The importance of successful place integration for perceived health in very old age: a qualitative meta-synthesis

Haak, Maria; Fänge, Agneta Malmgren; Iwarsson, Susanne; Dahlin‐Ivanoff, Synneve

doi:10.1007/s00038-011-0282-4

Cited by 27 publications

(31 citation statements)

References 34 publications

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“…That is, poor P-E fit triggers relocation to another type of housing, implying that a move is a major form of adaptation in order to reduce environmental press (Lawton and Nahemow 1973). However, considering the results of previous studies on ageing in place, meaning of home, identity and attachment to home in very old age (Haak et al 2011), the fact that no perceived aspects of housing remained in the final multivariate models was unexpected. Overall, the different patterns of variables related to relocation to ordinary and special housing, respectively, are intriguing and require further study.…”

Section: Aspects Of Healthmentioning

confidence: 91%

“…Accessibility represents a specific facet of P-E fit, namely the relationship between functional limitations of the person and the prevalence of physical environmental barriers (Iwarsson and Ståhl 2003). Equally important is how the individual perceives the situation, and how the home is linked to his/her identity (Haak et al 2011). Perceived aspects of housing have been conceptualized in many different ways, for example as place attachment, meaning of home and housing satisfaction (Oswald et al 2006).…”

Section: Introductionmentioning

confidence: 99%

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Relocation to ordinary or special housing in very old age: aspects of housing and health

et al. 2013

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Relocation in very old age is considered to be a major life event and a move could be triggered by many different economic, social, health-related, or environmental reasons. Based on the notion of person-environment (P-E) fit as expressed in the Ecological Theory of Ageing, the aim of this prospective study over 4 years was to explore which aspects of housing and health predict relocation to ordinary or special housing among very old people. At baseline, the participants (80-89 years old) lived alone in ordinary housing in Sweden (N = 384). Data collection at home visits included assessments and observations on aspects of objective and perceived housing as well as on aspects of health. After 4 years, 18 % (n = 70) of the participants had moved, either to ordinary housing (n = 24) or to special housing (n = 46). Cox regression models showed dependence in cleaning, perceived functional independence, and living in a one-family house to predict moves to ordinary housing. Dependence in cooking, cognitive deficits, and accessibility problems predicted moves to special housing. In conclusion, aspects of housing and health are related to relocation in very old age, but in different patterns for relocation to ordinary housing and special housing, respectively. This kind of knowledge has practical implications for relocation counselling and societal planning targeting very old people.

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Section: Aspects Of Healthmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Relocation to ordinary or special housing in very old age: aspects of housing and health

et al. 2013

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“…Very old people want to remain at home as long as possible, and they want to be active in their everyday lives and participate in society on their own terms (Dahlin-Ivanoff et al, 2007;Mollenkopf et al 1997;Valdemarsson, Jernryd, & Iwarsson, 2005). Further research shows that, over time, very old people manage increased frailty by means of evolving intertwined and transactional processes connecting the home and awareness of their frailty (as a state of mind) with changes in everyday life which maintain participation, independence and health at home (Haak et al, 2011). Summing up, healthy ageing is a highly fluid and complex issue which requires further studies examining the relationship between the home and the very old person in order to develop theoretical and empirical understanding of this under-researched area.…”

Section: Elsevier_ssm_9267mentioning

confidence: 98%

“…However, this is itself contingent upon illness and disability and may require the older person to accept assistance and relinquish control over access to the home, as well as home care providers considering notions of home within care delivery (Efraimson Hoglund, & Sandman, 2001). The home environment may become difficult to negotiate in old age (Haak, Malmgren Fänge, Iwarsson, & Dahlin-Ivanoff, 2011) and moving to more supported environments can be a relief for older frail people (Heywood et al, 2002). Nonetheless, Twigg (1999) argues that the home can provide the socio-physical and psychological conditions to ameliorate the depersonalisation and dependency that is often associated with transition into institutional settings.…”

Section: Elsevier_ssm_9267mentioning

confidence: 99%

Healthy ageing and home: The perspectives of very old people in five European countries

Sixsmith

Fänge

et al. 2014

Social Science & Medicine

185

160

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This paper reports on in-depth research, using a grounded theory approach, to examine the ways in which very old people perceive healthy ageing in the context of living alone at home within urban settings in five European countries. This qualitative study was part of a cross-national project entitled ENABLE-AGE which examined the relationship between home and healthy ageing. Interviews explored the notion of healthy ageing, the meaning and importance of home, conceptualisations of independence and autonomy and links between healthy ageing and home. Data analysis identified five ways in which older people constructed healthy ageing: home and keeping active; elsevier_SSM_9267 managing lifestyles, health and illness; balancing social life; and balancing material and financial circumstances. Older people reflected on their everyday lives at home in terms of being engaged in purposeful, meaningful action and evaluated healthy ageing in relation to the symbolic and practical affordances of the home, contextualised within constructions of their national context. The research suggests that older people perceive healthy ageing as an active achievement, created through individual, personal effort and supported through social ties despite the health, financial and social decline associated with growing older. The physicality and spatiality of home provided the context for establishing and evaluating the notion of healthy ageing, whilst the experienced relationship between home, life history and identity created a meaningful space within which healthy ageing was negotiated.

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“…If good housing is considered essential to health and wellbeing [26,27], in this pilot study the health factor seems to not be a determinant of relocating for males aged over 70. On the contrary, an important decision-making factor is the presence of smart home technology features that satisfy the sense of security.…”

Section: Discussionmentioning

confidence: 80%

Multifaceted Factors That Influence the Housing Decision-Making Process: A Pilot Study with Older Adults

Stara¹,

Felici²,

Rosa³

et al. 2017

J Gerontol Geriatr Res

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Housing is central to health, wellbeing and social inclusion, but inappropriate homes currently risk damaging millions of older people. One of the main challenges faced by many researchers is determining the reasons why individuals choose or refuse housing transition. In this pilot study, a housing demonstration unit is used as a test bed for a sample of fifteen older adults approaching the crucial problem of relocation. The demonstration unit consists of a prototypal eco-friendly sustainable housing unit of 55 square meters, equipped with smart home technologies. Overall, data collected through a questionnaire draw a positive picture of the older adults' perceptions on this alternative housing solution. Respondents seem to consider home security, customizable options, and smart technology features as the most important factors influencing their decision to relocate. Results demonstrate the potential of this housing demonstration unit for (1) documenting how joint efforts among cross sectoral partnerships can work together to support sustainable new option in the emerging sector of housing; (2) offering a real example of alternative housing solutions for older adults facing the decision to remain at home or relocate; (3) offering a study to replicate in order to search those evidences that are urgently needed in literature. These findings might be a good starting point to encourage discussion for policy-making and employ practicable changes for the housing sector.

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The importance of successful place integration for perceived health in very old age: a qualitative meta-synthesis

Cited by 27 publications

References 34 publications

Relocation to ordinary or special housing in very old age: aspects of housing and health

Relocation to ordinary or special housing in very old age: aspects of housing and health

Healthy ageing and home: The perspectives of very old people in five European countries

Multifaceted Factors That Influence the Housing Decision-Making Process: A Pilot Study with Older Adults

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