Conceptualizing Time and Behavior in Environmental Gerontology: A Pair of Old Issues Deserving New Thought

Golant, Stephen M.

doi:10.1093/geront/43.5.638

Cited by 132 publications

(85 citation statements)

References 16 publications

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“…In the domain of social well-being all participants assigned to their housing situation high scores. Based on substantial previous research, it is well known that older people tend to do so (Golant, 2003;Oswald et al, 2006), even if from an objective point of view aspects such as housing standard and accessibility indicate that there might be problems (Iwarsson and Isacsson, 1996). Already at baseline, in nearly two thirds of our sample there were housing accessibility problems (Table 1), and according to a parallel study on the same sample (WerngrenElgström et al, in press), significant increases in P-E fit (accessibility) problems occurred between baseline and follow-up 1 as well as between follow-up 1 and follow-up 2.…”

Section: Discussionmentioning

confidence: 99%

A 10-year follow-up study on subjective well-being and relationships to person–environment (P–E) fit and activity of daily living (ADL) dependence of older Swedish adults

Werngren-Elgström

Carlsson

Iwarsson

2009

Archives of Gerontology and Geriatrics

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In order to investigate how well-being and ill health is affected by the process of aging, the main aim was to investigate these self-perceived aspects of health over a 10-year period among older Swedish adults. The aim was also to study how these aspects correlated with objectively assessed functional limitations, use of mobility device, person-environment (P-E) fit; (also denoted accessibility) problems in housing, and activity of daily living (ADL) dependence. Using the Swedish national population register, a baseline sample of persons aged 75-84 years was identified.Out of the 133 participants at baseline (1994), the 31 participants still available 10 years later were included. The data were collected by means of interview and observation at home visits. Overall, the participants rated their subjective well-being as high and a stable prevalence of ill-health symptoms over time was reported.Changes in subjective well-being as related to changes in functional aspects seem to mainly occur earlier in the aging process, while as time goes by these relations weaken. ADL dependence, however, is more influential in more advanced age. The results confirm the complexity of the construct of health. A main contribution is that the results shed light on the importance of taking the impact of environmental factors into consideration.

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Section: Discussionmentioning

confidence: 99%

A 10-year follow-up study on subjective well-being and relationships to person–environment (P–E) fit and activity of daily living (ADL) dependence of older Swedish adults

Werngren-Elgström

Carlsson

Iwarsson

2009

Archives of Gerontology and Geriatrics

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“…in Sweden € 83m in 2002) (Boverket, 2003) only few evaluations have been conducted, focusing, for example, on functional status among frail elderly persons (Mann et al, 1999), or on the relationship between lung capacity and housing conditions among younger adults with asthma (Frisk et al, 2002). Furthermore, cross-sectional studies do not provide sufficient knowledge useful for describing rehabilitation processes over time, indicating that longitudinal evaluations are imperative in order to describe the direction, magnitude, and pace of change (Gitlin et al, 2001;Golant, 2003). However, longitudinal evaluations of housing adaptations have not been conducted, and to date systematic, research-based strategies for such evaluations are lacking.…”

Section: Introductionmentioning

confidence: 99%

Changes in accessibility and usability in housing: an exploration of the housing adaptation process

Fänge

Iwarsson

2005

Occupation Therapy Intl

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The purpose of a housing adaptation is to enhance daily activities and to improve housing accessibility and usability by removing physical barriers in the home. The aim of this study was to investigate longitudinal changes in housing accessibility among clients receiving grants for housing adaptations. Baseline assessments were administered one month before the housing adaptation, with the first follow-up after two to three months, and the second follow-up after eight to nine months. The Housing Enabler and the Usability in My Home instruments were used to collect data from 131 consecutively enrolled clients living in general housing. Accessibility and usability improved significantly, the number of physical environmental barriers decreased and dependence on mobility devices increased, but at different times along the process. The results indicate the complexity of the housing adaptation process and the need to consider person-environment interactions over time. The methodology seems useful for quality development of assessment, intervention and evaluation processes in housing adaptations performed by occupational therapists.

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“…For example, perceived activity patterns in the home deserve explicit attention (Golant, 2003), and, according to literature within the field of occupational therapy, person-environment-activity (P-E-A) transactions are of critical importance (Law et al, 1996). Using the idea of P-E-A transactions as the starting point, Iwarsson & Sta˚hl (2003) defined an aspect of perceived housing, which they termed usability of the home, and the concept has been empirically validated (Fa¨nge & Iwarsson, 2003, 2005a, 2005b.…”

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confidence: 99%

Relationships Between Objective and Perceived Housing in Very Old Age

Nygren¹,

Oswald²,

Iwarsson³

et al. 2007

The Gerontologist

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Purpose: Our purpose in this study was to explore relationships between aspects of objective and perceived housing in five European samples of very old adults, as well as to investigate whether crossnational comparable patterns exist. Design and Methods: We utilized data from the first wave of the ENABLE-AGE Survey Study. The five national samples totalled 1,918 individuals aged 75 to 89 years. Objective assessments of the home environment covered the number of environmental barriers as well as the magnitude of accessibility problems (an aspect of person-environment fit). To assess perceptions of housing, we used instruments on usability, meaning of home, and housing satisfaction. We also assessed housing-related control. Results: Overall, the results revealed that the magnitude of accessibility problems, rather than the number of physical environmental barriers, was associated with perceptions of activity-oriented aspects of housing. That is, very old people living in more accessible housing perceived their homes as more useful and meaningful in relation to their routines and everyday activities, and they were less dependent on external control in relation to their housing. The patterns of such relationships were similar in the five national samples. Implications: Objective and perceived aspects of housing have to be considered in order to understand the dynamics of aging in place, and the results can be used in practice contexts that target housing for senior citizens.

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Conceptualizing Time and Behavior in Environmental Gerontology: A Pair of Old Issues Deserving New Thought

Cited by 132 publications

References 16 publications

A 10-year follow-up study on subjective well-being and relationships to person–environment (P–E) fit and activity of daily living (ADL) dependence of older Swedish adults

A 10-year follow-up study on subjective well-being and relationships to person–environment (P–E) fit and activity of daily living (ADL) dependence of older Swedish adults

Changes in accessibility and usability in housing: an exploration of the housing adaptation process

Relationships Between Objective and Perceived Housing in Very Old Age

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