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Home modification by older adults and their informal caregivers

Authors
 Heejung Kim  ;  Yong Han Ahn  ;  Andreanna Steinhoff  ;  Kang Hee Lee 
Citation
 ARCHIVES OF GERONTOLOGY AND GERIATRICS, Vol.59(3) : 648-656, 2014 
Journal Title
 ARCHIVES OF GERONTOLOGY AND GERIATRICS 
ISSN
 0167-4943 
Issue Date
2014
MeSH
Adult ; Aged ; Caregivers/statistics & numerical data* ; European Continental Ancestry Group ; Female ; Frail Elderly ; Health Surveys ; Housing for the Elderly* ; Humans ; Male ; Middle Aged ; Prevalence ; Regression Analysis ; United States
Keywords
Aging in place ; Chronic illness ; Housing ; Informal caregiving ; Physical function
Abstract
The purpose of the study was to examine dyadic factors of home modification in frail older adults and their informal caregivers for improving health care at home in the United States. A secondary data analysis used the National Alliance for Caregiving and the American Association of Retired Persons caregiver survey dataset. Among randomly selected samples from 7 states in the U.S., 737dyads of informal caregivers and frail older adults were selected based on age and medical conditions. Descriptive analyses and a hierarchical binary logistic regression analysis were performed. The study findings showed that the prevalence of home modification in the survey population was 42.20% in the United States. The home modifying group was likely to live together in a rural area, to consist of older care-recipients and younger caregivers, and to be Caucasian (p<.05). Physically functional impairments were the strongest factors of home modification (p<.01), while older adults living with heart disease were more likely to modify their homes (p=.03). In conclusion, older adults' and their caregivers' factors clearly affect home modification for health care at home. Our findings revealed that home modification represents an important contribution to multidisciplinary care and is based on comprehensive assessments, multidisciplinary decision-making processes, and careful planning of individualized interventions. Relevant policy suggestions may enhance the effectiveness of home modification to support aging in place in the United States.
Full Text
http://www.sciencedirect.com/science/article/pii/S0167494314001150
DOI
10.1016/j.archger.2014.07.012
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Heejung(김희정) ORCID logo https://orcid.org/0000-0003-3719-0111
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138827
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