Abstract: The purpose of this study is to analyze the relationship between home modifications and aging-in-place. Using the ENABLE-AGE United Kingdom sample (N = 376), the authors hypothesize that seniors who have modified their housing are likely to have stayed longer in their current housing. There is a positive relationship between home modifications and aging-in-place. The results underscore the importance of supportive environment to prolong living in housing settings.

Abstract: This study describes home environmental features, safety issues, and health-related modifications in a community dwelling sample of 82 elderly people with dementia. Main barriers to the accessibility of the homes were steps, both inside and outside the house. The majority of the caregivers had made home modifications, which pertained mainly to physical limitations. Home modifications to support cognitive deficits were made to a lesser extent. The main barrier to the implementation of home modifications to accommodate the care recipient's memory loss was skepticism about their usefulness. Regarding the removal of physical barriers, financial constraints were most frequently mentioned.

Abstract: The declining capacities in older people often lead to limitations in activities of daily living and a simultaneous rising demand for care services. Many of these limitations in daily activities are to a varying degree caused, enhanced or facilitated by disadvantageous housing and environmental conditions. Home modifications have been credited as an important part of the solution, allowing for an extended and safer use of the home. In order to examine this issue in more detail, this paper provides empirical evidence on the type and extent of risks associated with accidents around the home. It reports on findings from a European case study on the difficulties using the home and risks of accidents which may lead to injury. It is argued that healthy housing conditions for older persons are important to maximize the supportive capacity of one's home, to stimulate an active and healthy lifestyle, and to avoid unnecessary institutionalization.

Abstract: In resource-based towns that have historically been dominated by young workers and their families, seniors’ housing issues have received little attention by community leaders and senior policymakers. However, since the 1980s there has been a growing trend of older women living alone in Canadian rural and small town places. Although research on rural poverty focuses on small towns in decline, booming resource economies can also produce challenges for low-income senior women living alone due to higher housing costs and the retrenchment of health care and service supports. Because housing costs can consume a significant proportion of household income, low-income senior women living alone may not have the financial resources to cover expenses in a competitive housing market. Using a household survey, we explored this different dimension of the Canadian rural landscape by looking at housing costs for low-income senior women living alone in the booming oil and gas town of Fort St. John, British Columbia, Canada...

Abstract: Recent research has focused on the design of special care units for residents with dementia, often identifying the social benefits of residentially scaled kitchen and dining areas. This qualitative case study examines how the environmental design features of two dining settings in one special care unit impact residents’ patterns of socialization and interaction at meal times. The first setting is a central dining room for 50 to 60 residents. The second setting is a small office with a residentially scaled kitchen, where once a week, the activity director invites six residents for lunch once a week. Within an ecological theoretical framework, the study findings reveal that, while mealtimes in both settings are highly anticipated, it is the complex relational ties between the operational, managerial, and environmental features of the settings which determine residents’ social interaction and satisfaction with their mealtime experiences.

Abstract: This Australian exploratory study investigates the financial considerations retirees experienced before moving into a retirement village. A qualitative content analysis was undertaken on the responses of 52 retirement village residents, who were part of a much larger study on retirees’ accommodation choices in 2007. The respondents were grouped according to income, and the results were compared across the following groups (self-funded retirees, part-pension retirees, and full-pension retirees). Differences between the groups extended beyond affordability. Both pension groups were more anxious about the increasing costs of maintenance fees than self-funded retirees, and the importance of pensions and superannuation was also discussed.

Abstract: This article investigates the current housing reality and subjective appraisal of the elderly in China by presenting the latest empirical evidence. Based on a literature review, survey data of September 2009 were analyzed, which included 692 Chinese households with a focus on their elderly members. Major findings were the following: (1) affordability was an outstanding issue, with 56.6% of the elderly respondents feeling overburdened by housing costs; (2) facilities in the homes were less of an issue than their community facilities, which were inadequate especially for the handicapped; (3) the elderly respondents as a whole seemed to enjoy their housing property, though significant differences in homeownership and residential satisfaction were found among them; (4) differences were also found among the elderly in terms of access to healthcare (including emergency help), transportation, and housing environment; and (5) residential satisfaction of the elderly were related to their occupational status before...

Abstract: Federal legislation has moved toward the support and expansion of home- and community-based alternatives to nursing home placement. Despite the seemingly positive nature of these efforts, the question remains as to whether individuals, families, and communities are prepared for this shift in long-term care. Furthermore, there has been a lack of attention to the impact of nursing home transition programs on family caregivers, community resources, and the availability of appropriate housing alternatives. Although nursing home transition programs offer a promising alternative to institutional care, the authors suggest a closer examination of the policies and practicality of these transitions is needed.

Abstract: To meet the demographic development, measures were initiated by the Swedish government entailing changed conditions for municipal eldercare, such as assisted living. Participant observation is used to study the daily use of common spaces in 14 assisted living units in Gothenburg. The results show examples where the current use diverges from the intended use and suggest diverging objectives and conflicts of use. The observations indicate that the degree of usability is determined by the physical environment itself in some cases, by the users and by changes in use in other cases, and by a combination of both in some cases.

Abstract: This study investigated the relationships between the “perceived aspects” of current home environment of elderly people living in rural areas and their home modification behavior. To investigate this perception, home satisfaction, perception of home capability, and home safety were used as perceived aspects of the home. Data were collected by a questionnaire. The response rate was 43.1%, with 317 eligible questionnaires. The results from this study indicate that there was no significant difference in perceived aspects of home environment between those who modified their homes and those who did not. Regardless of their current home conditions, most elderly respondents (75%) showed high home satisfaction. Results from this study suggest that a modified home environment does not necessarily contribute to an older person's perception of perceived aspects of their home environment.

Abstract: This study employed a cross-sectional design to examine the psychological effects of considering a move into supported housing. It sought to explore the wistful “prefactual/counterfactual” evaluation of “if only” scenarios. A Time, Environment, Motivation, Personality, and Outcome (TEMPO) model was applied to investigate whether individuals moving closer in time to a prefactual scenario (a hypothetical vignette about two older adults facing a move toward residential care) expressed increased prefactual/counterfactual statements. Additional hypotheses explored the impact of personality and outcome. Thirty-three older adults (65 and older) and 33 adults (aged 18 to 64) were asked to write what could be better or worse about each scenario. The older-adult group generated a significantly higher number of counterfactual/prefactual statements. Effect sizes were medium-large. The implications of these findings, particularly concerning the emotional impact, were explored.

Abstract: This study focuses on the interior remodeling of two Swedish residential homes for dependent seniors. A regular maintenance operation was turned into a color intervention project, and the residents ...

Abstract: Compliance data for the low-income housing tax credit program in Ohio was examined to identify factors associated with affordable housing tenure. Residents aged 55 and older reported a median tenure duration of 2.7 years. Cox regression was used to explore time until exiting housing, controlling for demographic factors, and the date the housing project was placed into service. Results suggest that duration of tenure was predicted by age and race. Modifications to the state Qualified Allocation Plan guiding development under the low-income housing tax credit program should be considered to promote aging in place in affordable housing. Reasons for exiting and subsequent housing choice should be explored.

Abstract: Housing for older people in Flanders evolves toward small-scale facilities and better quality of life Ageing population strains the means to achieve this to the limit The authors investigate whether and how Flemish large-scale facilities can adapt to meet contemporary and future requirements of housing for older people By analyzing current tendencies, they depict what this housing should look like, both now and in the future They then investigate how an existing large-scale care home could fit this picture by using design as a mode of knowledge production They propose to redesign the site such that its actual evolution would be thoroughly redirected Beyond the facility at issue, the study shows how Flemish large-scale facilities could develop to keep playing a role in the future They should timely adapt their size with qualities of small-scale housing schemes, and integrate in the neighborhood

Abstract: Opinions about the responsibility for procuring sheltered housing in Norway have been studied among people 50 and older. Until recently, Norway offered standard public provision, where the state has been the central provider and organizer of care for the elderly. The results indicate great support for public responsibility for providing sheltered housing for the frail elderly, which is only marginally affected by background characteristics. However, older people's attitudes as to whether they would choose private housing provision are affected by income, age, and knowledge of the market, and many are uncertain. Women and low-income groups are overrepresented among those who are uncertain.

Abstract: The number of older people in the western world is increasing. Advancing age creates the need for care, including respite care. The aim of this study is to describe the experience of older people of becoming and being respite care recipients. Admission to respite care is a response to a range of practicalities in the home, such as the need to maintain privacy, dissatisfaction with home care, and deterioration in health. However, the participants in this study had little or no involvement in the decision regarding respite care placement. Activities, training, and medical treatment were found to be important to respite care recipients’ satisfaction with their care.

Abstract: The current study surveyed 74 assisted living facilities to examine the effect of facility type on resident autonomy and the willingness of providers to admit residents requiring complex services Facility types included adult family homes, residential care facilities, and traditional assisted living facilities Adult family homes were more willing to admit residents with higher care needs By contrast, assisted living facilities’ policies did not support the provision of intensive services, but their policies promoted higher resident autonomy, suggesting that consumers may have to choose between autonomy and help with complex needs when exploring assisted living for long-term care

Abstract: Continuing care retirement communities are an increasingly popular housing choice for older adults. The purpose of this study is to evaluate the validity of an entrance tool to predict transitions over a 5-year time period. A sample of 261 participants was recruited. A discriminant analysis revealed that baseline scores correctly classified the Year 5 status of 71.3% of the cases, with 69.6% of those who experienced a change in status classified correctly. The use of the tool potentially provides the staff an objective means for pinpointing the areas where services may be required for the residents’ well-being.

Abstract: The purpose of this article is to explore the factors influencing residential decisions of Finnish seniors. Analysis draws on qualitative data gathered from in-depth interviews and open-ended survey questions completed by 37 seniors living in three independent living facilities in Finland. Content analysis was used to identify key factors pushing residents out of their former living situations and pulling them into their respective independent living facility. Analysis indicates that different senior houses attract different types of residents. Nevertheless, as a group, they reported similar motivational factors relating to community, physical, and social environments and to their personal circumstances.