|Monday, June 22|
Does collaborative self-build contribute to social cohesion and social satisfaction of the ageing population?
* Pauline van den Berg, Eindhoven University of Technology, Netherlands
Jules Sanders, Eindhoven University of Technology, Netherlands
Stephan Maussen, Eindhoven University of Technology, Netherlands
Astrid Kemperman, Eindhoven University of Technology, Netherlands
Population ageing poses major challenges for urban planners and policy makers aiming to create pleasant living environments where older adults are able to live autonomously with a high quality of life. With an increasing age eventually comes a deteriorating health situation, reduced mobility and less social interaction, which could result in loneliness. Because of this, neighborhood-based contacts play an increasingly important role in the social life of older adults. Neighborhood social cohesion has been found to be important in the prevention of loneliness. Different types of housing development could affect the level of social cohesion and loneliness. Collective self-build is a development method in which a group of united individuals acquires a piece of land and jointly determines how they wish to develop their dwellings. Because future residents in collective self-build projects already get to know each other during the development process, collective self-build is likely to contribute to a higher level of neighborhood social cohesion, and consequently, in higher social satisfaction and lower levels of loneliness among its residents. Collective self-build could thus be an interesting method of developing senior friendly communities. The aim of this study is to test whether differences in social cohesion, loneliness and social satisfaction are present between seniors living in collective self-build housing projects and seniors living in conventionally developed housing projects, controlling for personal and household characteristics and neighborhood characteristics. For this study a survey was designed and data were collected among over 300 senior citizens living in different types of housing developments in the Netherlands. The data are analyzed using path analysis. The paper will present the path analysis results and implications of the study for real estate developers and urban policy makers.
Supporting aging in place in rural environmenta temporal-spatial behavior study on elderlys daily life pattern in north-Zhejiang
* Ziqi Zhang, Shanghai Jiao Tong University, China
China's rural areas are experiencing rapid aging problem. In order to meet the quantity requirement as planned by policies, the rural elderly facilities were usually built with existing urban standards, ignoring the living habits and actual needs of the elderly, and thus failed to solve the real problems. Using the methods of diary survey, face-to-face interview and behavioral mapping, this paper obtained the basic population information, physical condition, daily life patterns and locations of 171 people over 60 years old in two different types of villages in Northern Zhejiang Province, China. The temporal-spatial characteristics of four kinds of daily activities of the elderly in rural areas, including basic life, paid work, housework and leisure activities, are captured and analyzed. The correlation between these characteristics and population or environmental features are further explored. The results firstly serve as the verification and comparison towards the existing conclusions and predictions on the daily life patterns of the elderly, including the temporal features and choice of locations of the four kinds of daily activities, as well as their correlations with population attributes, especially gender and physical condition. Secondly, the results reveal underlying problems and potential needs of this group, such as economic pressure, low acceptance of purchasing services, lack of leisure activities options, the expectation on community support to relieve the dual pressures of housework and work, and lack of timely medical care. Finally, the results also reveal that the rural elderly facilities constructed so far have not really integrated into the real life of the rural elderly. It seems to be a more feasible strategy to strengthen the spatial characteristics of “the third places” and “transitional zones” of the village than to build more new facilities. The conclusion will benefit in exploring promising methods to create the “aging-in-place” environment for elderly in rural places.
Deciding to stay at home or move: a review of decision aid tools for frail older adults
* Noémie Roy, Laval University, Canada
France Légaré, Laval University, Canada
Carole Després, Laval University, Canada
Choosing to stay at home or relocate when physical disability increases rapidly is a complex decision for older adults. However, they are often rushed into it and ill informed on their options. Consequently, we sought to identify and evaluate existing decision guides worldwide for older adults facing housing decision in order to enhance an existing decision guide used in Quebec. An environmental scan on AgeLine, CINAHL, PubMed and Google was performed. Eligible studies discussed decision guides about housing decisions targeting adults over 65 years old without cognitive disabilities. The main document’s characteristics, intended users’ characteristics, housing options presented and any determinants of housing decisions identified in the guides were extracted. Thereafter, a thematic analysis was conducted based on a recent systematic review revealing that 88 factors influence the housing decision of older adults. The search resulted in 23 housing decision guides, coming mostly from North America (n=22) and an increase of recognized scientific methods used during their development (n=12). Most of the guides’ authors come from social or health disciplines (n=10) while built environment experts were only involved in one guide (n=1). Twenty guides addressed less than 30 of the 88 factors influencing housing decisions; the most common being related to medical status, social support and available services. The least common factors were mostly psychological or built environment related. Fifteen new factors were also identified. The results show that existing decision guides do not consider the complexity of the housing decision and missed important aspects of it. Thus, the present research will help enhance a decision guide to reflect the richness of the multidimensional relationship older adults have with their home and neighbourhood, while integrating scientific information. This will encourage older adults to take their time and make an informed housing decision that better match their values and preferences.
Decision support interventions for improved aging at home
* France Légaré, Université Laval, Canada
Danielle Caron, Université Laval, Canada
* Mayara Tavares, Université Laval, Canada
Sabrina Guay-Bélanger , Université Laval, Canada
Louise Meijering, Groningen University, Netherlands
Jodi Sturge, University of Groningen , Netherlands
Marie Elf, Dalarna University, Sweden
Susanna Nordin, Dalarna University, Sweden
Allyson Jones, University of Alberta, Canada
Most seniors want to stay at home for as long as possible. Effective self-management for people losing autonomy depends on reliable monitoring of their mobility, health and safety and active implication in decision-making. New technologies have the potential to provide information about changing mobility patterns that reflect changing care needs. This information could help seniors, their caregivers and health professionals to participate in decision-making about housing options when a change in the living environment needs to be considered. This three-year research program is a multi-prog and multi-method study integrating knowledge translation and conduct in Canada, Sweden, and the Netherlands. The COORDINATEs project aims to analyze the potential of GPS-trackers technology to assess the autonomy and mobility of sixty seniors with early-stage dementia and integrate the GPS-tracking technology to co-design and adapted version of a telehealth platform that promotes decision support about housing decisions. We hope to evaluate the effect of the adapted technology in supporting self-management and informing SDM about housing options for the older. Each three objectives refers to a different phase of the project milestone. Data from all phases and countries will be triangulated and compared to differences and similarities between the countries. Currently, data collection is in progress, we collected 18 data participants, being 1 (1/10) in Quebec, 0 (0/10) in Alberta -Canada, 5 (5/20) in Sweden and 12 (12/20) in the Netherlands. We analyzed the GPS data and are comparing it with the travel diary information. Preliminary data show seniors’ motivations, their macro and micro space use, and their wellbeing. Our results will design new technologies that could help seniors, their caregivers and health professionals to make informed and shared decisions about housing options.