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Figueiredo M, Eloy S, Marques S, Dias L. Older people perceptions on the built environment: A scoping review. APPLIED ERGONOMICS 2023; 108:103951. [PMID: 36480999 DOI: 10.1016/j.apergo.2022.103951] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 11/08/2022] [Accepted: 11/18/2022] [Indexed: 06/17/2023]
Abstract
As the world ages, the built environment requires special attention to assist this growing part of society and therefore the update of urban design guidelines and urban policies is required. The goal of this study is to provide an overview of existing literature regarding emotions and perceptions from older people related to the outdoor built environment. A scoping review was performed using empirical studies in 12 scientific databases in a fourteen-year period (2007-2021) involving people at least 60 years old and outdoor built environment perceptions. Collected evidence identified 52 papers following the PRISMA procedure. Studies reported basic emotions (e.g., fear, joy) and space perceptions (e.g., walkability, accessibility) regarding the outdoor built environment as sidewalks, streets, and greenery. Our study reinforces the importance of analyzing older people perceptions regarding the outdoor built environment so that architects, urban planners, and decision makers have information to design solutions that fit older people needs.
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Affiliation(s)
| | - Sara Eloy
- Instituto Universitário de Lisboa (ISCTE-IUL), ISTAR, Portugal
| | - Sibila Marques
- Instituto Universitário de Lisboa (ISCTE-IUL), CIS, Portugal
| | - Luís Dias
- Instituto Universitário de Lisboa (ISCTE-IUL), ISTAR, Portugal
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Lund ML, Olofsson A, Malinowsky C. Accessing public space in the digital society: relationship between the use of everyday technology and places visited outside the home after acquired brain injury. Disabil Rehabil 2022; 44:7059-7068. [PMID: 34565262 DOI: 10.1080/09638288.2021.1979666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE In the digital society, people need to make use of a range of everyday technology (ET) when engaging in activities in various places outside home. The aim of this study was to describe and compare the use of ET and places visited outside the home and, also, to describe the relationship between them in people with different severity of disability after acquired brain injury (ABI). MATERIALS AND METHODS Instruments addressing ET use, places visited outside the home and severity of disability were used to assess 74 individuals with ABI. Relationships were analyzed statistically. RESULTS A significantly higher use of personal ET related to public space and public space ET, a higher ability to use ET and more places visited outside the home was found in those with good recovery (GR) compared to those with moderate disability/severe disability (MD/SD). The use of ET was significantly correlated with places visited in the total sample and in those with MD/SD, but for those with GR, no significant correlations were found. CONCLUSIONS To facilitate participation after ABI, the relationship between the use of ET and places visited outside the home needs to be assessed in rehabilitation.Implications for rehabilitationDigitalization has increased the need of everyday technology (ET) when visiting various places in society.The use of ET was positively significantly correlated with the total number of places visited outside the home in the sample of people with acquired brain injury (ABI).Those with severe or moderate disability after their ABI used significantly fewer ET and visited fewer places compared to those with good recovery.Evaluation of the use of ET and places visited outside the home is important in rehabilitation to support participation after ABI.
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Affiliation(s)
- Maria Larsson Lund
- Department of Health, Education and Technology, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Alexandra Olofsson
- Department of Health, Education and Technology, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Camilla Malinowsky
- Department of Neurobiology, Care Science and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden
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Thalén L, Malinowsky C, Margot-Cattin I, Gaber SN, Seetharaman K, Chaudhury H, Cutchin M, Wallcook S, Anders K, Brorsson A, Nygård L. Out-of-home participation among people living with dementia: A study in four countries. DEMENTIA 2022; 21:1636-1652. [PMID: 35435030 PMCID: PMC9243454 DOI: 10.1177/14713012221084173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Social participation in out-of-home activities is important for people living with
dementia, yet little is known about such participation. The aim of this study was to
explore and compare out-of-home participation among people living with dementia in four
countries by assessing different types of places of participation visited or no longer
visited. A cross-sectional design was used to gather self-reported experiences concerning
out-of-home participation among people with mild stage dementia living in Canada
(n = 29), Sweden (n = 35), Switzerland
(n = 35) and the UK (n = 64). Interviews were
conducted using the Participation in ACTivities and places OUTside the Home for
older adults (ACT-OUT) instrument. Participants still visited 16
(Median) places out of a possible total of 24, and they had abandoned 5
(Median) places. Neighbourhood was the place most participants still
visited, whereas 50% of them had stopped going to a Sports facility, with no significant
differences between country samples regarding how many participants had abandoned that
place (Fisher’s exact test, p > 0.01). There were significant
differences between country samples in the frequency of present participation and
abandonment of the Hospital, Dentist’s office, Cemetery, Garden, and Forest (Fisher’s
exact test, all p < 0.01). Although the participants still visited a
variety of places, they had stopped going to places previously visited, which indicates
reductions in participation, posing an inherent risk to well-being. The similarities and
differences across samples from the four countries suggest that healthcare services and
access to public transport may contribute to the complex interactional process of
out-of-home participation for people living with dementia. The findings highlight the need
for initiatives targeting specific types of places to support continued participation in
society, especially places at a higher risk of abandonment such as places for recreation
and physical activity.
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Affiliation(s)
- Liv Thalén
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Camilla Malinowsky
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Isabel Margot-Cattin
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
- Department of Occupational Therapy, School of Social Work and Health, Lausanne (HETSL), University of Applied Sciences and Arts of Western Switzerland (HES-SO), Delémont, Switzerland
| | - Sophie N Gaber
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Ersta Sköndal Bräcke University College, Department of Health Care Sciences, and Uppsala University, Department of Women’s and Children’s Health, Clinical Psychology in Healthcare, Huddinge, Sweden
| | | | - Habib Chaudhury
- Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada
| | - Malcolm Cutchin
- Pacific Northwest University of Health Sciences, Yakima, WA, United States
| | - Sarah Wallcook
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Kottorp Anders
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Sweden and Faculty of Health and Society, Malmö University, Malmö, Sweden
| | - Anna Brorsson
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Louise Nygård
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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Enacting citizenship through participation in a technological society: a longitudinal three-year study among people with dementia in Sweden. AGEING & SOCIETY 2021. [DOI: 10.1017/s0144686x21000544] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Abstract
The role of Everyday Technology (ET) use is presented as subsidiary or neutral in policy for age- and dementia-friendly communities; and yet, research suggests that older people, especially those with dementia, experience increased challenges using ET in their everyday lives. Through the lens of micro-citizenship, the study aims to deepen the knowledge about how use of ET outside the home, including portable ETs, relates to participation in places visited within public space among people with dementia over time. Using a longitudinal study design, 35 people with dementia were recruited at baseline and followed over three years. Data were collected through semi-structured interviews using standardised questionnaires: the Participation in ACTivities and Places OUTside Home Questionnaire (ACT-OUT) and the Everyday Technology Use Questionnaire (ETUQ). Random intercept modelling and descriptive statistics were used to analyse the data. Throughout the three-year study, decreasing use of ET outside the home, including portable ETs, was associated with decreasing participation in places visited within public space, in a statistically significant way when controlling for age (F = 7.59, p = 0.01). The findings indicate that facilitating access and use of ET outside the home, among people with dementia, should be integral to promoting and maintaining participation in age- and dementia-friendly communities.
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Gaber SN, Nygård L, Brorsson A, Kottorp A, Charlesworth G, Wallcook S, Malinowsky C. Social Participation in Relation to Technology Use and Social Deprivation: A Mixed Methods Study Among Older People with and without Dementia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4022. [PMID: 32516958 PMCID: PMC7312692 DOI: 10.3390/ijerph17114022] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 05/29/2020] [Accepted: 06/02/2020] [Indexed: 11/16/2022]
Abstract
Social participation is a modifiable determinant for health and wellbeing among older people; however, social participation is increasingly dependent on technology use. This study investigated social participation in relation to Everyday Technology use and social deprivation of the living environment, among older people with and without dementia in the United Kingdom. Sixty-four people with dementia and sixty-four people without dementia were interviewed using standardized questionnaires: The Participation in ACTivities and Places OUTside Home Questionnaire and Everyday Technology Use Questionnaire. A mixed methods approach integrated statistical analyses and content analysis of free-text responses, through data visualizations. Small, statistically significant associations were found between social participation and Everyday Technology use outside home, for participants with dementia (Rs = 0.247; p = 0.049) and without dementia (Rs = 0.343; p = 0.006). A small, statistically significant association was identified between social participation and social deprivation in the living environment, among only participants with dementia (Rs = 0.267, p = 0.033). The content analysis and graphical joint display revealed motivators, considerations that require extra attention, and strategies for managing social participation. The results underline how Everyday Technology use can be assistive to social participation but also the need to consider social deprivation of the living environment, especially among people with dementia.
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Affiliation(s)
- Sophie N. Gaber
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
- Faculty of Brain Sciences, University College London, London WC1E 6BT, UK
| | - Louise Nygård
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
| | - Anna Brorsson
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
| | - Anders Kottorp
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
- Faculty of Health and Society, Malmö University, 20506 Malmö, Sweden
| | - Georgina Charlesworth
- Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, UK;
- Research and Development Department, North East London NHS Foundation Trust, Maggie Lilley Suite, Goodmayes Hospital, Essex IG3 8XJ, UK
| | - Sarah Wallcook
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
- Faculty of Brain Sciences, University College London, London WC1E 6BT, UK
| | - Camilla Malinowsky
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
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