodicalIF":0.0,"publicationDate":"2020-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2019.1683671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45779017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-29DOI: 10.1080/02763893.2019.1597802
A. Kris, L. Henkel
Abstract Enriched living environments that contain a wide array of personal memorabilia and memory-stimulating cues have the potential to support cognitive functioning. The purpose of this ethnographic research was to describe the care environments of older adults with cognitive impairment living in nursing homes (n = 42), to evaluate the degree to which these environments contained memory-stimulating cues, and to understand the extent to which these environments were cognitively stimulating for older adults with dementia. Results indicated varying levels of enrichment both within and between homes, with nearly a quarter of the residents living in environments that contained no memory-enhancing stimuli.
{"title":"The Presence of Memory-Enriched Environments for Cognitively Impaired Nursing Home Residents","authors":"A. Kris, L. Henkel","doi":"10.1080/02763893.2019.1597802","DOIUrl":"https://doi.org/10.1080/02763893.2019.1597802","url":null,"abstract":"Abstract Enriched living environments that contain a wide array of personal memorabilia and memory-stimulating cues have the potential to support cognitive functioning. The purpose of this ethnographic research was to describe the care environments of older adults with cognitive impairment living in nursing homes (n = 42), to evaluate the degree to which these environments contained memory-stimulating cues, and to understand the extent to which these environments were cognitively stimulating for older adults with dementia. Results indicated varying levels of enrichment both within and between homes, with nearly a quarter of the residents living in environments that contained no memory-enhancing stimuli.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"393 - 412"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2019.1597802","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47515560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-26DOI: 10.1080/02763893.2019.1604463
L. Rill, L. Gonzalez
Abstract The culture change movement has pushed for reform for more than two decades to align policy, the long-term care industry, and resident preferences with regard to care. Evidence from research indicates that culture change has the potential to improve quality in nursing homes. There is no one-size-fits-all way to implement culture change; however, there are key elements and associated concepts and models. A common thread is that they run counter to the medical model, typically found in nursing homes, where care is provided in a hospital-like setting according to the schedules and routines of physicians and staff with little resident input. This qualitative study looks for evidence of culture change in a traditional model of care compared to a newer culture change model, by describing the differences in practices associated with the medical model, person-centered care, and person-directed care between the two settings. Our results indicate that there is evidence of person-directed care in one model of culture change—the Green House home—but not in the traditional nursing home. Future studies should examine other culture change models to compare the differences in the utilization of person-directed care. This information will help to clarify the definitions and concepts of culture change, along with developing best practices for future culture change models.
{"title":"Culture Change in Skilled Nursing: An Exploratory Comparison of a Traditional Home to a New Model","authors":"L. Rill, L. Gonzalez","doi":"10.1080/02763893.2019.1604463","DOIUrl":"https://doi.org/10.1080/02763893.2019.1604463","url":null,"abstract":"Abstract The culture change movement has pushed for reform for more than two decades to align policy, the long-term care industry, and resident preferences with regard to care. Evidence from research indicates that culture change has the potential to improve quality in nursing homes. There is no one-size-fits-all way to implement culture change; however, there are key elements and associated concepts and models. A common thread is that they run counter to the medical model, typically found in nursing homes, where care is provided in a hospital-like setting according to the schedules and routines of physicians and staff with little resident input. This qualitative study looks for evidence of culture change in a traditional model of care compared to a newer culture change model, by describing the differences in practices associated with the medical model, person-centered care, and person-directed care between the two settings. Our results indicate that there is evidence of person-directed care in one model of culture change—the Green House home—but not in the traditional nursing home. Future studies should examine other culture change models to compare the differences in the utilization of person-directed care. This information will help to clarify the definitions and concepts of culture change, along with developing best practices for future culture change models.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"433 - 452"},"PeriodicalIF":0.0,"publicationDate":"2019-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2019.1604463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41765028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-22DOI: 10.1080/02763893.2019.1597803
Rumiko Tsuchiya-Ito, B. Slaug, T. Ishibashi
Abstract For older people using long-term care services, the conditions of their life-space may be critical. The relationships between the physical housing environment and aspects of health were examined among older people in Japan (aged 65+ years, N = 1,928) by multivariable logistic regression analysis, adjusting for sociodemographic characteristics. Lack of safety, low access to emergency assistance, low or high indoor temperature, poor sanitary conditions, and state of home disrepair were significantly associated with negative aspects of health among people with low activities of daily living (ADL) independence. Home care service providers and policymakers need to consider the importance of appropriate environmental conditions for the most vulnerable groups.
{"title":"The Physical Housing Environment and Subjective Well-Being Among Older People Using Long-Term Care Services in Japan","authors":"Rumiko Tsuchiya-Ito, B. Slaug, T. Ishibashi","doi":"10.1080/02763893.2019.1597803","DOIUrl":"https://doi.org/10.1080/02763893.2019.1597803","url":null,"abstract":"Abstract For older people using long-term care services, the conditions of their life-space may be critical. The relationships between the physical housing environment and aspects of health were examined among older people in Japan (aged 65+ years, N = 1,928) by multivariable logistic regression analysis, adjusting for sociodemographic characteristics. Lack of safety, low access to emergency assistance, low or high indoor temperature, poor sanitary conditions, and state of home disrepair were significantly associated with negative aspects of health among people with low activities of daily living (ADL) independence. Home care service providers and policymakers need to consider the importance of appropriate environmental conditions for the most vulnerable groups.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"413 - 432"},"PeriodicalIF":0.0,"publicationDate":"2019-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2019.1597803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46068690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-11DOI: 10.1080/02763893.2019.1593280
Diane Martin, Owen Long, L. Kessler
Abstract Aging in place offers emotional and physical benefits; however, challenges associated with advanced age may make aging in place difficult. As communities across the country prepare for forecasted increases in the proportion of older residents, it is important to understand barriers that may prevent aging in place. Perceived barriers voiced by residents of a suburban county who completed an Aging in Place Needs Assessment Survey were categorized into four themes: need to downsize/home modification; need for assistance; family desire to reciprocate care; and isolation. A fifth group with no intent to relocate, but with concerns about having to, was also identified. Included among this group were persons with mental health or developmental disorders, such as anxiety and autism spectrum disorder. Results were examined through a person-centered lens to illustrate that aging in place may be the desired option even among residents who indicate that it is not. It is important that aging-in-place initiatives preserve identity by fostering a sense of autonomy, control, and well-being in older residents.
{"title":"Planning for Aging in Place: Incorporating the Voice of Elders to Promote Quality of Life","authors":"Diane Martin, Owen Long, L. Kessler","doi":"10.1080/02763893.2019.1593280","DOIUrl":"https://doi.org/10.1080/02763893.2019.1593280","url":null,"abstract":"Abstract Aging in place offers emotional and physical benefits; however, challenges associated with advanced age may make aging in place difficult. As communities across the country prepare for forecasted increases in the proportion of older residents, it is important to understand barriers that may prevent aging in place. Perceived barriers voiced by residents of a suburban county who completed an Aging in Place Needs Assessment Survey were categorized into four themes: need to downsize/home modification; need for assistance; family desire to reciprocate care; and isolation. A fifth group with no intent to relocate, but with concerns about having to, was also identified. Included among this group were persons with mental health or developmental disorders, such as anxiety and autism spectrum disorder. Results were examined through a person-centered lens to illustrate that aging in place may be the desired option even among residents who indicate that it is not. It is important that aging-in-place initiatives preserve identity by fostering a sense of autonomy, control, and well-being in older residents.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"382 - 392"},"PeriodicalIF":0.0,"publicationDate":"2019-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2019.1593280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47294660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-03DOI: 10.1080/02763893.2018.1534175
M. Butler, Keri McMullan, S. Ryan
Abstract This project explored ways of enhancing the lighting of older adults with Age Related Visual Loss. The Visual Functioning Questionnaire (25) was administered at the start of the project and home assessments were carried out mid-way by occupational therapy students. Firstly, findings were analysed using Qualitative Data Analysis Software, and secondly by the Qualitative Analysis Guide of Leuven. Following this, each participant was provided with a lighting prescription devised by experts. Findings indicated that the participants were able to use both this information and that from the focus groups to meet their lighting needs, particularly drawing on LED technology.
{"title":"Lighting Prescriptions for Low Vision","authors":"M. Butler, Keri McMullan, S. Ryan","doi":"10.1080/02763893.2018.1534175","DOIUrl":"https://doi.org/10.1080/02763893.2018.1534175","url":null,"abstract":"Abstract This project explored ways of enhancing the lighting of older adults with Age Related Visual Loss. The Visual Functioning Questionnaire (25) was administered at the start of the project and home assessments were carried out mid-way by occupational therapy students. Firstly, findings were analysed using Qualitative Data Analysis Software, and secondly by the Qualitative Analysis Guide of Leuven. Following this, each participant was provided with a lighting prescription devised by experts. Findings indicated that the participants were able to use both this information and that from the focus groups to meet their lighting needs, particularly drawing on LED technology.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"189 - 203"},"PeriodicalIF":0.0,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1534175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48776089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-21DOI: 10.1080/02763893.2018.1561591
Samantha Neylon, C. Bulsara, A. Hill
Abstract The objective of this study is to identify elements pertaining to minor refurbishments of residential aged care facilities. A narrative review of relevant publications was conducted. Inductive content analysis was used to categorize coded data into major or minor refurbishment or staff practices. Further analysis identified minor refurbishment domains. There were 14 major refurbishment, seven minor refurbishment and two staff practices domains established. The minor refurbishment elements (n = 7) identified were lighting, furniture, color and contrast, wayfinding, noise, signage, and flooring. Assessing these elements would assist residential aged care providers to prioritize the provision of minor improvements to the environment for residents.
{"title":"Improving Australian Residential Aged Care Facilities: A Review of Minor Refurbishment Elements","authors":"Samantha Neylon, C. Bulsara, A. Hill","doi":"10.1080/02763893.2018.1561591","DOIUrl":"https://doi.org/10.1080/02763893.2018.1561591","url":null,"abstract":"Abstract The objective of this study is to identify elements pertaining to minor refurbishments of residential aged care facilities. A narrative review of relevant publications was conducted. Inductive content analysis was used to categorize coded data into major or minor refurbishment or staff practices. Further analysis identified minor refurbishment domains. There were 14 major refurbishment, seven minor refurbishment and two staff practices domains established. The minor refurbishment elements (n = 7) identified were lighting, furniture, color and contrast, wayfinding, noise, signage, and flooring. Assessing these elements would assist residential aged care providers to prioritize the provision of minor improvements to the environment for residents.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"227 - 243"},"PeriodicalIF":0.0,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1561591","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43451342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-11DOI: 10.1080/02763893.2019.1583152
C. Baldwin, K. Dendle, Anna McKinlay
Abstract An increasing proportion of older people are unable to afford rental or purchase of age-appropriate residential accommodation in Australia. This article reports on a community-initiated research project investigating feasibility of affordable co-housing for older residents wishing to age in their community. Factors enabling successful co-housing for seniors were investigated through a systematic literature review. The multiphase participatory research approach drew on the knowledge of local seniors, community support workers, and planning and design professionals through workshops and interviews in a regional community in southeast Queensland. The findings demonstrate interest in and barriers to senior co-housing. The research engagement approach enables tailored solutions for individual long-term security, relevant to small communities in Australia.
{"title":"Initiating Senior Co-Housing: People, Place, andLong-Term Security","authors":"C. Baldwin, K. Dendle, Anna McKinlay","doi":"10.1080/02763893.2019.1583152","DOIUrl":"https://doi.org/10.1080/02763893.2019.1583152","url":null,"abstract":"Abstract An increasing proportion of older people are unable to afford rental or purchase of age-appropriate residential accommodation in Australia. This article reports on a community-initiated research project investigating feasibility of affordable co-housing for older residents wishing to age in their community. Factors enabling successful co-housing for seniors were investigated through a systematic literature review. The multiphase participatory research approach drew on the knowledge of local seniors, community support workers, and planning and design professionals through workshops and interviews in a regional community in southeast Queensland. The findings demonstrate interest in and barriers to senior co-housing. The research engagement approach enables tailored solutions for individual long-term security, relevant to small communities in Australia.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"358 - 381"},"PeriodicalIF":0.0,"publicationDate":"2019-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2019.1583152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47263268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-26DOI: 10.1080/02763893.2018.1561590
M. Mohammadi, M. Dominicus, L. V. van Buuren, K. Hamers, C. Hammink, Hüsnü Yegenoglu
Abstract This study aims to examine housing typologies for older adults in the light of three qualitatively examined exogenous factors: policy, societal developments, and technology. The developments in inpatient and assisted ambulatory housing facilities for older adults have been mapped from 1945 to 2016 using quantitative data. Using these data, five transition periods can be distinguished. Within the first transition periods, policy factors were tremendously important, while within the later ones, societal influence empowered by technological change became the primarily driving factor. This research shows that the classification of inpatient, assisted ambulatory housing, and outpatient housing may no longer be applicable in its current form.
{"title":"The Evolution of Housing Typologies for Older Adults in The Netherlands From 1945 to 2016: An Analysis in the Context of Policy, Societal, and Technological Developments","authors":"M. Mohammadi, M. Dominicus, L. V. van Buuren, K. Hamers, C. Hammink, Hüsnü Yegenoglu","doi":"10.1080/02763893.2018.1561590","DOIUrl":"https://doi.org/10.1080/02763893.2018.1561590","url":null,"abstract":"Abstract This study aims to examine housing typologies for older adults in the light of three qualitatively examined exogenous factors: policy, societal developments, and technology. The developments in inpatient and assisted ambulatory housing facilities for older adults have been mapped from 1945 to 2016 using quantitative data. Using these data, five transition periods can be distinguished. Within the first transition periods, policy factors were tremendously important, while within the later ones, societal influence empowered by technological change became the primarily driving factor. This research shows that the classification of inpatient, assisted ambulatory housing, and outpatient housing may no longer be applicable in its current form.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"205 - 226"},"PeriodicalIF":0.0,"publicationDate":"2019-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1561590","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45749828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-02-18DOI: 10.1080/02763893.2019.1567641
L. Ayalon, A. Gum
Abstract A continuing care retirement community (CCRC) represents a residential alternative for older adults. It offers a variety of social and health care services to meet older adults’ needs and preferences. Using the theory of innovation as a theoretical basis, the overall goal of the study was to use the source of information about the CCRC as a potential predictor of the decision to move. In total, 76 older adults responded to a question about the source of information on the CCRC. Of these, 40 were CCRC residents and 36 were community dwellers, who expressed an interest in the CCRC but decided to remain in their community. Based on their responses, respondents were classified into one of five clusters (e.g., spouse, friends, children, nonhuman sources, mixed human and nonhuman sources). Those classified into the spouse or adult children as sources of information were more likely to live in a CCRC. Results show that information about the CCRC should be conveyed to additional members in the family, such as adult children, as they often take a major role in the decision to relocated. The findings have implications for administrators as they clearly point to potential sources of greater influence on older adults’ decision to relocate.
{"title":"A Typology of Source of Information About the Continuing Care Retirement Community and Older Adults’ Living Arrangement","authors":"L. Ayalon, A. Gum","doi":"10.1080/02763893.2019.1567641","DOIUrl":"https://doi.org/10.1080/02763893.2019.1567641","url":null,"abstract":"Abstract A continuing care retirement community (CCRC) represents a residential alternative for older adults. It offers a variety of social and health care services to meet older adults’ needs and preferences. Using the theory of innovation as a theoretical basis, the overall goal of the study was to use the source of information about the CCRC as a potential predictor of the decision to move. In total, 76 older adults responded to a question about the source of information on the CCRC. Of these, 40 were CCRC residents and 36 were community dwellers, who expressed an interest in the CCRC but decided to remain in their community. Based on their responses, respondents were classified into one of five clusters (e.g., spouse, friends, children, nonhuman sources, mixed human and nonhuman sources). Those classified into the spouse or adult children as sources of information were more likely to live in a CCRC. Results show that information about the CCRC should be conveyed to additional members in the family, such as adult children, as they often take a major role in the decision to relocated. The findings have implications for administrators as they clearly point to potential sources of greater influence on older adults’ decision to relocate.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"33 1","pages":"325 - 336"},"PeriodicalIF":0.0,"publicationDate":"2019-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2019.1567641","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45924566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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