Physical Home Environment as a Determinant of Aging in Place for Different Types of Elderly Households

Safran‐Norton, Clare E.

doi:10.1080/02763891003757494

Cited by 36 publications

(29 citation statements)

References 14 publications

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“…It can offer some easily implemented and low cost strategies (e.g. labelling cupboards, covering mirrors), but it can also be ideal for reminiscence activities as it is full of cherished objects and photographs, a finding consistent with previous quantitative studies (Gitlin et al, 2003;Gitlin, 2007;Safran-Norton, 2010;van Hoof & Kort, 2009;. The majority of the environmental strategies were perceived as helpful, although there were some exceptions.…”

Section: Discussionsupporting

confidence: 77%

The Role of the Home Environment in Dementia Care and Support: Systematic review of Qualitative Research

et al. 2017

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Background The domestic home is the preferred site for care provision for people with dementia and their families, therefore creating a dementia and caring friendly home environment is crucial. This systematic review synthesised qualitative studies to explore the role of the home environment and identify potential barriers and facilitators in home dementia care and support to inform future practice and research. Methods A systematic search in 12 databases identified international qualitative literature on perceptions and experiences of community-dwelling people with dementia, family and formal carers regarding the role of the home environment and ways to tackle daily challenges. Results Forty qualitative studies were included and analysed using thematic synthesis. The main three themes were: 'home as a paradox', 'there is no magic formula' and 'adapting the physical space, objects and behaviour'. Findings indicate that home is an important setting and is likely to change significantly responding to the changing nature of dementia. Themes were later validated by family carers of people with dementia. Conclusions The home environment is an important setting for care and needs to remain flexible to accommodate changes and challenges. Family carers and people with dementia implement and often improvise, various environmental strategies. Continuous and tailor-made support at home is required.

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Section: Discussionsupporting

confidence: 77%

The Role of the Home Environment in Dementia Care and Support: Systematic review of Qualitative Research

et al. 2017

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“…Previous research also offers mixed evidence about an open layout (Marquardt, Johnston, Black, Morrison, Rosenblatt, Lykentsos, et al, 2011a;Olsen et al, 1999;van Hoof & Kort, 2009). The presence of stairs was considered a reason for relocation for two carers, while a stair free home was considered a facilitator by all but one of the carers, which echoes previous studies (Bigonnesse, Beaulieu, & Garon, 2014;Gill, Williams, Robison, & Tinietti, 1999;Marquardt, Johnston, Black, Morrison, Rosenblatt, Lyketsos, et al, 2011b;Safran Norton, 2010). Access to areas, for example a toilet in each level, was perceived as very helpful to minimise night wandering (and thus reduce risk of falls and incontinence accidents).…”

Section: Discussionsupporting

confidence: 52%

The Impact of the Physical Home Environment for Family Carers of People with Dementia: A Qualitative Study

Soilemezi

Kallitsis

Drahota

et al. 2017

Journal of Housing For the Elderly

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Background: Most people with dementia are cared for by their families at home. This study investigated family carers' identification of barriers and facilitators when caring for a person with dementia at home. Design and methods: Thirteen co-resident family carers were engaged in semistructured 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 of services are some barriers to implementing environmental strategies (Theme 3). Conclusions: Carers often improvise solutions through trial and error. Environmental strategies can create an enabling and comfortable home environment.

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“…A common trend found in research is that OAs have a strong desire to remain living in their home as they age (Dye, Willougby, & Battisto, 2011;Ellison, White, & Chapman, 2011;Howell & Cleary, 2007;Safran-Norton, 2010;Stevens-Ratchford & Diaz, 2003). OAs identify the importance of aging in the home instead of in institutional care, such as nursing homes, because it allows them to retain a sense of independence and control and is associated with a high quality of life (Ellison et al, 2011;Howell & Cleary, 2007;Safran-Norton, 2010;Stark, Chase, & DeYoung, 2010;Stevens-Ratchford & Diaz, 2003).…”

Section: Independent Community Livingmentioning

confidence: 95%

“…OAs identify the importance of aging in the home instead of in institutional care, such as nursing homes, because it allows them to retain a sense of independence and control and is associated with a high quality of life (Ellison et al, 2011;Howell & Cleary, 2007;Safran-Norton, 2010;Stark, Chase, & DeYoung, 2010;Stevens-Ratchford & Diaz, 2003).…”

Section: Independent Community Livingmentioning

confidence: 98%

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Assessing Assistive Device Needs of Community Dwelling Older Adults in Tompkins County

Gitlow

Eastman

Gefell

et al. 2012

Physical & Occupational Therapy In Geriatrics

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Research has shown that for older adults (OAs), remaining at home encourages engagement in meaningful occupation. Physical and cognitive changes associated with aging result in functional changes that are a barrier to remaining independent. Assistive technology (AT) can be beneficial for OAs to maintain independence. In order to meet the AT needs of OAs living in Tompkins County, the university-based researchers were asked by the Finger Lakes Independence Center (FLIC) in Ithaca, New York, to identify the current AT needs of OAs who they serve. This is a market research study utilizing a nonexperimental descriptive survey design. After pilot testing the survey with experts to ensure content validity, the survey was given to a convenience sample of OAs. Descriptive statistics were used to analyze the data. Review of the data indicates that magnification devices, laundry baskets on .wheels, and amplified phone de-, vices were the most frequently identified AT-related needs of participants. The research findings will be used by FLIC to augment the inventory of their AT loan program to better meet the needs of the OAs who they serve.

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Physical Home Environment as a Determinant of Aging in Place for Different Types of Elderly Households

Cited by 36 publications

References 14 publications

The Role of the Home Environment in Dementia Care and Support: Systematic review of Qualitative Research

The Role of the Home Environment in Dementia Care and Support: Systematic review of Qualitative Research

The Impact of the Physical Home Environment for Family Carers of People with Dementia: A Qualitative Study

Assessing Assistive Device Needs of Community Dwelling Older Adults in Tompkins County

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