International Journal of Human Ecology

The Korean Home Economics Association (대한가정학회)
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Residents' Preference for Spatial Features in Sitting Areas at Assisted Living Facilities - Focused on direct or indirect social interaction for older adults -

  • Lee, Min-Ah (Kunsan National University) ;
  • Rodiek, Susan D. (Texas A&M University)
  • Received : 2013.03.25
  • Accepted : 2013.05.08
  • Published : 2013.06.30
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Abstract

This study investigated residents' preferences for spatial features of sitting areas in assisted living facilities, and provides recommendations for planning sitting areas to support residents' spatial preferences and social interaction. The study participants were 69 residents of eight assisted living facilities (30+ resident capacity), located in south central Texas. A photographic comparison method was used, in which residents were shown 20 matched pairs of photos, with a single feature digitally modified in each pair, and asked to select which environmental representation they preferred. The hypothesized spatial characteristics were identified in practice based literature as those that may encourage usage of sitting areas: viewability, variety, homelikeness, and privacy. Most of the hypothesized features were preferred by participants, with the highest preference found for non-institutional furniture arrangements and naturalness, followed by increasing enclosure and variety of seating. Preference was less significant for domestic cues such as carpeted floors, divided light windows, and boundaries defined by different colored material or columns, possibly due to their physical impairments or preference for visual openness. Participants' level of mobility assistance was significantly related to their preference for some features, such as seating with people-watching capability, and carpeted floors. The findings have implications for facility architects and administrators engaged in resident-oriented spatial planning.

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References

  1. AAHSA, AHSA, ALFA, NCAL & NIC (2009). 2009 overview of assisted living.
  2. AARP Public Policy Institute (2010). Assisted living and residential care in the states in 2010. http://www.ahcancal.org/ncal/resources/Documents/residential-care-insight-on-the-issues-july-2012-AARPppi-ltc.pdf
  3. Applegate, M. & Morse, J. M. (1994). Personal privacy and interactional patterns in a nursing home. Journal of Aging Studies, 8(4), 413-434. https://doi.org/10.1016/0890-4065(94)90012-4
  4. Bernstein, P. L., Friedmann, E., Malaspina, A. (2000). Animal-assisted therapy enhances resident social interaction and initiation in long-term care facilities. Anthrozoos: A Multidisciplinary Journal of the Interactions of People & Animals, 13(4), 213-224. https://doi.org/10.2752/089279300786999743
  5. Brandi, J. M., Kelley-Gillespie, N., Liese, L. H. & Farley, O. W. (2003). Nursing home vs. assisted living: The environmental effect on quality of life. Journal of Housing for the Elderly, 18(1), 73-88. https://doi.org/10.1300/J081v18n01_05
  6. Brawley, E. C. (2006). Design innovations for aging and Alzheimer's. Hoboken, NJ: John Wiley & Sons, Inc.
  7. Brummett, W. J. (1997). The essence of home: Design solutions for assisted living housing. New York: Van Nostrand Reinhold.
  8. Cohen, U. & Weisman, G. D. (1991). Holding on to home: Designing environments for people with dementia. Baltimore, MD: Johns Hopkins University Press.
  9. Davis, S., Byers, S., Nay, R. & Koch, S. (2009). Guiding design of dementia friendly environments in residential care settings: Considering the living experiences. Dementia, 8(2), 186-203.
  10. Dupuis-Blanchard, S. Neufeld, A. & Strang, V. R. (2009). The significance of social engagement in relocated older adults. Qualitative Health Research, 19(9), 1186-1195. https://doi.org/10.1177/1049732309343956
  11. Eales, J., Keating N. & Damsma, A. (2001). Seniors' experiences of client-centered residential care. Aging and Society, 21, 279-296. https://doi.org/10.1017/S0144686X01008236
  12. Gaugler, J. E. & Kane, R. A. (2005). Activity outcomes for assisted living residents compared to nursing home residents. Activities, Adaptation and Aging, 29(3), 33-58. https://doi.org/10.1300/J016v29n03_03
  13. Hung, L. & Chaudhury, H. (2011). Exploring personhood in dining experiences of residents with dementia in long-term care facilities. Journal of Aging Studies, 25, 1-12. https://doi.org/10.1016/j.jaging.2010.08.007
  14. Hutchings, D., Wells, J. J. L., O'Brien, K., Wells, C., Alteen, A. M. & Cake, L. J. (2011). From institution to home: Family perspective on a unique relocation process. Canadian Journal on Aging, 30(2), 223-232. https://doi.org/10.1017/S0714980811000043
  15. Isaac, V. M., Stewart, R., Artero, S., Ancelin, M. L. & Ritchie, K. (2009). Social activity and improvement in depressive symptoms in older people: A prospective community cohort study. American Journal of Geriatric Psychiatry, 17(8), 688-696. https://doi.org/10.1097/JGP.0b013e3181a88441
  16. Jacobsen, J. K. S. (2007). Use of landscape perception methods in tourism studies: A review of photobased research approaches. Tourism Geographies, 9(3), 234-253. https://doi.org/10.1080/14616680701422871
  17. Kane, R. A. (2001). Long-Term care and a good quality of life: Bringing them closer together. The Gerontologist, 41(3), 293-304. https://doi.org/10.1093/geront/41.3.293
  18. Lum, T. Y., Kane, R. A., Cutler, L. J. & Yu, T. C. (2008). Effects of green house nursing homes on residents' families. Health Care Financing Review, 30(2), 35-51.
  19. Marsden, J. P. (2005). Humanistic design of assisted living. Baltimore, MD: Johns Hopkins University Press
  20. McAllister, C. L. & Silverman, M. A. (1999). Community formation and community roles among persons with Alzheimer's disease: A comparative study of experiences in a residential Alzheimer's facility and a traditional nursing home. Qualitative Health Research, 9(1), 65-85. https://doi.org/10.1177/104973299129121703
  21. Moore, G., Croxford, B., Adams M., Refaee, M. Cox, T. & Sharples, S. (2008). The photo-survey research method: Capturing life in the city. Visual Studies, 23(1), 50-62. https://doi.org/10.1080/14725860801908536
  22. Morgan, D. G. & Stewart, N. J. (1999). The physical environment of special care units: Needs of residents with dementia from the perspective of staff and family caregivers. Qualitative Health Research, 9(1), 105-118. https://doi.org/10.1177/104973299129121721
  23. Nasar, J. L. (1981). Visual preferences of elderly public housing residents: Residential street scenes, Journal of Environmental Psychology, 1, 303-313 https://doi.org/10.1016/S0272-4944(81)80028-X
  24. Neumeyer, R. R. (2009). Effects of interior spatial features on use and perception of space: An exploratory study in two assisted living facilities in Oregon. Master's thesis, Oregon State University.
  25. Nord, C. (2011). Individual care and personal space in assisted living in Sweden. Health & Place, 17, 50-56. https://doi.org/10.1016/j.healthplace.2010.02.008
  26. Pinet, C. (1995). Nursing home design: Characteristics of social spaces and social behavior of residents. Unpublished doctoral dissertation. The University of Wisconsin-Milwaukee.
  27. Pinto-Correia, T., Barroso, F., Surova, D. & Menezes, H. (2011). The fuzziness of Montado landscapes: Progress in assessing user preferences through photo-based surveys. Agroforest Syst, 82, 209-224. https://doi.org/10.1007/s10457-010-9347-2
  28. Regnier, V. (2002). Design for assisted living: Guidelines for housing the physically and mentally frail. New York: John Wiley & Sons.
  29. Robinson, J., Shugrue, N., Reed, I., Thompson, N., Smith, P. & Gruman, C. (2011). Community based versus institutional supportive housing: Perceived quality of care, quality of life, emotional well-being, and social interaction. Journal of Applied Gerontology, 30(3), 275-303. https://doi.org/10.1177/0733464810369810
  30. Rodiek, S. D. & Fried, J. T. (2005). Access to the outdoors: Using photographic comparison to assess preferences of assisted living residents. Landscape and Urban Planning, 73, 184-199. https://doi.org/10.1016/j.landurbplan.2004.11.006
  31. Roth, E. G. & Eckert, J. K. (2011). The vernacular landscape of assisted living. Journal of Aging Studies, 25, 215-224. https://doi.org/10.1016/j.jaging.2011.03.005
  32. Schwarz, B., Chaudhury, H. & Tofle, R. B. (2004). Effect of design interventions on a dementia care setting. American Journal of Alzheimer's Disease and Other Dementias, 19(3), 172-176. https://doi.org/10.1177/153331750401900304
  33. Sugihara, S. & Evans, G. W. (2000). Place attachment and social support at continuing care retirement communities. Environment and Behavior, 32(3), 400-409. https://doi.org/10.1177/00139160021972586
  34. Texas Department of Aging and Disability Services (2011). Facility directory: Assisted living. http://www.dads.state.tx.us/providers/ALF/al.pdf
  35. U.S. Census Bureau (2010). The older population in the United State: 2010 to 2050. http://www.census.gov/ prod/2010pubs/p25-1138.pdf
  36. U.S. Census Bureau (2011). The older population: 2010. http://www.census.gov/prod/cen2010/briefs/c2010br-09.pdf
  37. Yang, H. & Stark, S. L. (2010). The role of environmental features in social engagement among residents living in assisted living facilities. Journal of Housing For the Elderly, 24, 28-43. https://doi.org/10.1080/02763890903547062
  38. Verbeek, H., Rossum, E. V., Zwakhalen, S. M. G., Kempen G. I. J. M. & Hamers, J. P. H. (2009). Small, homelike care environments for older people with dementia: a literature review. International Psychogeriatrics, 21(2), 252-264. https://doi.org/10.1017/S104161020800820X
  39. Zavotka, S. L. & Teaford, M. H. (1997). The design of shared social spaces in assisted living residences for older adults. Journal of Interior Design, 23(2), 2-16. https://doi.org/10.1111/j.1939-1668.1997.tb00245.x

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