Yukiko Kuboshima
School of Architecture, Victoria University of Wellington
Jacqueline McIntosh
School of Architecture, Victoria University of Wellington
The growth of the ageing population and the desires for ageing-in-place have resulted in an ever-increasing need for housing that can support the independent living of the elderly with care needs. As impairments and care needs increase, spatial use typically changes. However, there is limited information on how to accommodate leisure activities and spatial use in private dwellings to inform housing design. Through an ethnographic investigation of 30 high-needs elderly people living independently, patterns of spatial use for personal leisure activities were established. Seven key themes for residents’ perceptions were revealed, which include; comfort in posture, access to sunshine and warmth, facilitating activities to occupy residents, views to outside, control for doing everything from one space, and keeping active. In the design of housing for the high-needs elderly, greater attention should be given to the micro-environment of the main sitting space, to improve occupant control while enhancing comfort and warmth. This paper provides key considerations for housing design, which will help elderly people continue their fulfilled life in their own home as long as possible.
[1] OECD. Healthy life years at age 65, European countries, 2015 (or nearest year). Ageing and long-term care. Paris: OECD Publishing, 2017. DOI:https://doi.org/10.1787/health_glance-2017-graph191-en
[2] Stats NZ. New Zealand abridged period life table: 2015–17 (final), Wellington, 2018. Retrieved from https://www.stats.govt.nz/information-releases/new-zealand-abridged-period-life-table-201517-final
[3] Broad, J. B., Ashton T., Gott M., McLeod H., Davis P. D., & Connolly M. J.. Likelihood of residential aged care use in later life: a simple approach to estimation with international comparison. Australian and New Zealand Journal of Public Health, 2015, 39(4): 374–379. DOI:https://doi.org/10.1111
[4] Ministry of Social Development. The New Zealand Positive Ageing Strategy, Wellington, 2001. Retrieved from http://www.msd.govt.nz
[5] Ministry of Social Development. Better Later Life - He Oranga Kaumātua 2019 to 2034, Wellington, 2019. Retrieved from http://www.superseniors.msd.govt.nz/about-superseniors/ageing-population/better-later-life-report/index.html#Providinghousingchoicesandoptionssopeoplecanageinthecommunity1100
[6] Glasgow, K.. A new old age? Exploring the values, attitudes and expectations of baby boomers and their implications for policy and practice in an ageing society. (Doctor of Philosophy in Social Policy), Victoria University of Wellington, Social Policy, 2013.
[7] Povey, D. M., & Harris, U.. With My Boots On!: A survey of housing quality and preferences of a selected group of older people in Dunedin. Dunedin, 2006.
[8] Davey, J.. Ageing in Place”: The Views of Older Homeowners on Maintenance, Renovation and Adaptation. Social Policy Journal of New Zealand, 2006, (27), 128-141.
[9] Tester, S., Hubbard, G., Downs, M., MacDonald, C., & Murphy, J.. Frailty and institutional life, in Growing Older: Quality of Life in Old Age: Extending quality of life, A. Walker and C.H. Hennessy, Editors. Open University Press: Maidenhead, 2004.
[10] Murphy, K., Shea, E. O., & Cooney A.. Quality of life for older people living in long-stay settings in Ireland. Journal of Clinical Nursing, 2007, 16(11): p. 2167-2177. DOI:https://doi.org/10.1111/j.1365-2702.2006.01865.x
[11] Wahrendorf, M., & Siegrist, J.. Are changes in productive activities of older people associated with changes in their well-being? Results of a longitudinal European study. European Journal of Ageing, 2010, 7(2): p. 59-68. DOI:https://doi.org/10.1007/s10433-010-0154-4
[12] Dias, G. N. F., Couceiro, M. S., Mendes, P., & de Lurdes Almeida, M.. Physical Activity Benefits in Active Ageing. In Active Ageing and Physical Activity: Guidelines, Functional Exercises and Recommendations (pp. 21-34). Cham: Springer International Publishing, 2017.
[13] Nordin, S., McKee, K., Wallinder, M., Koch, L., Wijk, H., & Elf, M.. The physical environment, activity and interaction in residential care facilities for older people: a comparative case study. Scand J Caring Sci, 2017, 31(4), 727-738. DOI:https://doi.org/10.1111/scs.12391
[14] Sok Teng, L. O. W., & Thirumalaya, B.. Physical activity level and fall risk among community-dwelling older adults. Journal of Physical Therapy Science, 2017, 29(7), 1121-1124. DOI:https://doi.org/10.1589/jpts.29.1121
[15] Eakman, A. M., Carlson, M. E., & Clark, F. A.. The Meaningful Activity Participation Assessment: A Measure of Engagement in Personally Valued Activities. The International Journal of Aging and Human Development, 2010, 70(4), 299-317. DOI:https://doi.org/10.2190/AG.70.4.b
[16] Kiata-Holland, E. J.. ‘All in a day’s work’: The life-world of older people in New Zealand rest homes. (Doctor of Philosophy in General Practice and Primary Health Care), The University of Auckland, Auckland, 2010.
[17] Koopman-Boyden, P., & Moosa, S.. Living Alone as a Lifestyle of Older People in New Zealand policy implications. Policy Quarterly Special Issue – Ageing Population, 2014, 10(3), 54-59.
[18] Wright-St Clair, V.. Being occupied with what matters in advanced age. Journal of Occupational Science, 2011, 19(1), 44-53. DOI:https://doi.org/10.1080/14427591.2011.639135
[19] Koehn, S. D., Mahmood, A. N., & Stott-Eveneshen, S. Quality of Life for Diverse Older Adults in Assisted Living: The Centrality of Control. Journal of Gerontological Social Work, 2016, 59(7-8), 512-536. DOI:https://doi.org/10.1080/01634372.2016.1254699
[20] Van Steenwinkel, I., Dierckx de Casterlé, B., & Heylighen, A. How architectural design affords experiences of freedom in residential care for older people. Journal of Aging Studies, 2017, 41, 84-92. DOI:https://doi.org/10.1016/j.jaging.2017.05.001
[21] The Department of Health. CARE STANDARDS ACT 2000 In Care Homes for Older People - National Minimum Standards - and Care Homes Regulations (3rd ed.). Norwich: The Stationery Office, 2006.
[22] Barnes, S.. Space, choice and control, and quality of life in care settings for older people. Environment and Behavior, 2006, 38(5), 589-604. DOI:https://doi.org/10.1177%2F0013916505281578
[23] Sikorska, E. Organizational Determinants of Resident Satisfaction With Assisted Living. The Gerontologist, 1999, 39(4), 450-456. DOI:https://doi.org/10.1093/geront/39.4.450
[24] Hale, B., et al.. The Age of Supported Independence: in Voices of In-home Care. Springer: New York, 2010.
[25] WEL_HOPS. Guidelines for the planning of housing for senior citizens. WEL_HOPS, 2007. Retrieved from https://www.housinglin.org.uk/Topics/type/Guidelines-for-the-planning-of-housing-for-senior-citizens
[26] Lewis, A., Torrington, J., Barnes, S., Darton, R., Holder, J., McKee, K., Netten, A., & Orrell, A.. EVOLVE Tool - Evaluation of Older People's Living Environments. The University of Sheffield, 2010. Retrieved from https://www.housinglin.org.uk/Topics/type/EVOLVE-Tool-Evaluation-of-Older-Peoples-Living-Environments
[27] Smith, J. A., Flowers, P., & Larkin, M.. Interpretative Phenomenological Analysis. London: SAGE Publications Ltd, 2009.
[28] Crouch, C., & Pearce, J.. Doing Research in Design. London: Berg, 2012.
[29] Wright‐St Clair, V. A., Kepa, M., Hoenle, S., Hayman, K., Keeling, S., Connolly, M., Broad, J., Dyall, L., & Kerse, N.. Doing what's important: Valued activities for older New Zealand Māori and non-Māori. Australasian Journal on Ageing, 2012, 31(4): p. 241-246. DOI:https://doi.org/10.1111/j.1741-6612.2011.00583.x
Copyright © 2020 Yukiko Kuboshima, Jacqueline McIntosh
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