Promoting autonomy through home adaptations. Appropriation of domestic spaces in Italy

Costa, Paolo; Laurìa, Antonio; Chiesi, Leonardo

doi:10.1080/09687599.2020.1783205

Cited by 7 publications

(7 citation statements)

References 36 publications

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“…As a secondary outcome explored in this review, we observed that 16 studies described the impact of accessible housing for people with disabilities. In particular, having household adaptations helped people with various types of disabilities to enhance independence [ 8 , 12 , 23 , 43 , 49 , 50 , 67 , 75 , 79 , 83 , 86 , 87 , 104 ], safety [ 12 , 50 , 79 , 87 ], quality of life [ 8 , 11 , 23 , 87 , 109 ] participation [ 12 , 79 , 83 ], social connections [ 50 ], community integration [ 8 , 74 , 75 ], improved health and well-being [ 8 , 67 , 75 ], decreased physical environmental barriers and decreased dependence on mobility devices [ 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…Accessible housing is critical to the wellbeing of people with disabilities because it can provide them with many health and social benefits for people with disabilities. Indeed, home adaptations are a central part of the rehabilitation process for people with disabilities [12]. For example, research consistently highlights that housing accessibility and affordability are important social determinants of health that are associated with improved health outcomes and quality of life [13][14][15][16].…”

Section: Benefits Of Accessible Housingmentioning

confidence: 99%

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Accessible independent housing for people with disabilities: A scoping review of promising practices, policies and interventions

Lindsay,

Fuentes,

Ragunathan

et al. 2024

PLoS ONE

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Background Accessible housing is imperative to enabling independent living for many people with disabilities; yet, research consistently shows how people with disabilities often lack appropriate accessible housing and are more likely to experience unaffordable, insecure, and/or poor quality housing. Therefore, the aim of this study was to understand promising practices, policies and interventions regarding accessible independent housing for people with disabilities. Methods We conducted a scoping review that involved searching seven international literature databases that identified 4831 studies, 60 of which met our inclusion criteria. Results The reviewed studies involved 18 countries over a 20-year period. Our review highlighted the following key trends: (1) removing barriers to obtaining accessible housing (e.g., advocacy, builders enhancing housing supply, subsidies and financial incentives); (2) policies influencing accessible housing; (3) interventions to enhance accessible housing (i.e., home modifications, smart homes, mobile applications and other experimental devices); and (4) the impact of accessible independent housing on health and wellbeing. Conclusions Our findings emphasize the importance of accessible housing for people with disabilities and the urgent need to advance accessible housing options.

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Section: Resultsmentioning

confidence: 99%

Section: Benefits Of Accessible Housingmentioning

confidence: 99%

Accessible independent housing for people with disabilities: A scoping review of promising practices, policies and interventions

Lindsay,

Fuentes,

Ragunathan

et al. 2024

PLoS ONE

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“…Despite having a regional scope, the project falls within the intricate Italian national context of disability policies, affected by "multiple definitions of disability across sectors and regions, leading to disparity in access to support and services. [...] Disability continues to be defined through a medical perspective, and the revised concept of disability, as proposed by the National Observatory on the Status of Persons with Disabilities, is not aligned to the Convention [on the Rights of Persons with Disabilities] and lacks binding legislation at both the national and regional levels" [10]. This also affects the reliability of statistical data on disability and the quality and funding of accessibility policies, limiting the capacity of such policies to effectively address disabled people's accessibility issues, especially in their domestic environment.…”

Section: The Ada Projectmentioning

confidence: 99%

“…In their practice they connect various disciplines and promote an activity-focused approach similar to that advocated by ADA (as detailed below). In Italy, however, there are less than 4 occupational therapists for every 100,000 citizens, whereas there are 145 in Denmark, 80 in Norway, 70 in Germany and 56 in England [10].…”

Section: Interdisciplinaritymentioning

confidence: 99%

“…A qualitative ex-post evaluation of the effects of the pilot phase of the ADA Project was conducted by a sociologist with expertise in the human-environment relationship, one year after the introduction of the adaptations [10]. The in-depth interviews of 36 participant that received the Recommendations and the visits of their adapted homes illustrated the wide range of effects of the Project.…”

Section: The Impact On People With Disabilitiesmentioning

confidence: 99%

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Personalised Solutions for Universal Goals. A Home Adaptation Project for Disabled People in Italy

Laurìa

Costa

Chiesi

2022

Studies in Health Technology and Informatics

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Home adaptation is a practice that addresses accessibility issues in the domestic environment of disabled people, introducing modifications to the spatial environment or devices which improve their autonomy and wellbeing, and that of their caregivers. Protocols developed to define the right adaptations for each home mainly rely on checklists to verify the normative compliance of the physical environment to predefined accessibility standards. However, these protocols fail to address the complexity of the social, cultural, and economic dimensions that structure the person-environment relationship, thus compromising the efficacy of the adaptations. The excessive rigidity of such approach relates to the current debate on the limits of Universal Design when applied to the domestic environment, and especially when directed to people with specific needs. As an example of a more productive approach, this essay illustrates ADA, a public funded action-research project that proposes home adaptations for severely disabled people. The paper discusses the innovative strategy of ADA, based on a high level of personalization, and its main tactics: interdisciplinarity, relational setting, and centrality of activities, both in the assessment of the users’ profiles and spaces, and in the design of the adaptations. This essay also evaluates the impact of the project, showing how in specific domains, such as those of ADA, personalization is the key to achieve the inclusive and sustainable goals of Universal Design.

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Approaches to Post-Occupancy Evaluation and Wellbeing in Designed Space

Costa

Chiesi

2023

SpringerBriefs in Applied Sciences and Technology

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Promoting autonomy through home adaptations. Appropriation of domestic spaces in Italy

Cited by 7 publications

References 36 publications

Accessible independent housing for people with disabilities: A scoping review of promising practices, policies and interventions

Accessible independent housing for people with disabilities: A scoping review of promising practices, policies and interventions

Personalised Solutions for Universal Goals. A Home Adaptation Project for Disabled People in Italy

Approaches to Post-Occupancy Evaluation and Wellbeing in Designed Space

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