Dia Soilemezi, Phevos Kallitsis, A. Drahota, J. Crossland, R. Stores, A. Costall
{"title":"The Impact of the Physical Home Environment for Family Carers of People with Dementia: A Qualitative Study","authors":"Dia Soilemezi, Phevos Kallitsis, A. Drahota, J. Crossland, R. Stores, A. Costall","doi":"10.1080/02763893.2017.1335666","DOIUrl":"https://doi.org/10.1080/02763893.2017.1335666","url":null,"abstract":"Abstract Background: The majority of people with dementia are cared for by their families at home. This study aimed to elicit family carers' perceptions on home environmental aspects and strategies with the view to identify barriers and facilitators when caring for a person with dementia at home. Design and methods: Thirteen co-resident family carers were engaged in semi-structured in-depth walking interviews. Interviews were recorded, transcribed and analysed using thematic analysis. Results: Home environments can pose a number of challenges and opportunities. Aspects of the architectural and interior environment (e.g. size, condition, layout and accessibility, familiarity) are perceived as important (Theme 1) as well as a plethora of environmental strategies that encourage independence and comfort at home (Theme 2). Carers' scepticism, timing, costs, property characteristics and mistrust to services are some barriers to implementing environmental strategies (Theme 3). Conclusions: Carers improvised solutions via trial and error and need further education on strategies to create an enabling and comfortable home environment.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"303 - 333"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1335666","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46469229","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}
{"title":"Housing in Old Age: Dynamical Interactions Between Neighborhood Attachment, Neighbor Annoyance, and Residential Satisfaction","authors":"A. Beyer, Stefan T. Kamin, F. Lang","doi":"10.1080/02763893.2017.1335671","DOIUrl":"https://doi.org/10.1080/02763893.2017.1335671","url":null,"abstract":"ABSTRACT Objective: Residential satisfaction and neighborhood quality play major roles in aging well. However, longitudinal research about the interplay between such factors is still sparse. Our 1-year study examined whether change in residential satisfaction was associated with change in two indicators of neighborhood quality: neighborhood attachment and neighbor annoyance. Methods: Findings come from a longitudinal study with 85 community-dwelling German older adults (age range: 60 to 92 years). Participants filled out questionnaires at two measurements that were 1 year apart. The interplay between residential satisfaction and neighborhood was explored using a cross-path model. Results: Higher levels of residential satisfaction predicted enhanced attachment and reduced annoyance over time. Moreover, attachment predicted positive change in residential satisfaction over the course of 1 year. Conclusion: Results suggest that older adults may apply adaptive behaviors and strategies to optimize their neighborly experiences. Such findings have implications for improving residential satisfaction in community-dwelling older adults.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"382 - 393"},"PeriodicalIF":0.0,"publicationDate":"2017-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1335671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46295852","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}
{"title":"Formal Volunteering among Vulnerable Older Adults from an Environmental Perspective: Does Senior Housing Matter?","authors":"Sojung Park, BoRin Kim, Joonyoung Cho","doi":"10.1080/02763893.2017.1335668","DOIUrl":"https://doi.org/10.1080/02763893.2017.1335668","url":null,"abstract":"ABSTRACT Based on the premise that environmental support is an important facilitator for engagement in formal volunteering among vulnerable subgroups of older adults, we focus on older low-income individuals who live alone. Drawing on the environmental docility hypothesis, we examine the role living in senior housing has on the likelihood of volunteering. Data came from the 2012 wave of the Health Retirement Study (N = 1415). Kernel weights derived from propensity scores were used to account for observed sociodemographic and health characteristics associated with both senior housing living and the outcome. Logistic regression models showed that living in senior housing positively affected engagement in formal volunteering after adjusting for personal and environmental factors. As a modifiable target of intervention for successful and healthy aging, our findings provide important background knowledge for the development and implementation of housing-specific volunteer programs for vulnerable elders.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"334 - 350"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1335668","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42270426","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}
J. Gustavsson, Gullbritt Rahm, Carolina Jernbro, F. Nilson
{"title":"Effects of Impact-Absorbing Flooring in Residential Care from the Perspectives of Enrolled Nurses","authors":"J. Gustavsson, Gullbritt Rahm, Carolina Jernbro, F. Nilson","doi":"10.1080/02763893.2017.1335670","DOIUrl":"https://doi.org/10.1080/02763893.2017.1335670","url":null,"abstract":"ABSTRACT Falls are a daily occurrence in nursing homes and few interventions for reducing fall-related injuries have proven to be effective. Impact absorbing flooring (IAF) in residential care has shown promising results in reducing fall-injuries and in the process of developing and implementing IAF all aspects are valuable to explore. Therefore, the aim of this qualitative study is to describe the enrolled nurses (ENs) experiences of IAF. We carried out focus group interviews with ENs and used content analysis to process the data. The ENs experienced both negative and positive aspects with the IAF. Importantly, the ENs perceived the IAF as effective in preventing fall-injuries. They also appreciated the improvements in acoustics. Negative aspects were that the flooring initially was challenging to walk on and that it made it harder to maneuver heavy equipment. A significant and transferable finding in this study was the importance of the ENs' perceived difficulty in preventing fall-injuries amongst elderly people living in nursing homes. This seemed to be a driving force to accept the intervention. Although IAF affects the working conditions in a nursing home, ENs are willing to accept these issues given the perceived effectiveness of the intervention.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"367 - 381"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1335670","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48642280","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}
M. Lepore, M. Knowles, Kristie A Porter, J. O'keeffe, J. Wiener
{"title":"Medicaid Beneficiaries' Access to Residential Care Settings","authors":"M. Lepore, M. Knowles, Kristie A Porter, J. O'keeffe, J. Wiener","doi":"10.1080/02763893.2017.1335669","DOIUrl":"https://doi.org/10.1080/02763893.2017.1335669","url":null,"abstract":"ABSTRACT Residential care settings (RCSs) are community-based housing and supportive services providers. Medicaid beneficiaries' access to RCSs is of concern to policymakers and other stakeholders because most people prefer community-based to institutional services and RCSs are generally less expensive than nursing homes. To better understand Medicaid beneficiaries' access to state-licensed RCSs, we examined Medicaid policies in 50 states and the District of Columbia, interviewed seven subject-matter experts, and conducted four state case studies informed by reviews of state policies and interviews with 27 stakeholders. Factors identified as influencing Medicaid beneficiaries' access to RCSs include Medicaid reimbursement rates for RCS services, the supply of Medicaid-certified RCSs and RCS beds, and policies that affect RCS room and board costs for Medicaid beneficiaries. Shifting Medicaid spending toward community-based instead of institutional care may require attention to these interrelated issues of RCS payment, supply, and room and board costs.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"351 - 366"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1335669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48925932","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}
{"title":"Factors Influencing Family-Member Perception of “Homelikeness” in Long-Term Care Homes","authors":"Stephanie A. Chamberlain, L. Weeks, J. Keefe","doi":"10.1080/02763893.2017.1335672","DOIUrl":"https://doi.org/10.1080/02763893.2017.1335672","url":null,"abstract":"ABSTRACT Background: A number of long-term care homes in Nova Scotia, Canada, have been built or redesigned with new models of care with expanded care aide scope of practice and neighborhood-style layouts. Our objective was to examine what physical characteristics (bed size, owner-operator), model of care, and relational (family–staff relationship, perceived staff–resident relationship) factors were associated with increased family-member perception of homelikeness in long-term care homes. Methods: We analyzed surveys collected from 273 family members from 23 long-term care homes in Nova Scotia, Canada. We conducted a multivariate linear regression to assess variables associated with increased family-member perception of homelikeness. Results: We found that relationships between family and staff, perceived resident-to-resident relationships, and family involvement in decision making were positively associated with increased family perception of homelikeness. We found no significant associations between model of care or physical characteristics and increased family perception of homelikeness. Conclusion: Relationships among family members, residents, and staff are integral to family members feeling at home in their loved one's long-term care home. Feeling at home in long-term care is largely related to family-member perception of meaningful social interactions between family and staff, and between residents.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"394 - 409"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1335672","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48200450","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}
{"title":"Environmental and Behavioral Circumstances and Consequences of Falls in a Senior Living Development","authors":"Daejin Kim, S. Ahrentzen","doi":"10.1080/02763893.2017.1335667","DOIUrl":"https://doi.org/10.1080/02763893.2017.1335667","url":null,"abstract":"ABSTRACT This article investigated the role of environmental and behavioral factors surrounding fall incidents in a senior living community. Using a mixed-methods approach, this research included both a retrospective analysis of fall reports and resident interviews. The quantitative analysis showed falls in the bedroom and bathroom were more likely to happen between 12 am and 8 am. Falls in the bathroom were more likely to result in severe injuries compared to falls in other rooms. The qualitative analysis identified three types of fall-related activity (transfer, ambulation, standing) and five behavioral factors surrounding fall incidents (transferring, slipping, misjudged behavior, tripping, health issue).","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"286 - 301"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1335667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48173312","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}
{"title":"Housing Governance and Senses of Home in Older Age: The Provider Scale","authors":"Emma R. Power","doi":"10.1080/02763893.2016.1268561","DOIUrl":"https://doi.org/10.1080/02763893.2016.1268561","url":null,"abstract":"ABSTRACT Extensive research examines senses of home in aging, focusing on built and care environments. In parallel, a body of work examines housing governance, reviewing degrees of resident satisfaction. However, there is little crossover between this work, with governance research only rarely considering senses of home. This article argues for attention to the interconnections between provider-scale housing governance and senses of home in older age, arguing that governance mechanisms structure the housing context and provide the framework through which home is experienced and lived. Through a case study of a small, affordable housing community in Sydney, Australia, it shows that housing governance can profoundly shape senses of home in aging, both contributing to and diminishing senses of home. Further, it points to a connection between housing governance and housing design with different housing typologies associated with different aging bodies and forms of management practice, with profound implications for residents' senses of home.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"193 - 212"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2016.1268561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47735036","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}
{"title":"Defining the Goals of Age-Friendly Interventions","authors":"A. Glicksman, L. Ring","doi":"10.1080/02763893.2017.1309925","DOIUrl":"https://doi.org/10.1080/02763893.2017.1309925","url":null,"abstract":"Abstract While the term “age-friendly” has become ubiquitous in the field of social gerontology, a clear definition of the term remains elusive. In an effort to clarify the role of age-friendly initiatives, Menec and colleagues presented a framework focused on social connectivity within an ecological model. The articles in this special issue address issues raised by this approach and its implications for policy, programs and scientific research.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"93 - 98"},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1309925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46879381","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}
{"title":"The Future of Age-Friendly: Building a More Inclusive Model Using Principles of Ecology and Social Capital","authors":"L. Ring, A. Glicksman, M. Kleban, J. Norstrand","doi":"10.1080/02763893.2017.1309930","DOIUrl":"https://doi.org/10.1080/02763893.2017.1309930","url":null,"abstract":"ABSTRACT Menec's (2011) framework for understanding age-friendly efforts rests on two ideas: first, that we need to take an ecological approach to develop these programs; second, that social connectedness forms the core of what makes a program age-friendly. Building on previous research in which we demonstrated the association between social connectedness and the health outcomes that are often the goals of age-friendly efforts, we added an environmental measure in order to determine if using an ecological approach improves our understanding of the relation of social connectedness to health outcomes. We discovered that the added measure does strengthen our model.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"31 1","pages":"117 - 129"},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1309930","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44375802","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}