• Title/Summary/Keyword: independent living community

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The Home and Community Based Care(HCBC) Program for the Rural Elderly in the United States (미국의 농촌노인을 위한 지역사회보호 지원프로그램)

  • 한경혜
    • The Korean Journal of Community Living Science
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    • v.13 no.2
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    • pp.77-86
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    • 2002
  • The purpose of this study is to review the Home and Community Based Care Program in the United States and to examine the ways these programs help the rural elderly to maintain independent living in their own home in the community instead of moving into the nursing home. First, the overall welfare policy for the aged and service delivery systems in the United States are reviewed. Second, basic assumptions and programs of HCBC are reviewed. Third, using the informations about the elder support program in Madison, Dane County of Wisconsin as a case, various kinds and contents of specific programs are introduced. Applicability of these programs to rural Korea is discussed.

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A Case Study on the Analysis of Layout and Residence Space Planning for Continuing Care Retirement Communities(CCRCs) in United States - Focused on the Cases of CCRC in Oregon in the Western United States - (미국 연속보호 은퇴주거단지(CCRC)의 배치 및 단위주거 특성 - 미국 서부 오리건 주 내 연속보호 은퇴주거단지(CCRC) 사례를 중심으로 -)

  • Lee, Yunhee;Lee, Seunghae;Kim, Joosung
    • Korean Institute of Interior Design Journal
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    • v.27 no.2
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    • pp.186-195
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    • 2018
  • In Korea, there is a need for safe and convenient elderly housing so that older people can enjoy a good quality of life and perform various daily activities while they maintain their health and well-being. Thus, this study is to suggest community -based housing settings for the elderly. We analyzed living space characteristics of the Continuing Care Retirement Communty(CCRC) in the U.S. In particular, we focused on CCRCs in the Oregon area and examined two types of settings: 1) a tower setting and 2) a town setting. The CCRC living arrangements include independent living, assisted living, nursing care, and memory care. We visited six CCRCs in Oregon during January through May in 2015. The field observations and floor plan surveys were conducted for data collection. The data analysis revealed that there are two types of arrangements: the suburban type and the urban type. Element analysis of the living unit designs for each CCRC type demonstrated typical space configurations. It was found that home care services were provided from local communities. It is suggested that community-based housing for the elderly should include mixed housing types so that community facilities can be shared. Medical services in the community were offered through healthcare institutions, disease prevention centers, welfare centers, and sports facilities. In order to apply these community-based care systems to elderly Korean housing, it is important to develop a community based on independent homes that share services and welfare facilities.

Intention to Live Independently in the Community of People with Developmental Disabilities as Identified by AAC (AAC를 통해 알아본 발달장애인의 지역사회 자립생활 의사)

  • Kim, Nam-Sook;Park, Ju-Hong;Kim, Bo-Reum
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.427-434
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    • 2021
  • This paper aimed to reveal the needs and intentions of the people with developmental disabilities through AAC for supporting their independent living in the community and furthermore to contribute to realizing an inclusive community. From August 7 to September 11, 2020, trained researchers conducted 1to1 interviews(AAC) with 74 people recommended by specialized institutions. Data were analyzed by frequency-analysis, Chi-square-analysis and T-test using SPSS 25.0. As a result, the creation of community-level conditions(ex. housing and employment) and job aptitudes and preferences are important for the independent living and expectations and desires for social participation were high. It is different from the previous survey results through agents. It means the policy for the developmentally disabled should be based on their needs and aim for 'living in the community as a community member'. Based on these results, the implications of supporting decision-making for the ordinary lives of people with developmental disabilities were suggested.

Middle-Class Baby-Boomers' Preferred Characteristics of Continuing Care Retirement Communities (중산층 베이비부머의 연속보호체계형 은퇴주거단지에 대한 선호특성)

  • Kim, Mi-Hee;Moon, Hee-Jeong
    • Journal of the Korean housing association
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    • v.28 no.3
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    • pp.75-83
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    • 2017
  • The purpose of this study was to identify some residential characteristics of Post-retirement and characteristics of the Continuing Care Retirement Communities (CCRCs) favored by those baby-boomer generations soon retiring. A web-based online survey was conducted with middle-class baby-boomers living in the Seoul-Incheon-Gyengki capital area and the five metropolitan cities of Korea between 9th and 20th of February in 2017. A total 0f 507 responses were valid for statistical analysis. The findings obtained that they preferred living Urban outskirts after retirement; Desired area of post-retirement was differentiated depending on asset and educational attainment; 63.4% of respondents had no intentions to live with adult child; a combination of independent living and assisted living was the most preferred form of the CCRCs; Over 80% of respondents had intention to live in independent living, assisted living and nursing home; and Intention to live in assisted living and nursing home was differentiated depending on Intention to live with adult child. Among the four Community-linked types, the Hospital-based one was most popular. The University-based and Religion-based ones were then preferred by females than males. The results obtained here can be used for reflecting the residents needs when planning the CCRCs in Korea.

The Effects of Rural Living Community Characteristics on the Elderly's Life Satisfaction (농촌지역 생활공동체의 특성이 노인들의 생활만족도에 미치는 영향)

  • Lee, Sang-Rok;Do, You-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.171-180
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    • 2020
  • The purpose of this study is to examine the effects of the characteristics of the elderly living community in rural areas on the life satisfaction of the elderly. The subjects of study were 670 elderly people living at the living communities in Jeollabuk-do. In order to achieve the research purpose, multiple regression analysis model was applied using community characteristics as independent variables and life satisfaction as dependent variable. Among community variables, programs, mutual support, pysical space satisfaction, community consciousness and conflict, household labor burden are significant variables for life satisfaction. Among the personal characteristics, subjective health, monthly average income, marriage status(bereavement) are found to have a significant effect on life satisfaction. These results suggest that the influence of community characteristics as well as individual characteristics are important on the life satisfaction of the elderly living in the group life. The results of this study suggest such as policy implications that living community features such as interactions among seniors, programs, and their relationship with local residents are the important intervention points for improving life satisfactions of the elderly living community in rural area.

Factors Infulencing the Dependonce of the Elderly Living in Community (지역사회 거주 노인의 의존성에 영향을 미치는 요인)

  • Park, Kyong-Ok
    • Research in Community and Public Health Nursing
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    • v.17 no.3
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    • pp.346-353
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    • 2006
  • Purpose: The Purpose of this study was to analyze factors influencing the dependence of the elderly. Method: This research was designed as a descriptive study. The subjects were 103 elders living in Seoul. Data were collected from December 2004 through January 2005. The instrument used in this study was the elderly dependence scale developed by the Park (2004). Collected data were analyzed using SPSS 11.0 for Windows. Descriptive statistics, independent t-test, ANOVA and multiple regression were done. Results: In the results of regression, residence, education, vision and age were extracted as factors influencing the dependence of the elderly. The regression model explained 33% of the variance. Conclusion: Considering the results above, we need studies on the dependence of the elderly using more independent variables, on the changing pattern of dependence and influencing factors by longitudinal design, and on the elderly with functional limitations or cognitive impairment.

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The Influence of Children's Independent Picture Book Reading on Reading Activity: The Effect of Mother-children Interaction (유아의 그림책 홀로 읽기 활동이 읽기 행동에 미치는 영향 : 어머니-유아의 그림책 읽기 상호작용의 효과)

  • Kim, Young Hee;Park, Ji Hyun
    • The Korean Journal of Community Living Science
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    • v.25 no.4
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    • pp.619-628
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    • 2014
  • This study analyzes whether children's independent picture book reading affects their reading activities and whether the mother-child interaction during this reading improves their reading activities. The study provides basic data and policy implications for developing children's reading ability. Data were collected from a sample of 192 children aged 4 and 5 in Seoul and Anseong, where a survey of their mothers as well as their nursery school teachers was conducted. Variables of interest were analyzed through a correlation analysis and a hierarchical regression analysis, First, children's reading recognized by their mothers was bipolarized as "very high" or "very low". Second, children's reading activity had a significant positive relationship with independent reading, indicating that children active in independent reading were likely to develop their, reading ability. Third, in addition to independent reading, the mother-child interaction had a significant positive effect on children's-reading ability, indicating the importance of the mother's role in developing the child's reading ability.

Comparative Analysis of Factors Related to Suicidal Ideation between Elderly Living Alone and Living with Families Based on the ICF Model: Using Data from the 2023 Community Health Survey (ICF 모델에 기반한 독거노인과 동거 노인의 자살 생각 관련 요인에 대한 비교분석: 2023년 지역사회건강조사 자료 활용)

  • Yu-Hwa Shim
    • Journal of the Korean Society of Industry Convergence
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    • v.27 no.3
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    • pp.709-725
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    • 2024
  • This study utilized the raw data from the Community Health Survey (2023) to compare differences in body function, activity, participation, environment, personal factors, and suicidal ideations between elderly individuals aged 65 and older living alone and those living with families in Korea. The study subjects consisted of 80,618 elderly individuals aged 65 and older. Cross-tabulation analysis χ2-test), independent sample t-test, and logistic regression analysis were conducted. The results indicated that for both elderly individuals living alone and those living with families, age(p<.001), smoking(p<.001), stress(p<.001), depression experience(p<.001), and falls experiences(p<.001) were risk factors that increased suicidal ideations. Conversely, educational level(p<.05), income level(p<.001), subjective health status(p<.001), social participation(p<.001), economic activity(p<.001), community environment(p<.001), and social relationships were protective factors that reduced suicidal ideations. These findings demonstrate that demographic characteristics and individual health status significantly influence suicidal ideation in the elderly, while social factors contribute to a decrease in suicidal ideation. Furthermore, considering the differences found between elderly individuals living alone and those living with families regarding hypertension and gender, differentiated interventions for suicide prevention are necessary.

The comparison of health-related quality of life between the institutional elderly and the community living elderly (일 도시 시설노인들과 지역노인들의 건강관련 삶의 질 비교)

  • Park, Kyeong-Soo;Seo, Yong-Gil;Nam, Hae-Sung;Sohn, Seok-Joon;Rhee, Jung-Ae
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.2 s.61
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    • pp.293-309
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    • 1998
  • The purpose of this study is to compare the level of health-related quality of life and relating factor between institutional elderly and community living elderly. The subjects were 390 from Sanatorium or Nursing home and 467 from the community in Kwangju. The results are followed : 1) A comparison of ADL between two groups, institutional elderly and community living elderly, resulted in that community elderly were more significantly independent in the areas of bathing and transfer than institutional elderly. 2) A comparison of IADL between two groups resulted in that : Community elderly were more independent in the areas of using telephone and transportation, food preparation, house keeping, and doing laundry. Institutional elderly were more independent in the area of handling finances. 3) In the case of poor health-related quality of life, institutional elderly showed 2.4 times in the dimension of physical fitness, 1.8 times in daily activity, 2 times in social activity, 2 times in pain, 26.7 times in social support, and 0.4 times in subjective quality of life higher than community elderly There was no significant differences in the rest of dimensions. 4) In institutional elderly, the analysis of variables related to the health-related quality of life resulted in that; The relating factors were sex, education, and chronic illness in the dimension of physical function. Direct contact with family or significant others in the dimension of social activity. Chronic illness in the dimension of pain and perceived health status. Direct or indirect contact with family or significant others over the phone or through letters in the dimension of social support. 5) The analysis of variables related to the health-related quality of life showed that community elderly has more relating variables in each area than institutional elderly. The relating factors were age, sex, and chronic illness in the dimension of physical function. Education and chronic illness in the dimension of emotional status. Age and chronic illness in the dimension of daily activity and social activity Education and chronic illness in the dimension of pain and perceived health status. Sex, education, family size in the dimension of social support. Education and chronic illness in the dimension of subjective quality-of-life. Throughout general daily activity, community elderly showed more satisfactory results than institutional elderly, but in the subjective area of health-related quality of life, such as subjective quality of life, institutional elderly group showed more positive results. And community elderly had more relating factors than institutional elderly. For the health care of the elderly that focused on quality of life, new approaches considering the characteristics of both group, institutional and community living elderly, are needed.

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A Study on the Performance of Early Adaptation Support Program for People with Mental Illness Living in Independent Housing : Focused on Comparing Housing Types (독립주거 정신장애인의 초기적응지원 프로그램 성과 연구 : 주거형태별 비교를 중심으로)

  • Choi, Hee-Chul;Bae, Eun-Mi
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.91-101
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    • 2021
  • The purpose of this study is to understand the performance of the initial adaptation support program for people with mental illness living in independent housing. The group of people with mental illness living in independent housing from T mental rehabilitation facilities in Seoul were assigned to the experimental group, and the other group of people with mental illness in living facilities and group home were assigned to the control group. After that, the degree of community performance between groups was compared with pre-post tests. As a result of the study, the pre-post analysis of the total social support of the experimental group showed significant differences. Also, the results were statistically insignificant in all of the control groups, so the initial adaptation support program was found effective in improving the total social support of the independent housing group. Based on the results of this study, the direction of housing support and establishment of a performance system for housing services for stable settlement of discharged people with mental illness into the community was suggested.