Adaptive strategies and person-environment fit among functionally limited older adults aging in place: A mixed methods approach

Lien, Laura L., Steggell, Carmen D. and Iwarsson, Susanne (2015) Adaptive strategies and person-environment fit among functionally limited older adults aging in place: A mixed methods approach. International Journal of Environmental Research and Public Health, 12 9: 11954-11974. doi:10.3390/ijerph120911954


Author Lien, Laura L.
Steggell, Carmen D.
Iwarsson, Susanne
Title Adaptive strategies and person-environment fit among functionally limited older adults aging in place: A mixed methods approach
Journal name International Journal of Environmental Research and Public Health   Check publisher's open access policy
ISSN 1660-4601
1661-7827
Publication date 2015-09-01
Year available 2015
Sub-type Article (original research)
DOI 10.3390/ijerph120911954
Open Access Status DOI
Volume 12
Issue 9
Start page 11954
End page 11974
Total pages 21
Place of publication Basel, Switzerland
Publisher M D P I AG
Collection year 2016
Language eng
Formatted abstract
Older adults prefer to age in place, necessitating a match between person and environment, or person-environment (P-E) fit. In occupational therapy practice, home modifications can support independence, but more knowledge is needed to optimize interventions targeting the housing situation of older adults. In response, this study aimed to explore the accessibility and usability of the home environment to further understand adaptive environmental behaviors. Mixed methods data were collected using objective and perceived indicators of P-E fit among 12 older adults living in community-dwelling housing. Quantitative data described objective P-E fit in terms of accessibility, while qualitative data explored perceived P-E fit in terms of usability. While accessibility problems were prevalent, participants’ perceptions of usability revealed a range of adaptive environmental behaviors employed to meet functional needs. A closer examination of the P-E interaction suggests that objective accessibility does not always stipulate perceived usability, which appears to be malleable with age, self-perception, and functional competency. Findings stress the importance of evaluating both objective and perceived indicators of P-E fit to provide housing interventions that support independence. Further exploration of adaptive processes in older age may serve to deepen our understanding of both P-E fit frameworks and theoretical models of aging well.
Keyword Accessibility
Usability
Person environment fit
Adaptive behaviors
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 01 Oct 2015, 19:41:47 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work