| 1. |
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| 2. |
- Carlsson, Gunilla, et al.
(författare)
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Towards a screening tool for housing accessibility problems: a reduced version of the Housing Enabler.
- 2009
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Ingår i: Journal of Applied Gerontology. - : SAGE Publications. - 1552-4523 .- 0733-4648. ; 28:1, s. 59-80
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Tidskriftsartikel (refereegranskat)abstract
- To present a reduced version of the Housing Enabler, useful as a screening tool in practice contexts and in research, this study identifies the core items of the environmental component of the instrument, that is, the items most important in terms of the instrument's overall validity to measure accessibility problems. Utilizing cross-national data and interdisciplinary knowledge through an iterative process, a set of core items was identified. The environmental component of the reduced version comprises 61 items, compared to 188 in the original instrument. The rank correlation between the accessibility scores generated by the original and reduced versions was r ≥ .97 (p < .001). Based on comprehensive empirical research in three countries, the reduced version of the Housing Enabler is a time-efficient and valid screening instrument. It is a powerful tool for research and interventions focusing on housing accessibility problem identification.
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| 3. |
- Dahlin-Ivanoff, Synneve, 1950, et al.
(författare)
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The multiple meaning of home as experienced by very old Swedish people.
- 2007
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Ingår i: Scandinavian journal of occupational therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 14:1, s. 25-32
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore aspects of the meaning of home as experienced by very old single-living people in Sweden. A grounded theory approach was used, and interviews were conducted with 40 men and women aged 80-89. The findings indicate that home has a central place in the lives of very old people because it is where they live and spend so much time. The significance of the home is based on the fact that it means so many different things to the participants. The theme comprises two key categories: home means security and home means freedom. Each of these has three sub-categories. In home means security, these are: living in a familiar neighborhood, everything functions, and having memories to live on. Home means freedom comprises a place for reflection, a social meeting-point, and leaving your own mark. Home is part of the environment and influences the meaning and selection of activities that very old people decide to engage in. When occupational therapists prescribe assistive devices or recommend changes in the home environment, they must be very well aware of and reflect on what home means to their clients and base their measures on that.
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| 4. |
- Haak, Maria, et al.
(författare)
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Home as a signification of independence and autonomy: experiences among very old Swedish people.
- 2007
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Ingår i: Scandinavian journal of occupational therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 14:1, s. 16-24
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore independence in the home as experienced by very old single-living people in Sweden. A grounded theory approach was used and interviews were conducted with 40 men and women aged 80-89. Data analysis revealed the core category "Home as a signification of independence" with two main categories: "Struggle for independence" and "Governing daily life". The findings showed that home is strongly linked to independence, and being independent is extremely valued. Explicit descriptions of the ageing process as an individual process of changing living conditions within the home emerged from the findings. Hence, the ageing process influences the participants' perception of themselves as independent persons. Along the ageing process the participants' view of independence changed from being independent in activity performance without help from others to experiencing independence in being able to make autonomous decisions concerning daily life at home. Consequently, there is a need to develop strategies to support very old people in staying as active and independent as possible in their own homes. In addition, since the findings highlight that independence is a complex construct, there is a need for conceptual differentiation between independence and a construct often used synonymously, namely autonomy.
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| 5. |
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| 6. |
- Haak, Maria, et al.
(författare)
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Two dimensions of participation in very old age and their relations to home and neighborhood environments.
- 2008
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Ingår i: American Journal of Occupational Therapy. - 0272-9490. ; 62:1, s. 77-86
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to capture and operationalize the concept of participation among people who are very old (age > 80) and to investigate whether and how aspects of housing and neighborhood environments relate to participation in very old age. Two dimensions of participation--performance-oriented participation and togetherness-oriented participation---emerged from an earlier qualitative study and were operationalized and validated in this study with quantitative variables. Both objective and perceived housing and neighborhood aspects were significantly related to, in particular, performance-oriented participation and, to a lesser extent, to togetherness-oriented participation. Most interventions in occupational therapy are accomplished within the home for very old people, but our results imply that there are potential interventions to accomplish on a societal level as well. In this respect, our study contributes to the knowledge in the field and has the potential to support the development of novel occupational therapy interventions targeting society at large.
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| 7. |
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| 8. |
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| 9. |
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| 10. |
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| 11. |
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| 12. |
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| 13. |
- Malmgren Fänge, Agneta, et al.
(författare)
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Challenges in implementation of research methodology in community-based occupational therapy: The Housing Enabler Example.
- 2007
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 14:1, s. 54-62
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Tidskriftsartikel (refereegranskat)abstract
- This paper focuses on challenges in implementation of research in community-based occupational therapy practice. Based on a two-year project in a south Swedish municipality aiming at studying implementation of structured assessment procedures in the housing adaptation process, the first purpose is to provide a detailed project description, and the second is to report on first results identifying challenges in implementation of research in practice. The project was managed following a non-profit marketing model involving activities based on user needs, e.g. assessment training, support visits, and seminars with the users, i.e. occupational therapists. In order to collect data on implementation challenges, a multidimensional approach was utilized. Involving all occupational therapists in the municipality under study, 422 housing adaptation cases were assessed by means of the Housing Enabler. Good inter-rater reliability was demonstrated (/k¯0:62); but large differences between districts in the municipality were seen. Qualitative analyses of diaries, e-mail correspondence and minutes from workshops and seminars elucidated three categories reflecting research implementation challenges: Utilizing research in practice is not straightforward ; Utilizing information technology is demanding; and Establishing cooperation and communication is challenging . The results can be utilized for planning of research implementation projects in practice not used to scientific work.
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| 14. |
- Malmgren Fänge, Agneta, et al.
(författare)
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Challenges in the development of strategies for housing adaptation evaluations
- 2007
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 14:3, s. 140-149
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Tidskriftsartikel (refereegranskat)abstract
- Founded on recent empirical experiences and results from a Housing Adaptation Project accomplished in a Swedish municipality, this paper aims to elucidate and problematize challenges inherent in the process of developing research-based strategies for housing adaptation (HA) evaluations feasible for municipality contexts. In this paper, theory and conceptual definitions of client-level outcomes related to Swedish HA legislation - i.e. accessibility, usability, and activity - are presented. In order to lay the ground for the presentation and discussion on challenges, the Housing Adaptation Project is described with regard to design sampling and data collection, client-level outcomes and assessment instruments used, as well as longitudinal results. The challenges faced during the project were related to the assessment of outcomes, the logistic flow of the data-collection process, client availability for follow-up assessments as well as interpretation of changes in accessibility. Some challenges were due to the organizational HA framework in the municipalities, while others were related to the methodology used for outcomes assessment. Based on our experiences with this project, a set of evaluation recommendations for practice and research is provided.
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| 15. |
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| 16. |
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| 17. |
- Malmgren Fänge, Agneta, et al.
(författare)
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Integrating research into practice: A challenge for local authority occupational therapy.
- 2008
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Ingår i: Scandinavian journal of occupational therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; , s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this qualitative study was to identify and analyse the experiences of Swedish local health authority occupational therapists with regard to their participation in, and the implementation of, research. Data were collected from three focus-group interviews, with five different occupational therapists in each. The interviews were taped and transcribed and thereafter analysed using broad coding. One core category-"feeling professionally competent"-emerged, comprising three subcategories: "perceiving congruence between research and practice", "having the necessary skills", and "making a contribution". Feeling professionally competent embraces the occupational therapists' definition and delimitation of their professional domain and the obligations related to this. It also embraces the perception of having the skills necessary for participating in research projects and implementing research findings in a scientific manner. The implementation of research was not only perceived as contributing to the knowledge base of the profession, but personal gains could also be made. The knowledge gained from this study can help in the development of strategies to promote the integration of research in local authority occupational therapy practice. This is necessary; otherwise the occupational therapy provided will be based on the knowledge and perceptions of individual professionals, rather than on state-of-the-art knowledge gained through research.
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| 18. |
- Malmgren Fänge, Agneta, et al.
(författare)
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Min bostad och jag.
- 2005
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Konferensbidrag (refereegranskat)
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| 19. |
- Malmgren Fänge, Agneta, et al.
(författare)
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The home is the hub of health in very old age: Findings from the ENABLE-AGE Project.
- 2009
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Ingår i: Archives of gerontology and geriatrics. - : Elsevier BV. - 1872-6976 .- 0167-4943. ; 48:3, s. 340-5
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to explore health in relation to the home as experienced by very old, single-living Swedish people. Applying a grounded theory approach, 40 men and women aged 80-89 were interviewed in their own homes. Data analysis revealed the main theme, "The home is the hub of health", comprising two categories, "The home as support for health", and "Having an inner driving force to maintain health". Health was described as being active and participating, and during the aging process the home became an increasingly important source of support. The older people were aware of their vulnerability, and knew that their life situation could change rapidly. Thus, health was always interpreted in relation to this. They had a strong inner driving force to maintain health, and within the home they challenged their capacity, and used different adaptive strategies targeting person-environment-activity transactions. Our findings imply the need for focusing on the opportunities for activity and participation in all interventions. They also challenge current national and international housing policy emphasizing the benefits of staying put, thus contributing to a more diverse view of what kind of housing arrangements are optimal for very old people.
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| 20. |
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| 21. |
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| 22. |
- Nygren, Carita, et al.
(författare)
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Relationships between objective and perceived housing in very old age
- 2007
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Ingår i: The Gerontologist. - 1758-5341. ; 47:1, s. 85-95
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Tidskriftsartikel (refereegranskat)abstract
- 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 cross-national 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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| 23. |
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| 24. |
- Oswald, Frank, et al.
(författare)
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Homeward bound: Introducing a four-domain model of perceived housing in very old age
- 2006
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Ingår i: Journal of Environmental Psychology. - : Elsevier BV. - 1522-9610 .- 0272-4944. ; 26:3, s. 187-201, s. 168-168
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this article is to introduce an integrative and more comprehensive approach to understanding and measuring perceived housing in old age. First, four conceptual domains of subjective housing were introduced, based on the assumption that each of the domains brings a unique perspective to the understanding of perceived housing: housing satisfaction, usability in the home, meaning of home and housing-related control beliefs. Second, relationships between the proposed domains were empirically examined using correlative analysis, factor analysis and structural equation modelling (SEM) techniques. Cross-cultural similarities and differences in the observed empirical relations were then analysed across three Western European countries. Data were drawn from a sub-sample of the participants in the European ENABLE-AGE Project amounting to 1223 old adults aged 80-89 years and living alone in their private homes in Swedish, British, and German urban regions. The ENABLE-AGE data set has the advantage of containing measures related to all four domains of perceived housing which are the focus of this paper. The results of exploratory and confirmatory factor analysis as well as of the SEM give empirical support for the usefulness of the theoretically proposed four component model of perceived housing. Furthermore, multi-group analysis supports the assumption of similarity of perceived housing among older people living in the different countries. (c) 2006 Elsevier Ltd. All rights reserved.
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| 25. |
- Oswald, Frank, et al.
(författare)
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Relationships between housing and healthy aging in very old age
- 2007
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Ingår i: The Gerontologist. - 1758-5341. ; 47:1, s. 96-107
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this work is to examine the relationship between aspects of objective and perceived housing and aspects of healthy aging, defined as independence in daily activities and subjective wellbeing. Furthermore, this research examined the comparability of relationships between housing and healthy aging in the five European countries. Design and Methods: Data were drawn from the ENABLE-AGE Project, from home interviews with a sample of 1,918 very old people aged 75. to 89 years living alone in their own homes in Swedish, German, British, Hungarian and Latvian urban areas. Results: Participants living in better accessible homes, who perceive their home as meaningful and useful, and who think that external influences are not responsible for their housing situation are more independent in daily activities and have a better sense of well-being. Moreover, these results apply to all five national samples. Implications: The findings can widen the perspective when striving for barrier-free building standards, to encompass a holistic approach that takes both objective and perceived aspects of housing into account. Home modification and relocation should not be prescribed, but need to be negotiated with older adults to take into account their personal preferences.
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| 26. |
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| 27. |
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| 28. |
- Wahl, Hans-Werner, et al.
(författare)
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The Home Environment and Disability-Related Outcomes in Aging Individuals: What Is the Empirical Evidence?
- 2009
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Ingår i: The Gerontologist. - : Oxford University Press (OUP). - 1758-5341 .- 0016-9013. ; 49:3, s. 355-367
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Building on the disablement process model and the concept of person-environment fit (p-e fit), this review article examines 2 critical questions concerning the role of home environments: (a) What is the recent evidence supporting a relationship between home environments and disability-related outcomes? and (b) What is the recent evidence regarding the effects of home modifications on disability-related outcomes? Design and Methods: Using computerized and manual search, we identified relevant peer-reviewed original publications and review articles published between January 1, 1997, and August 31, 2006. For Research Question 1, 25 original investigations and for Research Question 2, 29 original investigations and 10 review articles were identified. Results: For Research Question 1, evidence for a relationship between home environments and disability-related outcomes for older adults exists but is limited by cross-sectional designs and poor research quality. For Research Question 2, evidence based on randomized controlled trials shows that improving home environments enhances functional ability outcomes but not so much falls-related outcomes. Some evidence also exists that studies using a p-e fit perspective result in more supportive findings than studies that do not use this framework. Implications: Considerable evidence exists that supports the role of home environments in the disablement process, but there are also inconsistencies in findings across studies. Future research should optimize psychometric properties of home environment assessment tools and explore the role of both objective characteristics and perceived attributions of home environments to understand person-environment dynamics and their impact on disability-related outcomes in old age.
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| 29. |
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