Cross-National User Priorities for Housing Provision and Accessibility — Findings from the European innovAge Project

To develop an innovative information and communication technology (ICT) tool intended to help older people in their search for optimal housing solutions, a first step in the development process is to gain knowledge from the intended users. Thus the aim of this study was to deepen the knowledge about needs and expectations about housing options as expressed and prioritized by older people, people ageing with disabilities and professionals. A participatory design focus was adopted; 26 people with a range of functional limitations representing the user perspective and 15 professionals with a variety of backgrounds, participated in research circles that were conducted in four European countries. An additional 20 experts were invited as guests to the different research circle meetings. Three themes illustrating cross-national user priorities for housing provision and accessibility were identified: “Information barrier: accessible housing”, “Information barrier: housing adaptation benefits”, and “Cost barrier: housing adaptations”. In conclusion, early user involvement and identification of cross-national differences in priorities and housing options will strengthen the development of a user-friendly ICT tool that can empower older people and people with disabilities to be more active consumers regarding housing provision.

[1]  S. Golant The Changing Residential Environments of Older People , 2011 .

[2]  Karen A. Blase,et al.  Implementation Research: A Synthesis of the , 2005 .

[3]  Margo van Hartingsveldt,et al.  Enabling Occupation II: Advancing an Occupational Therapy Vision for Health, Well-being, & Justice through Occupation , 2008 .

[4]  Björn Slaug,et al.  Exploration and Development of Methodology for Accessibility Assessments: Based on the Notion of Person-Environment Fit , 2012 .

[5]  Susanne Iwarsson,et al.  Relationships between housing and healthy aging in very old age. , 2007, The Gerontologist.

[6]  Susanne Iwarsson,et al.  Housing Enabler — A method for rating/screening and analysing accessibility problems in housing. Manual for the complete instrument and screening tool. , 2010 .

[7]  Karen A. Blase,et al.  Implementation research: A synthesis of the literature (No. 231). University of South Florida, Louis de la Parte Florida Mental Health Implementation Research Network. , 2012 .

[8]  G. Mulgan,et al.  The open book of social innovation , 2010 .

[9]  C. McKevitt,et al.  Involving older people in health research. , 2007, Age and ageing.

[10]  Susan Corr,et al.  Investigation into the occupational lives of healthy older people through their use of time. , 2010, Australian occupational therapy journal.

[11]  Janet Mancini Billson,et al.  Focus Groups: A Practical Guide for Applied Research , 1989 .

[12]  Susanne Iwarsson,et al.  Current Developments of the Housing Enabler Methodology , 2012 .

[13]  Ruth J. P. Dalemans,et al.  Challenges in the communication between 'communication vulnerable' people and their social environment: an exploratory qualitative study. , 2013, Patient education and counseling.

[14]  T. Bucknall,et al.  Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action , 2010 .

[15]  Susanne Iwarsson,et al.  Voices on relocation and aging in place in very old age--a complex and ambivalent matter. , 2013, The Gerontologist.

[16]  S. Baptiste,et al.  Human occupation in contest in Enabling occupational II: Advancing an occupational therapy vision for health, well being & justice through occupation. , 2007 .

[17]  L. Nygård,et al.  Users’ and professionals’ contributions in the process of designing an easy-to-use videophone for people with dementia , 2014, Disability and rehabilitation. Assistive technology.

[18]  I. Himmelsbach,et al.  Cross-National and Multi-Language Qualitative Research: Challenges and Recommendations , 2013 .

[19]  S. Iwarsson,et al.  The importance of successful place integration for perceived health in very old age: a qualitative meta-synthesis , 2011, International Journal of Public Health.

[20]  B. Lundman,et al.  Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. , 2004, Nurse education today.

[21]  Sarah Kuester,et al.  Universal Design Handbook , 2016 .

[22]  Susanne Iwarsson,et al.  Home as a signification of independence and autonomy: Experiences among very old Swedish people , 2007, Scandinavian journal of occupational therapy.

[23]  Susanne Iwarsson,et al.  The home environment and disability-related outcomes in aging individuals: what is the empirical evidence? , 2008, The Gerontologist.

[24]  Agneta Ståhl,et al.  “Let’s go for a walk!”: identification and prioritisation of accessibility and safety measures involving elderly people in a residential area , 2008, European journal of ageing.

[25]  Gunilla Harnsten The Research Circle--Building Knowledge on Equal Terms. , 1994 .

[26]  Vern L. Bengtson,et al.  The Epidemiology of Ageing , 2005 .

[27]  M. Patton Qualitative research & evaluation methods , 2002 .

[28]  S. Iwarsson,et al.  Environmental Barriers and Housing Accessibility Problems Over a One-Year Period in Later Life in Three European Countries , 2006 .

[29]  S. Iwarsson,et al.  Housing and Health: Very Old People with Self-Reported Parkinson's Disease versus Controls , 2013, Parkinson's disease.

[30]  Shawna L. Mercer,et al.  The value and challenges of participatory research: strengthening its practice. , 2008, Annual review of public health.

[31]  Gareth Wood Let's Go For A Walk , 2016 .

[32]  Anna Szymańska,et al.  R. Murray, J. Caulier-Grice, G. Mulgan, „The Open Book of Social Innovation”, The Young Foundation, NESTA, March 2010 , 2014 .

[33]  Hans-Werner Wahl,et al.  TROUBLE IN PARADISE? REASONS TO RELOCATE AND OBJECTIVE ENVIRONMENTAL CHANGES AMONG WELL-OFF OLDER ADULTS , 2002 .

[34]  S. Iwarsson,et al.  Accessibility, usability and universal design—positioning and definition of concepts describing person-environment relationships , 2003, Disability and rehabilitation.