The home environment and disability-related outcomes in aging individuals: what is the empirical evidence?

Wahl, Hans-Werner, Fänge, Agneta, Oswald, Frank, Gitlin, Laura N. and Iwarsson, Susanne (2009) The home environment and disability-related outcomes in aging individuals: what is the empirical evidence?. The Gerontologist, 49 3: 355-367. doi:10.1093/geront/gnp056


Author Wahl, Hans-Werner
Fänge, Agneta
Oswald, Frank
Gitlin, Laura N.
Iwarsson, Susanne
Title The home environment and disability-related outcomes in aging individuals: what is the empirical evidence?
Journal name The Gerontologist   Check publisher's open access policy
ISSN 0016-9013
1758-5341
Publication date 2009-06-01
Sub-type Article (original research)
DOI 10.1093/geront/gnp056
Open Access Status Not Open Access
Volume 49
Issue 3
Start page 355
End page 367
Total pages 13
Place of publication Cary, NC, United States
Publisher Oxford University Press
Language eng
Formatted abstract
Purpose: Building on the disablement process model and the concept of person-environment fit (p-e fit), this review article examines 2 critical questions concerning the role of home environments: (a) What is the recent evidence supporting a relationship between home environments and disability-related outcomes? and (b) What is the recent evidence regarding the effects of home modifications on disability-related outcomes?

Design and Methods: Using computerized and manual search, we identified relevant peer-reviewed original publications and review articles published between January 1, 1997, and August 31, 2006. For Research Question 1, 25 original investigations and for Research Question 2, 29 original investigations and 10 review articles were identified.

Results: For Research Question 1, evidence for a relationship between home environments and disability-related outcomes for older adults exists but is limited by cross-sectional designs and poor research quality. For Research Question 2, evidence based on randomized controlled trials shows that improving home environments enhances functional ability outcomes but not so much falls-related outcomes. Some evidence also exists that studies using a p-e fit perspective result in more supportive findings than studies that do not use this framework.

Implications: Considerable evidence exists that supports the role of home environments in the disablement process, but there are also inconsistencies in findings across studies. Future research should optimize psychometric properties of home environment assessment tools and explore the role of both objective characteristics and perceived attributions of home environments to understand person-environment dynamics and their impact on disability-related outcomes in old age. 
Keyword Activities of daily living
Disablement process
Falls
Home modification
Literature review
Old age
Person-environment fit
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
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 94 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 120 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sat, 05 Jul 2014, 01:06:52 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work