Housing accessibility and its associations with participation among older adults living with long-standing spinal cord injury

Norin, Lizette; Slaug, Björn; Haak, Maria; Jörgensen, Sophie; Lexell, Jan; Iwarsson, Susanne

doi:10.1080/10790268.2016.1224541

Cited by 20 publications

(17 citation statements)

References 35 publications

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“…The SASCIS is a population‐based, longitudinal cohort study assessing persons 50 years of age or older and at least 10 years after a traumatic or nontraumatic SCI. The results from our previous studies are overall positive, showing that older adults with long‐term SCI in Sweden have some strategies and characteristics that may support healthy aging .…”

Section: Introductionmentioning

confidence: 73%

“…The overall aim is to contribute to the knowledge base of factors associated with healthy aging in individuals with long‐term SCI. We have previously described the methodology of the SASCIS , secondary health conditions, activity limitations and life satisfaction , participation in leisure time physical activity , participation restrictions and housing accessibility , and depressive symptoms and psychological resources in this population. In the present study, cross‐sectional data on the following CVD risk factors were included in the analyses: (1) BMI, (2) WC, (3) BP, (4) tobacco use, (5) FPG, and (6) lipid profiles.…”

Section: Methodsmentioning

confidence: 99%

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Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Hill

Lexell

2019

PM&R

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Section: Introductionmentioning

confidence: 73%

Section: Methodsmentioning

confidence: 99%

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Hill

Lexell

2019

PM&R

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“…Further, causal associations between housing and health/wellbeing have been linked to multiple population groups; for example, children [8,9], adults [10,11], people from developed and developing nations [12], different geographical areas (i.e., urban, regional, remote locations) [11,13], a range of cultures [14,15], able-bodied populations [8,10], and people with diverse health conditions and impairments [16,17]. Despite this well-established, multifaceted link between housing and health/wellbeing, individuals with an acquired brain injury (ABI) or spinal cord injury (SCI) incur significant housing challenges [18,19,20].…”

Section: Introductionmentioning

confidence: 99%

Housing for People with an Acquired Brain or Spinal Injury: Mapping the Australian Funding Landscape

Wright

Colley

Knudsen

et al. 2019

IJERPH

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This research aimed to synthesize housing supports funded by 20 major insurance-based schemes for Australians with an acquired brain injury (ABI) or spinal cord injury (SCI). Publicly available grey literature (i.e., primary information from respective scheme websites) was systematically reviewed and compared. There were notable differences between the different scheme types (disability vs. workers compensation schemes) and across different States. Collectively, scheme funding was more likely to be focused on housing infrastructure and service delivery, than on tenancy support. Australians who are least likely to benefit from the current funding context are those whose home cannot be reasonably modified, are wanting to build or purchase a new home, do not have suitable, alternative short- or long-term housing options if their current home is not feasible, require support to maintain occupancy of their home or financial assistance to move into a new home, may benefit from case management services, family supports, and assistance animals, and/or cannot afford their rent or home loan repayments. Several interactions, inconsistencies, contradictions, and gaps that warrant further attention were also revealed. This review has highlighted the need for policy makers to provide transparent information about housing entitlements for individuals with ABI or SCI, and their families. A unified, evidence-based framework to guide the funding of housing and housing support services may increase the consistency of interventions available to people with ABI or SCI and, therefore, improve outcomes.

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“…Rollators and powered wheelchairs compensate for certain environmental barriers, implying that the Housing Enabler accessibility problem scores may overestimate the problem. This was observed previously, when the Housing Enabler was used in a sample with severe mobility limitations (Norin et al, 2017). It was also considered in a study by Pettersson et al (2015), where irregular surfaces in the exterior surroundings appeared to be among the environmental barriers generating the most accessibility problems, although that sample consisted of powered mobility device users.…”

Section: Discussionmentioning

confidence: 69%

“…A recent study on accessibility and participation among older adults with long-standing spinal cord injury (SCI) (Norin et al., 2017) revealed assessment challenges during data collection when using the Housing Enabler, mainly due to frequent housing adaptation features not covered by the instrument, in a majority of the dwellings. Moreover, dependence of mobility devices such as powered wheelchairs was very common in the SCI sample.…”

Section: Introductionmentioning

confidence: 99%

The Housing Enabler instrument: Assessing threats to reliability and validity

Norin

Iwarsson

Haak

et al. 2018

British Journal of Occupational Therapy

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Introduction: The Housing Enabler instrument, designed to measure housing accessibility, has not been used in samples with long-standing spinal cord injury. We aimed to investigate potential threats to the reliability and validity of the instrument when used among older adults with spinal cord injury. Method: Cross-sectional data from the Swedish Aging with Spinal Cord Injury Study (N ¼ 123, injury levels C1-L5) were utilised. The potential effect on the reliability and content validity of the House Enabler was qualitatively considered and reviewed in an iterative evaluation procedure. To analyse the potential effect on construct validity, simulations adjusting accessibility problem scores for housing adaptations and use of mobility devices were conducted. Findings: Considerable threats to the reliability and content validity of the Housing Enabler were identified. The simulated analysis of construct validity showed a modest overall effect on the accessibility problem scores, although this was substantial in some individuals. Conclusion: Data collection and analyses of housing accessibility with the Housing Enabler in samples characterised by high frequencies of housing adaptations and/or use of mobility devices (such as powered wheelchairs) require particular attention. Further studies are needed to propose optimisation of the instrument for use in such contexts, followed by psychometric testing to maintain reliability and validity.

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Housing accessibility and its associations with participation among older adults living with long-standing spinal cord injury

Abstract: This study indicates that optimizing the housing environment for older adults with SCI can potentially increase their participation and make them more autonomous. Further studies based on longitudinal data are needed to determine the causality of the associations identified.

Cited by 20 publications

References 35 publications

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Housing for People with an Acquired Brain or Spinal Injury: Mapping the Australian Funding Landscape

The Housing Enabler instrument: Assessing threats to reliability and validity

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