Relocation and residential reasoning in very old age -Housing, health and everyday life

摘要: Introduction: Moving in very old age is considered to be a major life event and relocation access appropriate housing options hot topic the public debate across Europe. For people, decision-making process aspects influencing not well studied. Occupational therapy interventions mainly focus on ageing-in-place solutions when aiming for independence well-being older people. Although theoretically, can seen as form of environmental adaptation that helps counter age-related functional decline. Aims: The aim was expand deepen knowledge two Western European countries (Sweden Germany). With person-environment relations concerning health, predictors consequences were explored. Also, residential explored with how people reason about their home everyday relation ageing-in-place. Methods & Results: thesis based Swedish (studies I IV) German III parts ENABLE-AGE Project. At baseline, participants 80-89 years lived alone ordinary housing. In study (N=384), Cox regression models showed dependence cleaning but perceived living one-family house predict move within stock. Dependence cooking cognitive deficits combination accessibility problems predicted special After another dwelling stock (N=29) number barriers new fewer than former (study II). Usability stable comparing dwellings. Analyses in-depth interviews 80 2002 III) 16 2003 2011 revealed ambivalence between moving arise along increasing life. findings supported use reasoning concept describing peoples one intertwined topic. Conclusions: contribute knowledgebase age, practical implications families, occupational therapists other professionals societal planning at large. used first step designing counselling services help deal people´s guide processes. Further, having potential integrate theoretical perspectives from different disciplines enhance our understanding development needed. (Less)