Home Modifications to Reduce Disability in Older Adults With Functional Disability

Aliberti, Márlon Juliano Romero; Covinsky, Kenneth E.

doi:10.1001/jamainternmed.2018.6414

Cited by 10 publications

(8 citation statements)

References 10 publications

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“…In addition, and specific to wheelchairs, the World Health Organization Guidelines on Appropriate Wheelchair Provision clearly recommends that users -and family members when applicable -receive appropriate training on how to use the device and navigate the environment [38]. The benefits on adequate access and use of technology are supported by a recent study in the US showing that home accessibility modifications positively impact the life of lower-income older adults with functional disabilities by allowing them to continue to live independently at home [39,40].…”

Section: Discussionmentioning

confidence: 99%

“…There is also evidence of a growing digital divide between those with and without disabilities and with the aging population [65]. On the other hand, this study only explored experiences in adults, the perspectives of younger, older, or veterans and ex-combatants with disabilities is needed to be able to tackle and overcome barriers in a fully inclusive and universally accessible way [39,66]. This is the experience of a sub-urban setting in Colombia, which may be similar to other settings in Colombia.…”

Section: Study Limitations and Ongoing Workmentioning

confidence: 99%

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Factors that influence the use of community assets by people with physical disabilities: results of participatory mapping in Envigado, Colombia

et al. 2020

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Background: Disability is an evolving concept that results from the complex interaction between a person with an impairment and the context in which he/she lives. There is limited understanding on the types, access and use of community assets valuable for people with disabilities, and the role of contextual factors in Colombia. Our goal with this work was to identify the factors at the levels of the socio-ecological framework, and their interaction, that influence the use of community assets among people with physical disabilities and community stakeholders in Envigado, Colombia. Methods: Using participatory mapping, a community based participatory approach, we carried out an assessment of community assets identified by people with disabilities and rehabilitation professionals. In-depth interviews (n = 32) informed the design of two participatory mapping activities, one among people with disabilities (n = 5) and a second with rehabilitation professionals (n = 4). Results were presented in a community forum to receive feedback on the findings. Results: Main findings indicate a chain of contextual factors that limit access and use of assets stemming from the personal (e.g. financial resources, inaccessible housing), interpersonal level (e.g. lack of a personal assistance or aid), and community levels (e.g. lack of accessible public transportation and inaccessible buildings). In most cases these barriers are heightened by system level barriers (e.g. lack of effective enforcement of the legal framework). Conclusions: Identifying these contextual factors, and their interactions, calls for stronger enforcement of the existing legal framework through articulated work between different stakeholders, so that people with disabilities can enjoy community assets.

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Section: Discussionmentioning

confidence: 99%

Section: Study Limitations and Ongoing Workmentioning

confidence: 99%

Factors that influence the use of community assets by people with physical disabilities: results of participatory mapping in Envigado, Colombia

et al. 2020

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“…Being able to modify home environments in terms of size, space organization and functions to adapt to the changing needs of people as they age, affects the ability of individuals to age in place [3,38,55,57,108]. Home modifications can reduce the gap between environment and physical capacity [109]; especially for people living with dementia that are no longer able to adapt to their environment [85]. Even if benefits can be achieved by adopting either standard or personalized modifications [97], the types of interventions and their impact on wellbeing are highly individual [104].…”

Section: Modification For Accessibilitymentioning

confidence: 99%

“…Even if benefits can be achieved by adopting either standard or personalized modifications [97], the types of interventions and their impact on wellbeing are highly individual [104]. There is a consensus in the literature on the several benefits arising from home modifications: Improving accessibility, preventing falls, promoting safety, reducing difficulty in performing everyday life tasks, and reducing the need for health care [38,67,69,97,104,[109][110][111]. However, to be fully effective, interventions on dwellings must be combined with other strategies such as fall-prevention programs [85,110].…”

Section: Modification For Accessibilitymentioning

confidence: 99%

“…However, also simple and cost-effective interventions are associated with improvements in an older person's daily life. Grab bars, handrails, shower seats, and raised toilet seats are the most frequently mentioned [38,67,109,114]. To facilitate these interventions, it is of utmost importance that housing is easily adaptable and suitable for such changes [108,114].…”

Section: Modification For Accessibilitymentioning

confidence: 99%

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Measuring Age-Friendly Housing: A Framework

et al. 2020

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An ageing population raises the question of providing adequate housing that enables older people to age in place without losing autonomy and independence. Except for the issue of accessibility, no framework exists that specifically outlines a standard to achieve and, as a result, interventions on existing or on new buildings may be inconsistent without leading to a desired rise in living standards. This research addresses this issue by presenting a framework for the assessment of the age-appropriateness of housing through a number of metrics that detect and identify physical and non-physical features of a home environment to enable ageing in place. The study combines data from a qualitative systematic literature review of 93 papers and qualitative data from structured interviews with four experts in the field. As a result, 71 metrics were identified, divided into eight main domains, to describe the framework. This paper provides an improved understanding of the housing features that enable ageing in place. The tool categorizes and rates qualitative and quantitative aspects that contribute to the age-friendliness of housing, resulting in an easy to adopt assessment framework. This is a valuable means for stakeholders engaged in improving the current housing stock or in constructing new buildings for older people.

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Environmental interventions for preventing falls in older people living in the community

Clemson

Stark

Pighills

et al. 2023

Cochrane Database of Systematic Reviews

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Home Modifications to Reduce Disability in Older Adults With Functional Disability

Abstract: Gleckman H. Today's massive budget deal makes big Medicare changes. Forbes. https://www.forbes.com/sites/howardgleckman/ 2018/02/09/todays-massive-budget-deal-makesbig-medicare-changes/#7e9880d237bf.

Cited by 10 publications

References 10 publications

Factors that influence the use of community assets by people with physical disabilities: results of participatory mapping in Envigado, Colombia

Factors that influence the use of community assets by people with physical disabilities: results of participatory mapping in Envigado, Colombia

Measuring Age-Friendly Housing: A Framework

Environmental interventions for preventing falls in older people living in the community

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