Typology of person-environment fit constellations: a platform addressing accessibility problems in the built environment for people with functional limitations

Slaug, Bjorn, Schilling, Oliver, Iwarsson, Susanne and Carlsson, Gunilla (2015) Typology of person-environment fit constellations: a platform addressing accessibility problems in the built environment for people with functional limitations. BMC Public Health, 15 Art. No. 834: . doi:10.1186/s12889-015-2185-4


Author Slaug, Bjorn
Schilling, Oliver
Iwarsson, Susanne
Carlsson, Gunilla
Title Typology of person-environment fit constellations: a platform addressing accessibility problems in the built environment for people with functional limitations
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2015-09
Year available 2015
Sub-type Article (original research)
DOI 10.1186/s12889-015-2185-4
Open Access Status DOI
Volume 15
Issue Art. No. 834
Total pages 13
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2016
Language eng
Formatted abstract
Background
Making the built environment accessible for all regardless of functional capacity is an important goal for public health efforts. Considerable impediments to achieving this goal suggest the need for valid measurements of acccessibility and for greater attention to the complexity of person-environment fit issues. To address these needs, this study aimed to provide a methodological platform, useful for further research and instrument development within accessibility research. This was accomplished by the construction of a typology of problematic person-environment fit constellations, utilizing an existing methodology developed to assess and analyze accessibility problems in the built environment.

Methods
By means of qualitative review and statistical methods we classified the person-environment fit components covered by an existing application which targets housing accessibility: the Housing Enabler (HE) instrument. The International Classification of Functioning, Disability and Health (ICF) was used as a conceptual framework. Qualitative classification principles were based on conceptual similarities and for quantitative analysis of similarities, Principal Component Analysis was carried out.

Results
We present a typology of problematic person-environment fit constellations classified along three dimensions: 1) accessibility problem range and severity 2) aspects of functioning 3) environmental context. As a result of the classification of the HE components, 48 typical person-environment fit constellations were recognised.

Conclusions
The main contribution of this study is the proposed typology of person-environment fit constellations. The typology provides a methodological platform for the identification and quantification of problematic person-environment fit constellations. Its link to the globally accepted ICF classification system facilitates communication within the scientific and health care practice communities. The typology also highlights how relations between aspects of functioning and physical environmental barriers generate typical accessibility problems, and thereby furnishes a reference point for research oriented to how the built environment may be designed to be supportive for activity, participation and health.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 24 Sep 2015, 10:42:41 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work