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. 2019 Jun 1;16(11):1951.
doi: 10.3390/ijerph16111951.

Housing Design and Community Care: How Home Modifications Reduce Care Needs of Older People and People with Disability

Phillippa Carnemolla  1 , Catherine Bridge  2
Affiliations

Housing Design and Community Care: How Home Modifications Reduce Care Needs of Older People and People with Disability

Phillippa Carnemolla et al. Int J Environ Res Public Health. .

Abstract

The extent to which housing design can minimise levels of community caregiving has remained largely unmeasured. This paper reports the potential for home modifications to reduce caregiving in the peoples' homes, particularly older people and people with a disability. It contributes to new knowledge in understanding how housing can play a role in community caregiving and acknowledges the role of the built environment in managing care levels in ageing societies. This paper analyses self-reported care data from 157 Australian community care recipients (average age: 72 years) who had received home modifications within the past 6 months. A before/after comparison of care provided revealed that home modifications reduced hours of care provided by 42% per week. More detailed analysis revealed that the positive association of home modifications with care reduction is stronger with informal care (46% reduction) followed by formal care (16% reduction). These results suggest the role that home modifications, and housing design in general, play in reducing care needs in a community setting.

Keywords: accessibility; ageing; disability; formal care; home modification; housing; informal care.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Home modification frequency by type. Note: Where participants received major bathroom modifications, they were not included in the count for other, itemised bathroom modifications. Kitchen and laundry modifications refer to cabinet height/design changes, widening of work areas or mounting of appliances for easier access.
Figure 2
Figure 2
Analysis of care hours before and after home modifications.
See this image and copyright information in PMC

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