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Journal of Housing for the Elderly最新文献

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A Model for Aging in Place in Apartment Communities 公寓社区就地老龄化模型
Pub Date : 2017-01-02 DOI: 10.1080/02763893.2016.1268555
Heidi H. Ewen, D. Lewis, Andrew T. Carswell, K. Emerson, Tiffany R. Washington, Matthew Lee Smith
ABSTRACT The purpose of this article is to introduce a theoretical model for an aging-in-place housing specialist for those living in congregate housing facilities. A “needs assessment” tool is outlined to help facilitate the successful implementation of a Health and Aging Residential Service Coordinator (HARSC), both from a research perspective and from implementation of training curriculum for this specialized population. A model that provides both on- and off-site services is hypothesized to be most effective.
摘要本文的目的是为居住在集中住房设施中的老年人引入一个原地养老专家的理论模型。概述了一种"需求评估"工具,以帮助从研究的角度和从为这一特殊人口实施培训课程的角度成功地实施健康和老年人住宿服务协调员(HARSC)。假设同时提供现场和非现场服务的模型是最有效的。
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引用次数: 14
Exploring Home Sharing for Elders 探索长者共享住宿
Pub Date : 2017-01-02 DOI: 10.1080/02763893.2016.1268558
Henry Bodkin, P. Saxena
ABSTRACT Research suggests that third party-arranged home sharing (“TPAHS”) enables elders to remain at home in advanced age by connecting elder home owners with suitable live-in “matches.” TPAHS potentially saves elders, their families, and Medicaid budgets millions of a dollars per year in avoided and postponed nursing home costs. In interviews with elder TPAHS participants of one TPAHS program, we found that similarity in values, ability to utilize the TPAHS organization's guidance, and, when relevant, familiarity with their matches' mental health challenges, correlated with said participants' satisfaction with their matches while a lack of these qualities correlated with match dissatisfaction. With these findings in mind, we suggest strategies TPAHS organizations can use to best serve the elderly TPAHS participants who may benefit from intensified match support but may not seek it.
摘要研究表明,第三方安排的家庭共享(“TPAHS”)通过将养老院业主与合适的“匹配者”联系起来,使老年人能够在老年时留在家中。TPAHS每年可为老年人、他们的家人和医疗补助预算节省数百万美元,避免和推迟养老院的费用。在对一个TPAHS项目的年长TPAHS参与者的采访中,我们发现,价值观的相似性、利用TPAHS组织指导的能力,以及在相关情况下对比赛心理健康挑战的熟悉程度,与所述参与者对比赛的满意度相关,而缺乏这些品质与比赛的不满意度相关。考虑到这些发现,我们建议TPAHS组织可以使用的策略来最好地服务于老年TPAHS参与者,他们可能会从强化的比赛支持中受益,但可能不会寻求。
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引用次数: 6
Launching Medical Foster Home Programs: Key Components to Growing This Alternative to Nursing Home Placement 启动医疗寄养家庭计划:发展这种养老院安置替代方案的关键组成部分
Pub Date : 2017-01-02 DOI: 10.1080/02763893.2016.1268556
L. Haverhals, C. Manheim, Jacqueline Jones, C. Levy
ABSTRACT Objective: The objective of this research was to examine and explain elements that enhanced or thwarted program growth of the United States Veterans Health Administration Medical Foster Home program. Methods: This qualitative study was conducted nationally through individual interviews over the phone and in-person (n = 22) with coordinators (n = 15 at slow-growth programs; n = 6 at fast-growth programs), program support assistants (PSAs) (n = 1 at slow-growth program), and home-based primary care team members (n = 3), as well as three in-person focus groups (n = 28 total participants) with home-based primary care team members. All participants (N = 53) were involved with programs in existence for at least two years. Results: Facilitators and barriers that enhanced or thwarted program growth emerged around four themes: A full-time coordinator; Unmitigated home-based primary care team engagement; Pursuit and receipt of appropriate referrals; and Match between caregiver, home, and Veteran. Conclusions: To facilitate program growth, program leaders should consider themes identified and how to foster situations and shape policies that put themes into practice.
摘要目的:本研究的目的是检查和解释促进或阻碍美国退伍军人健康管理局医疗寄养家庭项目发展的因素。方法:本定性研究在全国范围内进行,通过电话和面对面访谈(n = 22)与协调员(n = 15)在缓慢增长计划;在快速增长的项目中n = 6),项目支持助理(psa)(在缓慢增长的项目中n = 1),家庭基础护理团队成员(n = 3),以及三个面对面的焦点小组(n = 28名参与者),其中包括家庭基础护理团队成员。所有参与者(N = 53)都参与了至少两年的现有项目。结果:促进或阻碍项目发展的因素和障碍围绕四个主题出现:全职协调员;充分参与以家庭为基础的初级保健团队;寻求和接受适当的转介;以及照顾者、家庭成员和退伍军人之间的匹配。结论:为了促进项目的发展,项目负责人应该考虑确定的主题,以及如何促进情况和制定政策,将主题付诸实践。
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引用次数: 8
Life Satisfaction Among Home-Dwelling Older People Who Have Experienced Falls and Have Declined Subjective Health 经历过跌倒和主观健康下降的居家老年人的生活满意度
Pub Date : 2017-01-02 DOI: 10.1080/02763893.2016.1268559
Edit Fonad, B. Ebbeskog
ABSTRACT This study investigated the reported life situations of home-dwelling older people who have experienced falls and have declined subjective health. Mixed method design was used and consisted of a quantitative study comprising questionnaires completed by 434 home-dwelling older people, and a qualitative study consisting of 30 interviews. The findings showed that declined physical function combined with limited health status was associated with falling. Despite limited physical condition, participants experienced well-being and life satisfaction in daily living. Insight obtained from these findings deepens our understanding of fallers and may provide a basis for future research leading to improvements within health care.
摘要本研究调查了在家居住的老年人的生活状况,这些老年人经历过跌倒,主观健康状况下降。采用混合方法设计,包括由434名居家老年人完成的问卷调查组成的定量研究和由30次访谈组成的定性研究。研究结果表明,身体功能下降加上健康状况有限与跌倒有关。尽管身体状况有限,但参与者在日常生活中体验到了幸福感和生活满意度。从这些发现中获得的见解加深了我们对跌倒者的理解,并可能为未来的研究提供基础,从而改善医疗保健。
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引用次数: 1
Evaluating Potential Environmental Variables and Active Aging in Older Adults for Age-Friendly Neighborhoods in Malaysia 马来西亚老年友好社区潜在环境变量和老年人积极老龄化的评估
Pub Date : 2017-01-02 DOI: 10.1080/02763893.2016.1268560
H. Elsawahli, Azlan Shah Ali, F. Ahmad, K. Al-Obaidi
ABSTRACT As Malaysia's population is aging rapidly, and since there is no specific housing policy for the elderly, it is vital that neighborhoods meet the different needs of elderly for active aging to maintain their quality of life. This study aims to investigate the neighborhood environmental variables, the outcome active aging, and potential variables that inhibit active aging in the elderly that lead to their quality of life. It examined quality-of-life determinants that are influenced by the existence of certain neighborhood characteristics. In the study, 385 older adults aged 60+ years residing in two different cities in Malaysia were surveyed. Multiple regression was used to explore how much variance in active aging variables the neighborhood environmental factors explained as a group. The results showed that permeability, accessibility, and facilitators to walking are key determinants of active aging. There is a need to improve the physical design of the neighborhoods with regard to these three factors.
摘要由于马来西亚人口老龄化速度很快,而且没有专门针对老年人的住房政策,因此社区满足老年人积极老龄化的不同需求以保持他们的生活质量至关重要。本研究旨在调查社区环境变量、主动衰老的结果以及抑制老年人主动衰老并提高其生活质量的潜在变量。它研究了生活质量的决定因素,这些决定因素受到某些社区特征的影响。在这项研究中,对居住在马来西亚两个不同城市的385名60岁以上的老年人进行了调查。多元回归被用来探索活跃老化变量的方差有多大,邻域环境因素作为一个群体来解释。研究结果表明,步行的渗透性、可及性和促进因素是主动衰老的关键决定因素。有必要针对这三个因素改进社区的物理设计。
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引用次数: 11
Culture Change in Aged-Care Facilities: A Café's Contribution to Transforming the Physical and Social Environment 养老设施中的文化变迁:咖啡馆对改变自然环境和社会环境的贡献
Pub Date : 2017-01-02 DOI: 10.1080/02763893.2016.1268557
A. Andrew, Lorraine H. Ritchie
ABSTRACT Objective: To discuss the potential of a café on the premises of an aged-care facility as a vehicle for culture change. Method: Secondary analysis of primary qualitative data that explored the value of a café in an aged-care facility, compared with culture-change principles established from a literature review. Results: Secondary analysis established congruence between culture-change principles and the themes established in the primary qualitative data. A café, in one aged-care facility, has facilitated the following dimensions of culture change for residents: individualized care, facilitation of meaningful relationships, opportunities for participation in life roles, and creation of a sense of belonging. Conclusion: Culture change can be achieved through environmental innovations, such as a café, where food and dining maximize social opportunities and create a homelike environment that facilitates continuation of residents' identity.
摘要目的:探讨老年护理机构内的咖啡馆作为文化变革载体的潜力。方法:对探索老年护理机构咖啡馆价值的主要定性数据进行二次分析,并与文献综述中确立的文化变化原则进行比较。结果:二次分析确定了文化变化原则与一次定性数据中确定的主题之间的一致性。一家老年护理机构的咖啡馆促进了居民文化变革的以下方面:个性化护理、促进有意义的关系、参与生活角色的机会以及创造归属感。结论:文化变革可以通过环境创新来实现,比如咖啡馆,在这里,食物和餐饮可以最大限度地增加社交机会,并创造一个有助于延续居民身份的居家环境。
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引用次数: 9
Housing Concepts For and By the Elderly: From Subjects of Design to a Design Resource 老年人居住理念:从设计主体到设计资源
Pub Date : 2016-10-01 DOI: 10.1080/02763893.2016.1224792
A. Pirinen
ABSTRACT The perception of elderly residents as a homogeneous group is challenged by the diversification of lifestyles and emphasis on individuality in housing. Recently, there has been a rise in Finland in housing projects initiated by groups of elderly people, where the seniors themselves are seeking to fill in qualitative gaps in the offering of housing. This article presents a comparative analysis of four senior housing concepts that represent both a producer-driven (“for the elderly”) and a resident-driven (“by the elderly”) approach. The study shows that elderly people can be a resource for residential development and that this necessitates a different “design logic” than in conventional senior housing.
老年居民作为一个同质群体的观念受到生活方式多样化和对住房个性的强调的挑战。最近,芬兰由老年人团体发起的住房项目有所增加,老年人自己正在设法填补住房供应方面的质量差距。本文对四种老年住宅概念进行了比较分析,这四种概念分别代表了生产者驱动(“为老年人”)和居民驱动(“由老年人”)的方法。研究表明,老年人可以成为住宅发展的资源,这需要一种与传统老年住宅不同的“设计逻辑”。
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引用次数: 4
Multidimensional Demand Strength of Recreational Activity Programming in Assisted Living: A Conceptual Model and Prototypical Rating Scale 辅助生活中娱乐活动规划的多维需求强度:一个概念模型和原型评定量表
Pub Date : 2016-10-01 DOI: 10.1080/02763893.2016.1224789
E. Plys, S. Qualls
ABSTRACT This article describes a framework for measuring activity demands and the psychometric properties of a related measurement tool, the Multidimensional Activities Demand Strength for Assisted Living (MADS-AL). Nine experts—three in physical, cognitive, and social domains, respectively—rated demands of 37 common assisted-living activities. Interrater reliability and internal consistency for physical, intraclass correlation coefficient (ICC)(2, 3) = .96, Cronbach's α = .97, cognitive, ICC(2, 3) = .71, α = .93, and social, ICC(2, 3) = .80, α = .86, scales give preliminary support for reliability of the MADS-AL tool. Overall, this article moves the field toward considering task demands as a relevant variable to inform future activities research and practice.
本文描述了一个测量活动需求的框架和相关测量工具的心理测量特性,多维活动需求强度辅助生活(MADS-AL)。9位专家——分别来自身体、认知和社会领域的3位专家——对37种常见的辅助生活活动的需求进行了评级。物理类内相关系数(ICC)(2,3) = 0.96, Cronbach's α = 0.97,认知类内相关系数(ICC)(2,3) = 0.71, α = 0.93,社会类内相关系数(ICC)(2,3) = 0.80, α = 0.86,这些量表的信度和内部一致性为MADS-AL工具的信度提供了初步支持。总体而言,本文将该领域转向将任务需求作为一个相关变量,以告知未来的活动研究和实践。
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引用次数: 3
Negotiating Control: From Recognizing a Need to Making a Decision to Apply for a Housing Adaptation 协商控制:从认识到需要作出决定申请住房适应
Pub Date : 2016-10-01 DOI: 10.1080/02763893.2016.1224788
Lisa Ekstam, A. Fänge, G. Carlsson
ABSTRACT A housing adaptation (HA) can enable independent living in one's own home, but deciding to change the home environment can be a thought-provoking matter. The aim of this study was to explore the applicant's perspective and decision-making process when applying for an HA grant. Seventeen persons were interviewed about their application for such a grant, and the data were analyzed using a constant comparative approach. The findings illustrated how the participants negotiated control in their everyday lives as they went from recognizing a need to then deciding to apply for an HA grant. Before coming to a decision, alternative solutions were considered and their expectations on the effect of having an HA were explored. This knowledge is useful for professionals and caregivers to help support people during the HA decision-making process.
住房适应(HA)可以使一个人在自己的家中独立生活,但决定改变家庭环境可能是一个发人深省的问题。本研究旨在探讨申请人在申请医管局补助金时的观点和决策过程。对17人就其申请这种补助金的情况进行了面谈,并采用不断比较的方法对数据进行了分析。研究结果显示,参与者在日常生活中,从认识到有需要,到决定申请医管局拨款,是如何控制自己的。在作出决定之前,他们考虑了备选解决方案,并探讨了他们对建立HA的效果的期望。这些知识对专业人员和护理人员在医管局的决策过程中提供帮助是有用的。
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引用次数: 16
Integrating Services for Older People in Aging Communities in The Netherlands: A Comparison of Urban and Rural Approaches 荷兰老年社区的老年人综合服务:城市和农村方法的比较
Pub Date : 2016-10-01 DOI: 10.1080/02763893.2016.1224793
R. Pijpers, George de Kam, L. Dorland
ABSTRACT The aim of this article is to discuss approaches to services integration for older people in urban and rural aging environments in The Netherlands, and the preliminary effects of these approaches on local aging conditions. In urban areas, services integration revolves around the creation of functional spatial hierarchy. In rural areas, the emphasis is on forging links between service providers. Outcomes for health and use of professional care services are similar. Out-comes for housing, informal care, and accessibility of services differ between urban and rural areas in ways that can be traced back to local aging conditions and elements of the specific approach to services integration used. In both urban and rural areas, much more could be done to connect formal programs to the lifeworlds of older dwellers.
摘要本文旨在探讨荷兰城市和农村老龄化环境中老年人服务整合的方法,以及这些方法对当地老龄化状况的初步影响。在城市地区,服务集成围绕着功能空间层次的创建。在农村地区,重点是建立服务提供者之间的联系。健康和使用专业护理服务的结果相似。住房、非正规护理和服务可及性方面的成果在城市和农村地区之间存在差异,其原因可以追溯到当地的老龄化状况和所采用的具体服务整合方法的要素。在城市和农村地区,将正式项目与老年居民的生活世界联系起来,还有很多工作要做。
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引用次数: 3
期刊
Journal of Housing for the Elderly
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