Participation and Independence in Old Age - Aspects of home and neighbourhood environments

Maria Haak

Participation and Independence in Old Age - Aspects of home and neighbourhood environments

Maria Haak

Sustainable occupations and health in a life course perspective

Research output: Thesis › Doctoral Thesis (compilation)

365 Downloads (Pure)

Abstract

The current trend in Sweden is to support older people to remain living in their own homes as long as possible. Older people spend much of their daily life within the home and neighbourhood environment. It is well known that participation and independence is important in experiencing well being in old age. Thus from a health-promotion perspective it is interesting to uncover aspects within the home and neighbourhood environment that might relate to participation and independence in old age, in particular in very old age since resent research within this area is rather unexplored. Thus the overarching aim of this thesis was to explore old and very old people's participation and independence, focusing on aspects of home and neighbourhood environments. Public facilities in the neighbourhood important to visit were reported and a majority of problems in the neighbourhood environment were perceived along walking routes. Home was experienced as the locus and origin for participation and a signification of independence. Two dimensions of participation; Performance-oriented participation and Togetherness-oriented participation emerged and were statistically validated and objective as well as subjective home and neighbourhood variables were related the two dimensions of participation. The concept of independence was found to be a complex construct and there is a need of further explorations as regards the differentiation between independence and autonomy. The results of this thesis have further deepened the knowledge about very old peoples? own experiences of participation and independence as well as their relationships to the home and neighbourhood environment. The results are useful in future research on interventions on individual and societal level foremost in community-based occupational therapy.

Original language	English
Qualification	Doctor
Awarding Institution	Sustainable occupations and health in a life course perspective
Supervisors/Advisors	Iwarsson, Susanne, Supervisor Sixsmith, Judith, Supervisor, External person Malmgren Fänge, Agneta, Supervisor
Award date	2006 Dec 15
Publisher	Department of Health Sciences, Lund University
ISBN (Print)	91-85559-56-3
Publication status	Published - 2006

Bibliographical note

Defence details

Date: 2006-12-15
Time: 09:00
Place: Vårdvetenskapens Hus, Baravägen 3, Lund

External reviewer(s)

Name: Townsend, Elizabeth
Title: Professor
Affiliation: Dalhousie University, Halifax, Canada

---

<div class="article_info">Maria Valdemarsson, Elisabeth Jernryd and Susanne Iwarsson. <span class="article_issue_date">2005</span>. <span class="article_title">Preferences and frequencies of visits to public facilities in old age - a pilot study in a Swedish town center.</span> <span class="journal_series_title">Archives of Gerontology and Geriatrics</span>, <span class="journal_volume">vol 40</span> <span class="journal_pages">pp 15-28</span>. <span class="journal_distributor">Department of Health Sciences</span></div>
<div class="article_info">Maria Haak, Synneve Dahlin Ivanoff, Agneta Fänge, Judith Sixsmith and Susanne Iwarsson. <span class="article_issue_date">2007</span>. <span class="article_title">Home as the locus and origin for participation. Experiences among very old swedish people.</span> <span class="journal_series_title">OTJR: Occupation, Participation and Health</span>, <span class="journal_distributor">Department of Health Sciences</span> (inpress)</div>
<div class="article_info">Maria Haak, Agneta Fänge, Susanne Iwarsson and Synneve Dahlin Ivanoff. <span class="article_issue_date">2006</span>. <span class="article_title">Home as a signification of independence and autonomy. Experiences among very old Swedish people.</span> <span class="journal_series_title">Journal of Occupational Therapy</span>, <span class="journal_distributor">Department of Health Sciences</span> (inpress)</div>
<div class="article_info">Maria Haak, Agneta Fänge, Vibeke Horstmann and Susanne Iwarsson. <span class="article_issue_date"></span>. <span class="article_title">Two dimensions of participation in very old age and their relations to home and neighbourhood environments.</span> <span class="journal_distributor">Department of Health Sciences</span> (submitted)</div>

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)

Subject classification (UKÄ)

Occupational Therapy

Free keywords

grounded theory
ENABLE-AGE
home
independence
neighbourhood environment
occupational therapy
participation
very old people
Medicine (human and vertebrates)
Rehabilitering (medicinsk och social)
revalidation
rehabilitation
kinesitherapy
Occupational health
industrial medicine
Yrkesmedicin
arbetsmiljömedicin
Physical medicine
Gerontologi
Gerontology
Medicin (människa och djur)
Social sciences
Samhällsvetenskaper

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

Haak_kappa

Home, Health and Disability along the Process of Ageing
Iwarsson, S. (PI), Ekström, H. (Researcher), Granbom, M. (Researcher), Haak, M. (Researcher), Kylberg, M. (Researcher), Kylén, M. (Researcher), Löfqvist, C. (Researcher), Lexell, J. (Researcher), Norin, L. (Research student), Nilsson, M. H. (Researcher), Schmidt, S. (Researcher), Slaug, B. (Researcher), Tomsone, S. (Researcher), Jörgensen, S. (Research student), Andersson, N. (Research student), Lindh-Rengifo, M. (Research student), Kader, M. (Research student), Björk, J. (Researcher) & Jonasson, S. (Research student)
Swedish Research Council
2002/01/01 → …
Project: Research

Cite this

@phdthesis{884f4670154046bbbe23d829d15b7b1b,

title = "Participation and Independence in Old Age - Aspects of home and neighbourhood environments",

abstract = "The current trend in Sweden is to support older people to remain living in their own homes as long as possible. Older people spend much of their daily life within the home and neighbourhood environment. It is well known that participation and independence is important in experiencing well being in old age. Thus from a health-promotion perspective it is interesting to uncover aspects within the home and neighbourhood environment that might relate to participation and independence in old age, in particular in very old age since resent research within this area is rather unexplored. Thus the overarching aim of this thesis was to explore old and very old people's participation and independence, focusing on aspects of home and neighbourhood environments. Public facilities in the neighbourhood important to visit were reported and a majority of problems in the neighbourhood environment were perceived along walking routes. Home was experienced as the locus and origin for participation and a signification of independence. Two dimensions of participation; Performance-oriented participation and Togetherness-oriented participation emerged and were statistically validated and objective as well as subjective home and neighbourhood variables were related the two dimensions of participation. The concept of independence was found to be a complex construct and there is a need of further explorations as regards the differentiation between independence and autonomy. The results of this thesis have further deepened the knowledge about very old peoples? own experiences of participation and independence as well as their relationships to the home and neighbourhood environment. The results are useful in future research on interventions on individual and societal level foremost in community-based occupational therapy.",

keywords = "grounded theory, ENABLE-AGE, home, independence, neighbourhood environment, occupational therapy, participation, very old people, Medicine (human and vertebrates), Rehabilitering (medicinsk och social), revalidation, rehabilitation, kinesitherapy, Occupational health, industrial medicine, Yrkesmedicin, arbetsmilj{\"o}medicin, Physical medicine, Gerontologi, Gerontology, Medicin (m{\"a}nniska och djur), Social sciences, Samh{\"a}llsvetenskaper",

author = "Maria Haak",

note = "Defence details Date: 2006-12-15 Time: 09:00 Place: V{\aa}rdvetenskapens Hus, Barav{\"a}gen 3, Lund External reviewer(s) Name: Townsend, Elizabeth Title: Professor Affiliation: Dalhousie University, Halifax, Canada --- <div class={"}article_info{"}>Maria Valdemarsson, Elisabeth Jernryd and Susanne Iwarsson. <span class={"}article_issue_date{"}>2005</span>. <span class={"}article_title{"}>Preferences and frequencies of visits to public facilities in old age - a pilot study in a Swedish town center.</span> <span class={"}journal_series_title{"}>Archives of Gerontology and Geriatrics</span>, <span class={"}journal_volume{"}>vol 40</span> <span class={"}journal_pages{"}>pp 15-28</span>. <span class={"}journal_distributor{"}>Department of Health Sciences</span></div> <div class={"}article_info{"}>Maria Haak, Synneve Dahlin Ivanoff, Agneta F{\"a}nge, Judith Sixsmith and Susanne Iwarsson. <span class={"}article_issue_date{"}>2007</span>. <span class={"}article_title{"}>Home as the locus and origin for participation. Experiences among very old swedish people.</span> <span class={"}journal_series_title{"}>OTJR: Occupation, Participation and Health</span>, <span class={"}journal_distributor{"}>Department of Health Sciences</span> (inpress)</div> <div class={"}article_info{"}>Maria Haak, Agneta F{\"a}nge, Susanne Iwarsson and Synneve Dahlin Ivanoff. <span class={"}article_issue_date{"}>2006</span>. <span class={"}article_title{"}>Home as a signification of independence and autonomy. Experiences among very old Swedish people.</span> <span class={"}journal_series_title{"}>Journal of Occupational Therapy</span>, <span class={"}journal_distributor{"}>Department of Health Sciences</span> (inpress)</div> <div class={"}article_info{"}>Maria Haak, Agneta F{\"a}nge, Vibeke Horstmann and Susanne Iwarsson. <span class={"}article_issue_date{"}></span>. <span class={"}article_title{"}>Two dimensions of participation in very old age and their relations to home and neighbourhood environments.</span> <span class={"}journal_distributor{"}>Department of Health Sciences</span> (submitted)</div> The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)",

year = "2006",

language = "English",

isbn = "91-85559-56-3",

series = "Lund University Faculty of Medicine Doctoral Dissertation Series ",

publisher = "Department of Health Sciences, Lund University",

type = "Doctoral Thesis (compilation)",

school = "Sustainable occupations and health in a life course perspective",

}

TY - THES

T1 - Participation and Independence in Old Age - Aspects of home and neighbourhood environments

AU - Haak, Maria

N1 - Defence details Date: 2006-12-15 Time: 09:00 Place: Vårdvetenskapens Hus, Baravägen 3, Lund External reviewer(s) Name: Townsend, Elizabeth Title: Professor Affiliation: Dalhousie University, Halifax, Canada --- <div class="article_info">Maria Valdemarsson, Elisabeth Jernryd and Susanne Iwarsson. <span class="article_issue_date">2005</span>. <span class="article_title">Preferences and frequencies of visits to public facilities in old age - a pilot study in a Swedish town center.</span> <span class="journal_series_title">Archives of Gerontology and Geriatrics</span>, <span class="journal_volume">vol 40</span> <span class="journal_pages">pp 15-28</span>. <span class="journal_distributor">Department of Health Sciences</span></div> <div class="article_info">Maria Haak, Synneve Dahlin Ivanoff, Agneta Fänge, Judith Sixsmith and Susanne Iwarsson. <span class="article_issue_date">2007</span>. <span class="article_title">Home as the locus and origin for participation. Experiences among very old swedish people.</span> <span class="journal_series_title">OTJR: Occupation, Participation and Health</span>, <span class="journal_distributor">Department of Health Sciences</span> (inpress)</div> <div class="article_info">Maria Haak, Agneta Fänge, Susanne Iwarsson and Synneve Dahlin Ivanoff. <span class="article_issue_date">2006</span>. <span class="article_title">Home as a signification of independence and autonomy. Experiences among very old Swedish people.</span> <span class="journal_series_title">Journal of Occupational Therapy</span>, <span class="journal_distributor">Department of Health Sciences</span> (inpress)</div> <div class="article_info">Maria Haak, Agneta Fänge, Vibeke Horstmann and Susanne Iwarsson. <span class="article_issue_date"></span>. <span class="article_title">Two dimensions of participation in very old age and their relations to home and neighbourhood environments.</span> <span class="journal_distributor">Department of Health Sciences</span> (submitted)</div> The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)

PY - 2006

Y1 - 2006

N2 - The current trend in Sweden is to support older people to remain living in their own homes as long as possible. Older people spend much of their daily life within the home and neighbourhood environment. It is well known that participation and independence is important in experiencing well being in old age. Thus from a health-promotion perspective it is interesting to uncover aspects within the home and neighbourhood environment that might relate to participation and independence in old age, in particular in very old age since resent research within this area is rather unexplored. Thus the overarching aim of this thesis was to explore old and very old people's participation and independence, focusing on aspects of home and neighbourhood environments. Public facilities in the neighbourhood important to visit were reported and a majority of problems in the neighbourhood environment were perceived along walking routes. Home was experienced as the locus and origin for participation and a signification of independence. Two dimensions of participation; Performance-oriented participation and Togetherness-oriented participation emerged and were statistically validated and objective as well as subjective home and neighbourhood variables were related the two dimensions of participation. The concept of independence was found to be a complex construct and there is a need of further explorations as regards the differentiation between independence and autonomy. The results of this thesis have further deepened the knowledge about very old peoples? own experiences of participation and independence as well as their relationships to the home and neighbourhood environment. The results are useful in future research on interventions on individual and societal level foremost in community-based occupational therapy.

AB - The current trend in Sweden is to support older people to remain living in their own homes as long as possible. Older people spend much of their daily life within the home and neighbourhood environment. It is well known that participation and independence is important in experiencing well being in old age. Thus from a health-promotion perspective it is interesting to uncover aspects within the home and neighbourhood environment that might relate to participation and independence in old age, in particular in very old age since resent research within this area is rather unexplored. Thus the overarching aim of this thesis was to explore old and very old people's participation and independence, focusing on aspects of home and neighbourhood environments. Public facilities in the neighbourhood important to visit were reported and a majority of problems in the neighbourhood environment were perceived along walking routes. Home was experienced as the locus and origin for participation and a signification of independence. Two dimensions of participation; Performance-oriented participation and Togetherness-oriented participation emerged and were statistically validated and objective as well as subjective home and neighbourhood variables were related the two dimensions of participation. The concept of independence was found to be a complex construct and there is a need of further explorations as regards the differentiation between independence and autonomy. The results of this thesis have further deepened the knowledge about very old peoples? own experiences of participation and independence as well as their relationships to the home and neighbourhood environment. The results are useful in future research on interventions on individual and societal level foremost in community-based occupational therapy.

KW - grounded theory

KW - ENABLE-AGE

KW - home

KW - independence

KW - neighbourhood environment

KW - occupational therapy

KW - participation

KW - very old people

KW - Medicine (human and vertebrates)

KW - Rehabilitering (medicinsk och social)

KW - revalidation

KW - rehabilitation

KW - kinesitherapy

KW - Occupational health

KW - industrial medicine

KW - Yrkesmedicin

KW - arbetsmiljömedicin

KW - Physical medicine

KW - Gerontologi

KW - Gerontology

KW - Medicin (människa och djur)

KW - Social sciences

KW - Samhällsvetenskaper

M3 - Doctoral Thesis (compilation)

SN - 91-85559-56-3

T3 - Lund University Faculty of Medicine Doctoral Dissertation Series

PB - Department of Health Sciences, Lund University

ER -

Participation and Independence in Old Age - Aspects of home and neighbourhood environments

Abstract

Bibliographical note

Subject classification (UKÄ)

Free keywords

UN SDGs

Access to Document

Fingerprint

Projects

Home, Health and Disability along the Process of Ageing

Cite this