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One-Year Changes in Activities of Daily Living, Usability, Falls and Concerns about Falling, and Self-Rated Health for Different Housing Adaptation Client Profiles

Author

Listed:
  • Agneta Malmgren Fänge

    (Department of Health Sciences, Faculty of Medicine, Lund University, SE-221 00 Lund, Sweden)

  • Carlos Chiatti

    (Tech4Care Srl, Falconara Marittima, 60015 Ancona, Italy)

  • Anna Axmon

    (EPI@LUND, Division of Occupational and Environmental Medicine, Lund University, SE-221 00 Lund, Sweden)

Abstract

The purpose of this study was to investigate one-year changes and differences in changes in activities of daily living (ADL), usability, a history of falls, concerns about falling, and self-rated health across five housing adaptation (HA) client profiles identified previously using a cluster analysis approach: older adults with low level of disability ( n = 59); older adults with medium/high level of disability ( n = 26); adults with low level of disability ( n = 10); adults with high level of disability ( n = 8); and older adults with medium level of disability including at least moderate cognitive impairment ( n = 5). Comparisons between the five profiles include secondary analyses aggregating those with low level of disability and those with medium/high level of disability. Changes within the client profiles demonstrate a complex pattern of improvements and declines, depending on outcome, with no profile showing consistent improvement or decline across all outcomes. The risks of deterioration over one year were the highest among those with cognitive impairments at baseline, but no recommendation of prioritization decisions based on baseline profiles can be made. Instead, it seems that all HA clients, independently of baseline profile, are at risk of increasing disability over time and require follow-up evaluations regularly.

Suggested Citation

  • Agneta Malmgren Fänge & Carlos Chiatti & Anna Axmon, 2021. "One-Year Changes in Activities of Daily Living, Usability, Falls and Concerns about Falling, and Self-Rated Health for Different Housing Adaptation Client Profiles," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9704-:d:635844
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    References listed on IDEAS

    as
    1. Björg Thordardottir & Carlos Chiatti & Lisa Ekstam & Agneta Malmgren Fänge, 2015. "Heterogeneity of Characteristics among Housing Adaptation Clients in Sweden—Relationship to Participation and Self-Rated Health," IJERPH, MDPI, vol. 13(1), pages 1-12, December.
    2. Anna E. Kornadt & Eva-Marie Kessler & Susanne Wurm & Catherine E. Bowen & Martina Gabrian & Verena Klusmann, 2020. "Views on ageing: a lifespan perspective," European Journal of Ageing, Springer, vol. 17(4), pages 387-401, December.
    3. Lovisa Boström & Carlos Chiatti & Björg Thordardottir & Lisa Ekstam & Agneta Malmgren Fänge, 2018. "Health-Related Quality of Life among People Applying for Housing Adaptations: Associated Factors," IJERPH, MDPI, vol. 15(10), pages 1-9, September.
    4. Björn Slaug & Carlos Chiatti & Frank Oswald & Roman Kaspar & Steven M. Schmidt, 2017. "Improved Housing Accessibility for Older People in Sweden and Germany: Short Term Costs and Long-Term Gains," IJERPH, MDPI, vol. 14(9), pages 1-13, August.
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