The Home Environment and Disability-Related Outcomes in Aging Individuals

What Is the Empirical Evidence?

Bibliographic Data

ID23367014
AuthorsHans-Werner Wahl (0000-0003-0625-3239, Heidelberg University), A Malmgren Fänge (0000-0002-3165-1856, Lund University), A Fange, Frank Oswald (0000-0002-3811-1385, Heidelberg University), Laura N Gitlin (0000-0003-2869-473X, Thomas Jefferson University), Susanne Iwarsson (0000-0002-6670-7952, Lund University)
Year2009
Volume49
Issue3
Pages355-367
Publication date2009-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Gerontologist (JOURNAL)
Journal identifiersISSN: 0016-9013 • E-ISSN: 1758-5341
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/geront/gnp056
PMID19420315
OpenAlexW2153217064
LanguageEN
Citations received62
References cited72

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.

Attribution · Empirical evidence · Person–environment fit · Perspective (graphical) · Applied Psychology · Assistive Technology in Communication and Mobility · Computer Science · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Psychology · Social Psychology · Gerontology

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