Housing accessibility for senior citizens in Sweden: Estimation of the effects of targeted elimination of environmental barriers

Pettersson, Cecilia; Slaug, Björn; Granbom, Marianne; Kylberg, Marianne; Iwarsson, Susanne

doi:10.1080/11038128.2017.1280078

Cited by 26 publications

(31 citation statements)

References 52 publications

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“…So, rather than wasting time and money trying to achieve all the accessibility requirements, through the use of IPA methodology it is possible to concentrate on the critical factors that are evaluated as having high importance and satisfaction. When examined in detail, the study supports the study by Pettersson et al (2017), which suggests that differences of floor levels in entrances and bathrooms have the greatest effect on home accessibility. This study evaluates that items related to floor level differences are high priority items which designers should concentrate on in order to achieve a good fit.…”

Section: Discussionsupporting

confidence: 80%

“…Accessibility within a home, which is a common and important indicator to assess capabilities in daily activities, refers to the compliance of home features with international and national design standards (Pettersson et al 2017) such as circulation, internal doorways and hallways, ease of use in kitchen/bathroom and adequate space in rooms. Although existing literature documents guidelines, checklists and standards on accessibility inside home environments (Afacan 2008;Carlsson et al 2009;Afacan and Demirkan 2010;Iwarsson and Slaug 2001;Iwarsson et al 2012;Smith et al 2008), the elderly's expectations of housing environments are very different from other age groups (Burby and Rohe 1990).…”

Section: Accessibility Within a Homementioning

confidence: 99%

“…According to Ahrentzen and Tural (2015), spatial layout and dwelling size are key attributes in defining inside accessibility. Pettersson et al (2017) investigate housing accessibility for the elderly in Sweden and define the following five environmental barriers as having the largest accessibility issues for homes: stairs at entrances, differences in levels between rooms, no grab bars at shower/bath, bathtubs instead of showers and shower stalls with level differences. According to Steenwinkel et al (Steenwinkel et al 2017), construction details play a major role in elderly people's experiences of accessibility inside the home.…”

Section: Accessibility Within a Homementioning

confidence: 99%

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Extending the importance–performance analysis (IPA) approach to Turkish elderly people’s self-rated home accessibility

Afacan

2019

J Hous and the Built Environ

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Designers are still struggling to make good and fair home designs for elderly people. Although there are a lot of studies on accessibility in homes, there are few methodologies to rate the importance of accessible home attributes, or address the relationships between the most important and most satisfactory attributes (in terms of creating a good fit between the elderly and their homes). This study suggests using the importance-performance analysis (IPA) approach to set accessibility priorities and identify the critical performance factors that determine the elderly's satisfaction with accessible homes. A self-assessment questionnaire instrument was developed based on housing accessibility literature and conducted with 342 Turkish elderly people chosen through stratified sampling among neighborhood clusters in Ankara, Turkey. The descriptive results and factor analysis of the study are significant in that they indicate significant differences among dwelling types. There were differences in importance and performance priority levels of home accessibility factors associated with each dwelling type. Moreover, the study found that safety and ease of use are the key indicators of home accessibility. According to the results, the IPA could be an effective tool to overcome the messy character of evaluating home accessibility for the elderly. By extending the accessibility attributes with the IPA analysis, it is possible to identify specific accessibility attributes, establish highest and lower priorities for intervention and decide which attributes should be maintained and/or ignored. Thus, this study contributes to the literature on aging by being the first study to explore the applicability of the IPA technique while eliciting elderly people's accessibility requirements for healthy aging.

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Section: Discussionsupporting

confidence: 80%

Section: Accessibility Within a Homementioning

confidence: 99%

Section: Accessibility Within a Homementioning

confidence: 99%

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Extending the importance–performance analysis (IPA) approach to Turkish elderly people’s self-rated home accessibility

Afacan

2019

J Hous and the Built Environ

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“…The ageing population in combination with the deficiencies in the ordinary housing stock thus calls for large-scale measures [ 35 ]. However, for such measures to be adequate, accurate, and cost-effective, they have to be based on the best possible knowledge about the ordinary housing stock, the functional status of the population and the costs and feasibility of different housing adaptations [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains

Slaug

Chiatti

Oswald

et al. 2017

IJERPH

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The physical housing environment is important to facilitate activities of daily living (ADL) for older people. A hindering environment may lead to ADL dependence and thus increase the need for home services, which is individually restricting and a growing societal burden. This study presents simulations of policy changes with regard to housing accessibility that estimates the potential impact specifically on instrumental activities of daily living (I-ADL), usage of home services, and related costs. The models integrate empirical data to test the hypothesis that a policy providing funding to remove the five most severe environmental barriers in the homes of older people who are at risk of developing dependence in I-ADL, can maintain independence and reduce the need for home services. In addition to official statistics from state agencies in Sweden and Germany, we utilized published results from the ENABLE-AGE and other scientific studies to generate the simulations. The simulations predicted that new policies that remove potentially hindering housing features would improve I-ADL performance among older people and reduce the need for home services. Our findings suggest that a policy change can contribute to positive effects with regard to I-ADL independence among older people and to a reduction of societal burden.

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“…This study defines home accessibility as the extent to which the physical environment of home supports the autonomy of users in their daily activities [8]. Accessibility within a home refers to the compliance of home features with international and national design standards [9] such as circulation, internal doorways and hallways, ease of use in kitchen/bathroom and adequate space in rooms. Regarding the second domain, the study defines four sub-domains of motor functions [10]: (1) strength as the capacity of a muscle to initiate movement; (2) balance as the ability to maintain an upright posture; (3) locomotion as the act of moving the body from one place to another; and (4) endurance as the overall fitness.…”

Section: Proposed Methodologymentioning

confidence: 99%

Modeling a User-Oriented Ontology on Accessible Homes for Supporting Activities of Daily Living (ADL) in Healthy Aging

Afacan

Sürer

2019

Proceedings of the 5th EAI International Conference on Smart Objects and Technologies for Social Good

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Inaccessibility of the buildings is the most common obstacle which presents barriers for older adults with different motor abilities. An inclusive design process, where elderly and designers work together, is required to overcome this obstacle. To do so, this study proposes a user-oriented model (i) to define a knowledge presentation for designers; (ii) to assist them during the development of accessible homes and (iii) to accommodate exemplary home attributes for activities of daily living (ADL). The ontology for this model was first constructed by collecting user information through LEGO® Serious Play® on the four subdomains of motor abilities: (1) strength; (2) balance; (3) locomotion; and (4) endurance. The findings of this study are significant for future aging studies and mobile computing researches in terms of indicating that diverse motor ability difficulties are associated with different requirements of accessibility attributes, and structured knowledge is required to diagrammatize their association with ADL.

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Housing accessibility for senior citizens in Sweden: Estimation of the effects of targeted elimination of environmental barriers

Cited by 26 publications

References 52 publications

Extending the importance–performance analysis (IPA) approach to Turkish elderly people’s self-rated home accessibility

Extending the importance–performance analysis (IPA) approach to Turkish elderly people’s self-rated home accessibility

Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains

Modeling a User-Oriented Ontology on Accessible Homes for Supporting Activities of Daily Living (ADL) in Healthy Aging

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