|Thursday, June 25|
The association in physical and social features of urban greenways, and outdoor activity among older residents
* Po-Ju Chang, National Taiwan University, Taiwan (Republic of China)
By 2061, the older population in Taiwan will account for 20% of the total population. The role of urban green spaces is critical if an active lifestyle is to be maintained among older people. Urban greenways not only provide a physical environment that supports outdoor activities, but they also create a social environment in which older adults can perceive their neighborhoods as providing social capital and social cohesion. The availability of these areas thus improves the participation of older adults in outdoor activities. This study developed a two-level research model to examine the effects of the physical and social environment on individual participation in outdoor activities in the urban greenways. The data included 13 greenways and 769 participants aged over 55 who lived in the vicinity of the greenways. Results from hierarchical linear modeling indicate that participants who live near greenways with higher levels of neighborhood social capital and better-quality paths, natural elements, and seating participate in more outdoor activities. Since urban greenways are generally linear public spaces next to roads, greenway designers and planners should place greater importance on the quality of the environment. This could help to create high-quality and easy-to-maintain urban public spaces for older adults in which to enjoy the outdoors.
What are the difficulties the senior residents facing in old communities in Dalian, China?
* Wenting Yu, Dalian University of Technology, China
Bo Zhou, Dalian University of Technology, China
Ke Fang, Dalian University of Technology, China
Yifei Luan, Dalian University of Technology, China
Yue Fan, Dalian University of Technology, China
In the 1970s to 1990s, to solve the housing problem caused by explosive population growth, the Chinese government constructed a large number of adaptable housing. as the product of the housing distribution system, these housing followed the same design principles and construction standards. However, with the aging process of the residents as well as the buildings, many problems have arisen in the use of these houses and within these communities. This study takes the old communities in Dalian as a research object. It explores the difficulties the older people face in their lives, analyzes how well the housing can meet the elderly’s needs. It also discusses the potential solutions to these problems. A total of eight old communities were surveyed to determine the situation of the housing and the facilities provides. 8 homes were surveyed and mapped using EVOLVE Tool. Semi-structured interviews were also conducted with the elderly householder to understand the inconveniences and needs of their lives. According to the survey data, the facilities around these old housing are relatively well equipped, however, the barrier-free design is seriously lacking within the buildings. The main problem in the elderly’s life is the interior spatial layout and facilities are no longer suitable for the physical changes of the elderly. Over time, originally comfortable houses have become unsuitable for living. In addition to aging houses, the aging of human functions is also the main cause of this conflict. In this regard, adaptive remodeled is currently a relatively simple and feasible method. Besides, appropriate welfare policies should be implemented to provide senior residents with living assistance and elderly care facilities should also be built to meet the needs of the elderly.
Sex based subgroup differences among caregivers of seniors with cognitive impairment in urban/rural environment: a stepped wedge cluster randomised trial
* Lionel Adisso, Université Laval, Canada
Nathalie Brière, CIUSSS de la Capitale-Nationale, Canada
Dawn Stacey, University of Ottawa, Canada
Guy Lacroix, Université Laval, Canada
Sophie Desroches, Université Laval, Canada
Serge Dumont, Université Laval, Canada
Kimberly Fraser, Université Laval, Canada
Louis-Paul Rivest, Université Laval, Canada
Monica Taljaard, Université of Ottawa, Canada
Pierre J. Durand, Université Laval, Canada
Henriette Bourassa, Université Laval, Canada
Lise Roy, Université Laval, Canada
France Légaré, Université Laval, Canada
When older adults living in rural/urban environment are cognitively impaired, informal caregivers are the proxies that may make housing decisions. This study aims to explore whether sex of caregivers could modify the effect of an intervention targeting home care teams on assumed role of caregivers of older adults with cognitive impairment who faced housing decisions. A stepped wedge cluster randomised trial involving nine Integrated (University) Health and Social Service Centers (CISSS/CIUSSS) in the province of Quebec was conducted with IP home care teams. Participants were CISSS/CIUSSS, and caregivers of older adults cognitively impaired. Participating CIUSSS/CISSS were randomised to one of four intervention start times. Caregivers were eligible if they (1) have made a decision about whether the older adult cognitively impaired to stay at home or move to another location during the recruitment periods; (2) are able to read, understand and write French or English; (3) can give informed consent. The intervention, targeted at IP home care teams, consisted of a 1.5-hour online tutorial and a 3.5-hour skills building workshop in IP SDM. The comparator was a decision guide passively distributed to all of the participating CISSS/ CIUSSS at the beginning of the project. The primary outcome was whether caregivers assumed an active role in decision-making, assessed with a modified version of the Control Preferences Scale. Zip codes were used to identify rural or urban living environment. A generalized mixed linear model based on the approach suggested by Kasza et al. was used. A binomial distribution with a log link was used to model prevalence ratio. Subgroup analyses about sex of caregivers and rural/urban living environment were performed. Results are being carried out. The results will help to design specific interventions development for female and male caregivers of seniors living in rural compared to urban environment.
A Research Model on Interdisciplinary Elder-friendly Community Formed under Sensing Technology _ Research on Environmental Behavior Based on Big Data
* Li-wen Sung, National Cheng Kung University, Taiwan (Republic of China)
The purpose of this research is to develop an elder-friendly community and try a new model to care for the elders suffering from dementia so that they can live a dignified life in an ordinary community environment. The method of this research is based on knowledge exchange from diverse disciplines, the construction of sensing technology and the use of actual field as the research target to explore new possibilities of environmental behavior. In this research, a sensing system is built in a community in a small village of southern Taiwan and professionals from the School of Medicine, Management and Architecture are invited to establish a research model of environmental behavior. The greatest feature of this community is the opportunity to provide an open environment for the care of people with dementia, enabling them to live a safe and comfortable life in the community, while reducing the number of caregivers. Moreover, the sensing system can build up accurate behavior maps, thus helping the research team analyze the use of public spaces in the community, accurately formulate related plans for environmental planning, and make better public construction proposals for local governments. This research provides an interdisciplinary research model, and through the placement of technology and the collection of environmental behavior data, the research content can reveal more possibilities and open up more professional perspectives, such as enhancing the residents' motivation to exercise, promoting interaction among residents, and even promoting the cultivation of feelings between different generations through reward mechanisms. At present, this research has been undergoing on its second stage, in which the indoor and outdoor environments of public place will be incorporated to gradually form a more comprehensive living model for the elderly-friendly community.