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1.
  • Andersson, Jonas E, 1964-, et al. (författare)
  • Searching for innovative design : architectural competitions in the silvering Swedish welfare state
  • 2015
  • Ingår i: Journal of Housing for the Elderly. - : Taylor & Francis Group. - 0276-3893 .- 1540-353X. ; 29:1-2, s. 24-52
  • Tidskriftsartikel (refereegranskat)abstract
    • The new millennium has forwarded an increased larger interest in appropriate housing for the senior part of the Swedish population, aged 65 years and older. In 2010, the Swedish government launched a two-year programme called “Growing old, Living Well” that targeted living conditions for older people with few or some needs of home care services, but also the smaller group of dependent and frail older persons, whose everyday living depend upon regular caregiving. The programme promoted architectural competitions as a tool for innovation. This paper assesses the outcome of three architectural competitions that were realized by the same number of municipalities in conjunction with the programme. The paper concludes that existing notions about appropriate space for ageing prevailed, since the competition briefs evolved from existing data, and, thereby, allowed for a low degree of renewed thinking. Hence, the relationship between architectural designs and the older person’s needs due to age-related problems was only addressed indirectly. Housing for the Swedish silvering welfare state needs further detailing in order to become an essential criterion for creating innovative architecture and urban design.
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2.
  • Andersson, Jonas E, 1964- (författare)
  • "Touching up" Communal Space of a Residential home set-ting. : A Comparative Study of Tools for Assessing Changes in the Interior Architectural Space
  • 2011
  • Ingår i: Journal of Housing for the Elderly. - London : Routledge. - 0276-3893 .- 1540-353X. ; 25:2, s. 175-216
  • Tidskriftsartikel (refereegranskat)abstract
    • This study focuses on the interior remodeling of two Swedish residential homes for dependent seniors. A regular maintenance operation was turned into a color intervention project, and the residents stayed during the process. The aim of the study was to assess the changes in terms of supportiveness for elderly individuals with cognitive or functional impairments. The settings were evaluated prior to and after remodeling. Architecture profession method and the Therapeutic Environment Screening Survey of Nursing Homes instrument were used. The conclusion is that a supportive architecture was not achieved, due to a restraining focus on color instead of the relation between aging, color, and homeliness. On the other hand, the architecture profession method and the Therapeutic Environment  Screening Survey of Nursing Homes instrument proved to be useful complementary tools for assessing interior changes in architectural space.
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3.
  • Andersson, Morgan, 1965, et al. (författare)
  • Use and Usability of Assisted Living Facilities for the Elderly. An observation study in Gothenburg Sweden.
  • 2011
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 25:4, s. 380-400
  • Tidskriftsartikel (refereegranskat)abstract
    • To meet the demographic development, measures were initiated by the Swedish government entailing changed conditions for municipal eldercare, such as assisted living. Participant observation is used to study the daily use of common spaces in 14 assisted living units in Gothenburg. The results show examples where the currentuse diverges from the intended use and suggest diverging objectives and conflicts of use. The observations indicate that the degree of usability is determined by the physical environment itself in some cases, by the users and by changes in use in other cases, and by a combination of both in some cases.
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4.
  • Bengtsson, Anna, et al. (författare)
  • Outdoor Environments at Three Nursing Homes: Semantic Environmental Descriptions
  • 2015
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 29, s. 53-76
  • Tidskriftsartikel (refereegranskat)abstract
    • Research suggests that the outdoor environment is an important source of variety and change as well as health and well-being for nursing home residents. However, not every outdoor environment has the potential to be a positive resource in the life of older persons at nursing homes, and in this respect we need to study the particular design and content of the outdoor environment. The semantic environmental description (SMB) is a quantitatively based standardized tool intended to systematically describe an environment through assessments of 8 dimensions, namely: pleasantness, complexity, unity, enclosedness, potency, social status, affection, and originality. In this study the SMB was used to compare the outdoor environment of an imagined ideal nursing home and the outdoor environments of 3 existing nursing homes. Furthermore, assessments of an imagined ideal nursing home by pensioners and by nursing home staff were compared. The environment that was the closest to the ideal environment according to the assessments was a park-like environment that was larger and had more variation in vegetation than the other environments. The article concludes by discussing the SMB dimensions in relation to important environmental qualities in nursing home gardens.
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5.
  • Berglund Snodgrass, Lina, 1980-, et al. (författare)
  • The Continuation of Dwelling : Safety as a Situated Effect of Multi-Actor Interactions Within Extra-Care Housing in Sweden
  • 2019
  • Ingår i: Journal of Housing for the Elderly. - : Routledge. - 0276-3893 .- 1540-353X. ; 33:2, s. 171-188
  • Tidskriftsartikel (refereegranskat)abstract
    • This article examines the space–time situatedness of residing within extra-care housing (ECH) in Sweden. EHC constitutes an example of ordinary housing but is often categorized, along with senior housing, as “in-between housing.” What differentiates the extra-care housing from the ordinary is an age limit for moving in, the provision of communal facilities, and the presence of staff at certain times each week. Two housings with different environmental and architectural conditions have been analyzed through spatial analyses, observations, and interviews with residents (n = 18). The article concludes that the two different assemblings enabled two very different possibilities for accessing “safe aging.” One offered opportunities for the continuation of identities which contributed to feelings of safety, and one demanded the reconstitution of identities for developing meaning in the new housing.
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6.
  • Dahlkvist, Eva, 1952-, et al. (författare)
  • Is there a caring perspective in garden/patio design in elderly care? : a description and a comparison of residents' and staff members' perceptions of these outdoor spaces
  • 2014
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 28:1, s. 85-106
  • Tidskriftsartikel (refereegranskat)abstract
    • This article aims to describe the characteristics of and design elements in gardens/patios at 87 residential living homes for older people and to describe and compare residents’ and staff members’ perceptions of outdoor spaces. The aim was also to investigate factors related to residents' satisfaction with and stays in the garden/patio. The result showed that many gardens/patios had several recommended design elements and, at the same time, obvious deficiencies. The residents (n = 415) valued various aspects of the garden/patio more highly than did the staff (n = 667). Managers responsible for residential living homes for elderly people should take measures to ameliorate deficiencies and deficient elements in design and accessibility that are lacking so that the garden/patio can be used as an important health promotion resource in the care of elderly people. Residents and staff are important actors in such development work.
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7.
  • Ekstam, Lisa, et al. (författare)
  • Negotiating Control : From Recognizing a Need to Making a Decision to Apply for a Housing Adaptation
  • 2016
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 30:4, s. 345-359
  • Tidskriftsartikel (refereegranskat)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.
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8.
  • Fonad, Edith, et al. (författare)
  • Moving to and living in a retirement home : focusing on older people´s sense of safety and security
  • 2006
  • Ingår i: Journal of Housing for the Elderly. - : Taylor & Francis. - 0276-3893 .- 1540-353X. ; 3:20, s. 45-60
  • Tidskriftsartikel (refereegranskat)abstract
    • Bad health combined witii deteriorating physical functions force many elderly people to move to a retirement home. The primary focus of this study was to investigate the resident's experience of safety and security. From a sample of 57 residents, 12 persons volunteered to participate in the interview. Data were analyzed with qualitative content analysis. The standard and design of the participant's previous home made mobility difficult and this affected their sense of security. This motivated them to move into an environment where they felt more secure. The environment at the retirement home was predominantly described as secure and safe. The finding shows that the participants felt that safety and security were more important than independence.
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9.
  • Gustavsson, Johanna, 1972-, et al. (författare)
  • Effects of Impact-Absorbing Flooring in Residential Care from the Perspectives of Enrolled Nurses
  • 2017
  • Ingår i: Journal of Housing for the Elderly. - : Routledge. - 0276-3893 .- 1540-353X. ; 31:4, s. 367-381
  • Tidskriftsartikel (refereegranskat)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 fail-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.
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10.
  • Iwarsson, Susanne, et al. (författare)
  • Synthesizing ENABLE-AGE Research Findings to Suggest Evidence-Based Home and Health Interventions
  • 2016
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 30:3, s. 330-343
  • Tidskriftsartikel (refereegranskat)abstract
    • As the quest for knowledge translation from research to practice and policy contexts is growing stronger, researchers need to develop strategies for synthesizing research findings. Since home environments constitute an important context for the delivery of health care and social services to older adults and people aging with disabilities, research in this field can serve as an example for such endeavors. Using 35 original publications and one unpublished doctoral dissertation based on the European ENABLE-AGE Project, we aimed to demonstrate a systematic approach to synthesize research findings generated by large research projects as the basis for evidence-based interventions. The synthesized findings highlighted the complex interactions between objective and perceived aspects of housing and aspects of health in very old age, impacting on, for example, residential decision making. Independence in daily activity is influenced by the sociocultural care and service context. A familiar and safe neighborhood, a social network, and a good supply of services are important to perceptions of participation. Going further, we suggest housing-related interventions that address problems and challenges related to ongoing demographic changes. This article contributes to the development of strategies for knowledge translation, connecting research and practice and policy contexts struggling to meet the societal challenges that accompany population aging.
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11.
  • Lindahl, Lisbeth, et al. (författare)
  • Perceived safety in extra-care housing for senior residents
  • 2018
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 32:1, s. 58-72
  • Tidskriftsartikel (refereegranskat)abstract
    • Extra-care housing (ECH) is a new housing model in Sweden, falling in between ordinary homes and sheltered housing. The perception of safety among residents living in ECH was explored with the use of in-depth interviews (n = 28, on average 83 years old). A qualitative thematic analysis resulted in a model of perceived safety in the housing environment consisting of four themes: being able to manage on my own; a safe social context; being able to stay; and protection and safety. The model can be used for information, planning, and development of ECH in general.
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12.
  • Löfqvist, Charlotte, et al. (författare)
  • Exploration of the Research Circle Methodology for User Involvement in Research on Home and Health Dynamics in Old Age
  • 2019
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 33:2, s. 85-102
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to explore the usefulness of research circle methodology in the later stages of the research process. In an active collaboration with the researchers, participants, that is, users of research, discussed and prioritized research on home and health dynamics. Reflections, comments, and evaluations from both leaders and users were analyzed, applying content analysis. The usefulness of the research circle methodology from the users´ perspective reflected the importance of the content, form for research presentations, leadership methods, and the mix of participants. Research leaders reflect on the role as challenging and demanding, where the composition of users plays an important role for the usefulness of the methodology, as well as for practicalities, form, and content of the research presentations. Research circle methodology offers opportunities for knowledge translation; however, it is demanding and presents a range of challenges, such as the heterogeneity of the group, that needs further exploration.
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13.
  • Mahrs Träff, Annsofie, 1958-, et al. (författare)
  • What Promotes and What Limits Physical Activity in Assisted Living Facilities? A Study of the Physical Environment's Design and Significance
  • 2020
  • Ingår i: Journal of Aging and Environment. - : Informa UK Limited. - 2689-2618 .- 2689-2626. ; 34:3, s. 291-309
  • Tidskriftsartikel (refereegranskat)abstract
    • The design of assisted living facilities is an issue that has engaged architects and contractors since they began building the first residential homes. Previous research has shown that participation in everyday activities promotes wellbeing in older people. Many assisted living facilities have locked units that limit the individual’s ability to move freely. Our interest is directed towards older people’s opportunities to be physically active in assisted living facilities and how the physical environment affects these opportunities. The aim of this study was to increase the understanding of the importance of the physical environment to enable physical activities in assisted living facilities. The empirical material consists of observations and semistructured interviews with thirteen residents and seventeen staff in four assisted living facilities in Sweden. The results show how the physical environment influences the opportunities for physical activity. Certain factors in the physical environment can be both promoting and limiting. An unsuitable environment limits the ability of older people to be physically active.
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14.
  • Nord, Catharina, 1956- (författare)
  • Architectural space in respite and intermediate care – an Actor- Network Theory analysis
  • 2015
  • Ingår i: Journal of Housing for the Elderly. - : Taylor & Francis. - 0276-3893 .- 1540-353X. ; 29:1/2, s. 9-23
  • Tidskriftsartikel (refereegranskat)abstract
    • This paper presents an analysis of two short-term care facilities with support of Actor-Network Theory with the aim to reveal performative processes in different networks in buildings in use. The two facilities differed in architectural design which was expected to influence the care model and organisation. One facility was larger and accommodated four patients/residents in double-rooms together with permanent residents who stayed in single-rooms. The other was smaller and accommodated only short-term care in single-rooms. The study revealed that the latter received more care-demanding people than the other. The size and the type of patients/residents influenced the social environment. The larger one was more busy and lively than the smaller. However, the analysis did not show any difference in quality of care or ambiance. Both facilities were valued as either good or bad by different residents or staff members. The study concludes that therapeutic values and outcomes are defined and redefined in the ongoing performances of everyday interactions.
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15.
  • Pettersson, Cecilia, 1963, et al. (författare)
  • Enablers and Barriers in the Physical Environment of Care for Older People in Ordinary Housing: A Scoping Review
  • 2020
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 34:3, s. 332-350
  • Forskningsöversikt (refereegranskat)abstract
    • Our aim was to explore enablers and barriers in ordinary housing for older people in care. We systematically searched Scopus, Web of Science, and Google Scholar for relevant published research and gray material. The search resulted in a final sample of eight publications, four of which focused on accessibility for older people with dementia. Thematic analysis resulted in two themes: safety and accessibility. Future studies should focus on modifications to ordinary housing to achieve safe and comfortable environments for people who want to age in place and those who provide them with care.
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16.
  • Schwarz, Benyamin, et al. (författare)
  • First Words
  • 2015
  • Ingår i: Journal of Housing for the Elderly. - : Taylor & Francis. - 0276-3893 .- 1540-353X. ; 29:1-2, s. 1-8
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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17.
  • Svensson, Ann-Marie, et al. (författare)
  • 'Older Peoples' Descriptions of Becoming and Being Respite Care Recipients'
  • 2011
  • Ingår i: Journal of Housing For the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 25:2, s. 159-174
  • Tidskriftsartikel (refereegranskat)abstract
    • The number of older people in the western world is increasing. Advancing age creates the need for care, including respite care. The aim of this study is to describe the experience of older people of becoming and being respite care recipients. Admission to respite care is a response to a range of practicalities in the home, such as the need to maintain privacy, dissatisfaction with home care, and deterioration in health. However, the participants in this study had little or no involvement in the decision regarding respite care placement. Activities, training, and medical treatment were found to be important to respite care recipients’ satisfactionwith their care.
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18.
  • Thordardottir, Björg, et al. (författare)
  • Participation in Everyday Life Before and After a Housing Adaptation
  • 2019
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 33:1, s. 41-55
  • Tidskriftsartikel (refereegranskat)abstract
    • Housing adaptation aims to enable clients to live independently in their own homes. Studies focusing on participation in everyday life following a housing adaptation are lacking and needed. This study aimed to explore housing adaptation clients' experiences of participation in everyday life before and after a housing adaptation, through the lens of a housing adaptation, using a qualitative follow-up design, with 11 participants. It was found that when the housing adaptation met the participants' needs, performance of activities improved and the housing adaptation opened doors to engagement and participation in everyday life. Thus, focus on performance and engagement in everyday life at the onset of the housing adaptation process, combined with regular follow-ups, may enhance participation.
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19.
  • Tsuchiya-Ito, Rumiko, et al. (författare)
  • The Physical Housing Environment and Subjective Well-Being Among Older People Using Long-Term Care Services in Japan
  • 2019
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 33:4, s. 413-432
  • Tidskriftsartikel (refereegranskat)abstract
    • For older people using long-term care services, the conditions of their life-space may be critical. The relationships between the physical housing environment and aspects of health were examined among older people in Japan (aged 65+ years, N = 1,928) by multivariable logistic regression analysis, adjusting for sociodemographic characteristics. Lack of safety, low access to emergency assistance, low or high indoor temperature, poor sanitary conditions, and state of home disrepair were significantly associated with negative aspects of health among people with low activities of daily living (ADL) independence. Home care service providers and policymakers need to consider the importance of appropriate environmental conditions for the most vulnerable groups.
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20.
  • Wikström, Eva, et al. (författare)
  • Autonomy and control in everyday life in care of older people in nursing homes
  • 2014
  • Ingår i: Journal of Housing for the Elderly. - : Taylor & Francis. - 0276-3893 .- 1540-353X. ; 28:1, s. 41-62
  • Tidskriftsartikel (refereegranskat)abstract
    • Self-control and autonomy are not guaranteed when people age and are in need of help from others, especially in institution-based housing. This occurs despite the fact that it is a generally accepted belief that care should be delivered with the greatest possible degree of independence and autonomy. This article discusses older people's experiences with and the opportunities for autonomy in institution-based housing. Through focus group interviews and observations, the daily lives of residents at two nursing homes in Sweden were studied through a comparative approach using the theoretical framework of organizational culture. Three themes emerged showing how autonomy was not a reality for the residents. The first theme revealed an ambivalent mission, indicating ambiguity as to whether the nursing home was a place to live in or a place in which to be cared for. The second theme was symbolic power, which encompassed the staff's power embedded in the organization. The third theme was the ageist approach to care, which was noted in the way staff considered the residents to be old people who were unable and unwilling to strive for autonomy. The three themes were embedded in the organizational culture and were created and recreated in the interaction between residents and staff. A key question for further research is how to change the culture to strengthen the residents’ autonomy.
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21.
  • Yeo, M., et al. (författare)
  • Healthy Residential Environments for the Elderly
  • 2014
  • Ingår i: Journal of Housing for the Elderly. - : Informa UK Limited. - 0276-3893 .- 1540-353X. ; 28:1, s. 1-20
  • Tidskriftsartikel (refereegranskat)abstract
    • This study aims to analyze the environmental elements of residential facilities for elderly people by using Antonovsky’s salutogenic concept. The relationship between the environment and health is clearly identified. This information facilitates the presentation and development of residential facilities with healthy living conditions for elderly people in South Korea. The concept includes providing a residential environment that is safe from a variety of dangers by applying a barrier-free concept to address the physical changes of elderly people. It also provides an environment equipped with a continuous protection system that considers both the physical and sociopsychological aspects of this particular treatment environment. ©2014 Copyright Taylor & Francis Group, LLC.
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22.
  • Bengtsson, A, et al. (författare)
  • Outdoor environments at three nursing homes – Focus group interviews with staff.
  • 2006
  • Ingår i: Journal of Housing for the Elderly. - 0276-3893. ; 19:3-4, s. 49-69
  • Tidskriftsartikel (refereegranskat)abstract
    • This study investigated how the outdoor environments at nursing homes for older persons were experienced and used to gain knowledge with implications for design. Focus group methodology was used to explore staff's view of how the residents experienced and used the outdoors. Two main themes and ten sub-themes were the result when the focus group interviews were analyzed. Theme one, being comfortable in the outdoor environment, describe the residents' special needs to be able to and dare to use the outdoors. The theme suggests a precautionary design, which promotes security and safety and protects from disturbance and negative impressions. The second main theme, access to surrounding life, describes the residents' needs for change and variety in Elderly, older, outdoor environment, health design, universal design, landscape planning
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23.
  • Iwarsson, Susanne, et al. (författare)
  • Environmental Barriers and Housing Accessibility Problems Over a One-Year Period in Later Life in Three European Countries
  • 2006
  • Ingår i: Journal of Housing for the Elderly. - 0276-3893. ; 20:3, s. 23-43
  • Tidskriftsartikel (refereegranskat)abstract
    • The objective of this study was to describe environmental barriers and investigate the nature of accessibility problems in housing among single-living, very old people (N = 1,150) in urban regions in three European countries (Sweden, Germany, Latvia), in a one-year perspective. A specific feature of this study is the explicit conceptual differentiation between environmental barriers and accessibility problems, underlying the presentation of the following results: Environmental barriers were very common, and in all three national samples the 20 most prevalent environmental barriers were found in 77-98% of all dwellings investigated. The magnitudes of accessibility problems were similar among the three samples and did not change over one year, while differences were indicated in the types of environmental barriers generating accessibility problems.
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