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An investigation into the relationship between quality of life of the elderly in relation to physical spaces in order to select an ideal residence

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Abstract

The purpose of this research is first to discover and study the design factors associated with increasing quality of life of the elderly in the physical residential spaces and, then, to assess and select the best housing option meeting the needs of the elderly (nursing home, private home, elderly village) in Iran. This study is an applied survey. A researcher-made questionnaire was distributed among 150 elderly to determine quality of life indicators in relation to physical spaces. Then, the relative importance of each indicator in relation to elderly housing options was determined using AHP technique and distribution of the questionnaire among experts. The statistical population in the second stage of research was 35 experts in the field of architecture, rehabilitation, medicine, and nursing which were selected in a non-random purposive manner. In this research, the five main factors of educational and encouraging spaces, environmental desirability and comfort, personal peace and quiet, perception of ownership, and home likeness were identified in relation to the design of physical spaces to increase quality of life of the elderly. The results of the ranking of options based on these five factors indicated that the nursing home ranked first in increasing quality of life of the elderly based on its final weight.

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References

  • Abbasimoghadam, M. A., Dabiran, S., Safdari, R., & Djafarian, K. (2009). Quality of life and its relation to sociodemographic factors among elderly people living in Tehran. Geriatrics & Gerontology International, 9(3), 270–275.

    Article  Google Scholar 

  • Abdollahi, F., & Mohammadpour, R. A. (2013). Health related quality of life among the elderly living in nursing home and homes. Journal of Mazandaran University of Medical Sciences, 23(104), 20–25.

    Google Scholar 

  • Abedi, H. A., Yasaman-Alipour, M., & Abdeyazdan, G. H. (2011). Quality of life in heart failure patients referred to the Kerman outpatient centers, 2010. Journal of Shahrekord University of Medical Sciences, 13, 55–63.

    Google Scholar 

  • Afkari, M. E., Solhi, M., Matin, H., Hoseini, F., & Mansoorian, M. (2011). The efficiency of educational intervention based on PRECEDE educational method in the promotion of life quality of the aged under the coverage of Tehran Cultural House of Aged People 2009. Iranian Journal of Ageing, 5(4), 37.

    Google Scholar 

  • Afsharkohan, J., & Koolivand, S. (2015). Structured study of the quality of life in the elderly in Iran (2004–13). Iranian Journal of Ageing, 10(3), 192–201.

    Google Scholar 

  • Aghamolaei, T., Tavafian, S. S., & Zare, S. (2010). Health related quality of life in elderly people living in Bandar Abbas, Iran: A population-based study. Acta Medica Iranica, 48(3), 185–191.

    Google Scholar 

  • Ahangari, M., Kamali, M., & Arjmand Hesabi, M. (2008). The study of quality of life in the elderly with hypertension who are member of Tehran Senile Culture House Clubs. Iranian Journal of Ageing, 3(1), 26–32.

    Google Scholar 

  • Alessi, C. A., Martin, J. L., Webber, A. P., Cynthia Kim, E., Harker, J. O., & Josephson, K. R. (2005). Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents. Journal of the American Geriatrics Society, 53(5), 803–810.

    Article  Google Scholar 

  • Aliasquarpoor, M., & Eybpoosh, S. (2012). The quality of life of elderly nursing home residents and its relationship with different factors. Iran Journal of Nursing, 25(75), 60–70.

    Google Scholar 

  • Andersson, J. E. (2011). Architecture for the silver generation: Exploring the meaning of appropriate space for ageing in a Swedish municipality. Health & Place, 17(2), 572–587.

    Article  Google Scholar 

  • Baeumker, T., Callaghan, L., Darton, R., Holder, J., Netten, A., & Towers, A.-M. (2012). Deciding to move into extra care housing: Residents’ views. Ageing & Society, 32(7), 1215–1245.

    Article  Google Scholar 

  • Barnes, S., & The Design in Caring Environments Study Group. (2002). The design of caring environments and the quality of life of older people. Ageing & Society, 22(06), 775–789. https://doi.org/10.1017/s0144686x02008899.

    Article  Google Scholar 

  • Bigonnesse, C., Beaulieu, M., & Garon, S. (2014). Meaning of home in later life as a concept to understand older adults’ housing needs: Results from the 7 Age-Friendly Cities Pilot Project in Québec. Journal of Housing for the Elderly, 28(4), 357–382. https://doi.org/10.1080/02763893.2014.930367.

    Article  Google Scholar 

  • Bowie, P., Mountain, G., & Clayden, D. (1992). Assessing the environmental quality of long-stay wards for the confused elderly. International Journal of Geriatric Psychiatry, 7(2), 95–104.

    Article  Google Scholar 

  • Bowling, A., Hankins, M., Windle, G., Bilotta, C., & Grant, R. (2013). A short measure of quality of life in older age: The performance of the brief Older People’s Quality of Life questionnaire (OPQOL-brief). Archives of Gerontology and Geriatrics, 56(1), 181–187.

    Article  Google Scholar 

  • Brawley, E. C. (2001). Environmental design for Alzheimer’s disease: A quality of life issue. Aging & Mental Health, 5(Suppl 1), 79–83.

    Article  Google Scholar 

  • Cheraghi, M. A., Payne, S., & Salsali, M. (2005). Spiritual aspects of end-of-life care for Muslim patients: Experiences from Iran. International Journal of Palliative Nursing, 11(9), 468–474.

    Article  Google Scholar 

  • Connell, B. R., Sanford, J. A., Long, R. G., Archea, C. K., & Turner, C. S. (1993). Home modifications and performance of routine household activities by individuals with varying levels of mobility impairments. Technology and Disability, 2(4), 9–18.

    Article  Google Scholar 

  • De Decker, P., & Dewilde, C. (2010). Home-ownership and asset-based welfare: The case of Belgium. Journal of Housing and the Built Environment, 25(2), 243–262.

    Article  Google Scholar 

  • De Jong Gierveld, J. (2003). Social networks and social well-being of older men and women living alone. In S. Arber, K. Davidson, & J. Ginn (Eds.), Gender and ageing: Changing roles and relationships (pp. 95–111). Maidenhead: Open University Press.

    Google Scholar 

  • Fänge, A., & Iwarsson, S. (2005). Changes in ADL dependence and aspects of usability following housing adaptation—A longitudinal perspective. American Journal of Occupational Therapy, 59(3), 296–304.

    Article  Google Scholar 

  • Farzianpour, F., Hosseini, S., Rostami, M., Pordanjani, S. B., & Hosseini, S. M. (2012). Quality of life of the elderly residents. American Journal of Applied Sciences, 9(1), 71.

    Article  Google Scholar 

  • Faulkner, D. (2001). Linkages among housing assistance, residential (re) location and use of community health and social care among old-old adults: Shelter and non-shelter implications for housing policy development. Positioning paper, Australian Housing and Urban Research Institute.

  • Goharinezhad, S., Maleki, M., Baradaran, H. R., & Ravaghi, H. (2016). A qualitative study of the current situation of elderly care in Iran: What can we do for the future? Global Health Action, 9(1), 32156.

    Article  Google Scholar 

  • Golant, S. M. (2011). The quest for residential normalcy by older adults: Relocation but one pathway. Journal of Aging Studies, 25(3), 193–205.

    Article  Google Scholar 

  • Golant, S. M. (2014). Residential normalcy and the enriched coping repertoires of successfully aging older adults. The Gerontologist, 55(1), 70–82.

    Article  Google Scholar 

  • Gonzalez, M. T., & Kirkevold, M. (2015). Clinical use of sensory gardens and outdoor environments in Norwegian nursing homes: A cross-sectional e-mail survey. Issues in Mental Health Nursing, 36(1), 35–43.

    Article  Google Scholar 

  • González-Salvador, T., Lyketsos, C. G., Baker, A., Hovanec, L., Roques, C., Brandt, J., et al. (2000). Quality of life in dementia patients in long-term care. International Journal of Geriatric Psychiatry, 15(2), 181–189.

    Article  Google Scholar 

  • Haghnia, S. (2018). Iranian older people’s emotional well-being in long-term care environments: Literature review. J Aging Sci. https://doi.org/10.4172/2329-8847.1000185.

    Article  Google Scholar 

  • Hansen, E. B., & Gottschalk, G. (2006). What makes older people consider moving house and what makes them move? Housing, Theory and Society, 23(01), 34–54.

    Article  Google Scholar 

  • Hasani, F., Kamali, M., Akbarfahimi, M., & Davatgaran, K. (2011). Factors affecting quality of life of the elderly in the residential homes of Tehran (2009). Journal of Birjand University of Medical Sciences, 18(4), 320–328.

    Google Scholar 

  • Hawkins, R., & Stewart, S. (2002). Changing rooms: The impact of adaptations on the meaning of home for a disabled person and the role of occupational therapists in the process. British Journal of Occupational Therapy, 65(2), 81–87.

    Article  Google Scholar 

  • Heravi-Karimooi, M., Anoosheh, M., Foroughan, M., Sheykhi, M. T., & Hajizadeh, E. (2010). Understanding loneliness in the lived experiences of Iranian elders. Scandinavian Journal of Caring Sciences, 24(2), 274–280.

    Article  Google Scholar 

  • Hesamzadeh, A., Maddah, S. B., Mohammadi, F., Fallahi Khoshknab, M., & Rahgozar, M. (2010). Comparison of elderlies “quality of life” living at homes and in private or public nursing homes. Iranian Journal of Ageing, 4(4), 66–74.

    Google Scholar 

  • Heydari, J., Khani, S., & Shahhosseini, Z. (2012). Health-related quality of life of elderly living in nursing home and homes in a district of Iran: Implications for policy makers. Indian Journal of Science and Technology, 5(5), 2782–2787.

    Google Scholar 

  • Heydari, H., Shahsavari, H., Hazini, A., & Nasrabadi, A. N. (2016). Exploring the barriers of home care services in Iran: A qualitative study. Scientifica (Cairo), 2016, 2056470. https://doi.org/10.1155/2016/2056470.

    Article  Google Scholar 

  • Hillcoat-Nalletamby, S., & Ogg, J. (2014). Moving beyond ‘ageing in place’: Older people’s dislikes about their home and neighbourhood environments as a motive for wishing to move. Ageing & Society, 34(10), 1771–1796.

    Article  Google Scholar 

  • Hwang, E., Cummings, L., Sixsmith, A., & Sixsmith, J. (2011). Impacts of home modifications on aging-in-place. Journal of Housing for the Elderly, 25(3), 246–257. https://doi.org/10.1080/02763893.2011.595611.

    Article  Google Scholar 

  • Jadidi, A., Farahaninia, M., Janmohammadi, S., & Haghani, H. (2015). Quality of life for elderly residents in nursing home. Iran J Geriatric Nurs, 2(1), 9–18.

    Google Scholar 

  • Joseph, A. (2006). Health promotion by design in long-term care settings. CA: Center for Health Design Concord.

    Google Scholar 

  • Kaldi, A. R. (2004). A study on physical, social and mental problems of the elderly in district 13 of Tehran. Age and Ageing, 33(3), 322.

    Article  Google Scholar 

  • Karimi, R. (2015). Easy guideline for statistical analysis with SPSS. Tehran: Hamgam Publisher. (Persian).

    Google Scholar 

  • Karimi, S., Javadi, M., Iravani, M., & Chavoshi, E. (2013). Investigating health team view points about cost-effective alternatives in elderly caring. Journal of School of Public Health and Institute of Public Health Research, 11(1), 71–84.

    Google Scholar 

  • Khaje-Bishak, Y., Payahoo, L., Pourghasem, B., & Asghari Jafarabadi, M. (2014). Assessing the quality of life in elderly people and related factors in Tabriz, Iran. J Caring Sci, 3(4), 257–263. https://doi.org/10.5681/jcs.2014.028.

    Article  Google Scholar 

  • Kiani, S., & Bayanzadeh, M. (2010). The Iranian population is graying: Are we ready? Archives of Iranian Medicine, 13(4), 333.

    Google Scholar 

  • Lawton, M. P. (2001). The physical environment of the person with Alzheimer’s disease. Aging & Mental Health, 5(sup1), 56–64.

    Article  Google Scholar 

  • Lee, Y., Hwang, J., Lim, S., & Kim, J. T. (2013). Identifying characteristics of design guidelines for elderly care environments from the holistic health perspective. Indoor and Built Environment, 22(1), 242–259.

    Article  Google Scholar 

  • Lundgren, E. (2000). Homelike housing for elderly people? Materialized ideology. Housing, Theory and Society, 17(3), 109–120.

    Article  Google Scholar 

  • Manser, M. (1989). The architecture of institutions for demented persons. In M. Manser, J. Wertheimer, P. Baumann, M. Caillard, & P. Schwed (Eds.), Innovative trends in psychogeriatrics (Vol. 26, pp. 22–27). Basel: Karger Publishers.

    Google Scholar 

  • Masoudi, R., Soleimani, M., Hasheminia, A., Qorbani, M., HasanPour-Dehkordi, A., & Bahrami, N. (2010). The effect of family centered empowerment model on the quality of life in elderly people. The Journal of Qazvin University of Medical Sciences, 14, 57.

    Google Scholar 

  • Matlabi, H., Hamedi Behtash, H., & Shafiei, M. (2016). Admission to a nursing home: Viewpoints of institutionalized older people about replacement. Elderly Health Journal, 2(1), 1–5.

    Google Scholar 

  • McLennon, S. M., Habermann, B., & Davis, L. L. (2010). Deciding to institutionalize: Why do family members cease caregiving at home? Journal of Neuroscience Nursing, 42(2), 95–103.

    Article  Google Scholar 

  • Ministry of Health and Medical Education (MOHME). (2012). Retrieved from http://fpqa.tbzmed.ac.ir/?PageID=9. Accessed 28 May 2018.

  • Mohit, M. A. (2013). Quality of life in natural and built environment—An introductory analysis. Procedia: Social and Behavioral Sciences, 101, 33–43. https://doi.org/10.1016/j.sbspro.2013.07.176.

    Article  Google Scholar 

  • Mokhtari, F., & Ghasemi, N. (2011). Comparison of elderlies “quality of life and mental health living in nursing homes and members of retired club of Shiraz city”. Iranian Journal of Ageing, 5(4), 53–63.

    Google Scholar 

  • Momeni, K., & Karimi, H. (2010). The comparison of general health of the residents/non residents in the elder house. Iranian Journal of Ageing, 5(3), 23–29.

    Google Scholar 

  • Moos, R. H., & Lemke, S. (1996). Evaluating residential facilities: The multiphasic environmental assessment procedure. London: Sage.

    Google Scholar 

  • Nakajo, G. (2013). THE GARDEN UNIT: A case study exploring therapeutic garden design for elderly with dementia. Washington: (Master of Landscape Architecture), University of Washington.

    Google Scholar 

  • Nayeri, N. D., Abazari, F., & Pouraboli, B. (2018). Challenges in caring for the elderly in Iran: A systematic review. Ethiopian Medical Journal, 56(2), 349.

    Google Scholar 

  • OECD. (2010). Heath care systems: Efficiency and policy settings. Paris: OECD.

    Book  Google Scholar 

  • Oztop, H., & Akkurt, S. S. (2016). An analysis of the factors that influence elders’ choice of location and housing. International Journal of Business Administration. https://doi.org/10.5430/ijba.v7n2p79.

    Article  Google Scholar 

  • Park, J., & Kim, K. (2016). The residential location choice of the elderly in Korea: A multilevel logit model. Journal of Rural Studies, 44, 261–271.

    Article  Google Scholar 

  • Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., & Tregenza, P. (2004). Quality of life and building design in residential and nursing homes for older people. Ageing & Society, 24(6), 941–962.

    Article  Google Scholar 

  • People, H. (2010). 2020 foundation health measure report health-related quality of life and well-Being. Washington: Office of Disease Prevention and Health Promotion.

    Google Scholar 

  • Peyrovi, H., Mortazavi, H., & Joolaee, S. (2012). Challenges of Iranian family members in decision making to put elderly people with chronic diseases in nursing homes: A qualitative study. Archives des Sciences, 65(10), 178–188.

    Google Scholar 

  • Pouryousef, M. (2014). Retrieved 5/6/2018, from http://www.iran-daily.com/News/2573.html.

  • Reimer, M. A., Slaughter, S., Donaldson, C., Currie, G., & Eliasziw, M. (2004). Special care facility compared with traditional environments for dementia care: A longitudinal study of quality of life. Journal of the American Geriatrics Society, 52(7), 1085–1092.

    Article  Google Scholar 

  • Rejeh, N., Heravi-Karimooi, M., & Vaismoradi, M. (2011). Iranian nursing students’ perspectives regarding caring for elderly patients. Nursing & health sciences, 13(2), 118–125.

    Article  Google Scholar 

  • Rowles, G. D., & Chaudhury, H. (2005). Home and identity in late life: International perspectives. Berlin: Springer.

    Google Scholar 

  • Saaty, T. L. (2001). Fundamentals of the analytic hierarchy process. In D. L. Schmoldt, J. Kangas, G. A. Mendoza, & M. Pesonen (Eds.), The analytic hierarchy process in natural resource and environmental decision making (pp. 15–35). Berlin: Springer.

    Chapter  Google Scholar 

  • Sahin, A. P. D. N. P., Fasli, A. P. D. M., & Vehbi, A. P. D. B. O. (2007). An assessment of quality of life in residential environments: Case of Selimiye Quarter in walled city of Nicosia, North Cyprus. North Cyprus: Eastern Mediterranean University. Retrieved 23 March 2012.

  • Salarvand, Sh, & Abedi, H. (2007). The elders’ experiences of social support in nursing home: A qualitative study. Iran Journal of Nursing, 20(52), 39–50.

    Google Scholar 

  • Sam Aram, E., & Amin Aghai, M. (2007). Social policies for the elderly in Japan and Sweden, and the proper role model for Iranian elderly. Iranian Journal of Ageing, 1, 88–100.

    Google Scholar 

  • Sheykhi, M. T. (2004). A study of the elderly people living in nursing homes in Iran with a specific focus on Tehran. African and Asian Studies, 3(2), 103–118.

    Article  Google Scholar 

  • Sigaroudi, A. E., Nayeri, N. D., & Peyrovi, H. (2013). Antecedents of elderly home residency in cognitive healthy elders: A qualitative study. Global Journal of Health Science, 5(2), 200.

    Google Scholar 

  • Sloane, P. D., Mitchell, C. M., Weisman, G., Zimmerman, S., Foley, K. M. L., Lynn, M., et al. (2002). The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH): An observational instrument for assessing the physical environment of institutional settings for persons with dementia. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(2), S69–S78.

    Article  Google Scholar 

  • Smetcoren, A.-S., De Donder, L., Dury, S., De Witte, N., Kardol, T., & Verte, D. (2017). Refining the push and pull framework: Identifying inequalities in residential relocation among older adults. Ageing & Society, 37(1), 90–112.

    Article  Google Scholar 

  • Stimson, R. J., & McCrea, R. (2004). A push–pull framework for modelling the relocation of retirees to a retirement village: The Australian experience. Environment and Planning A, 36(8), 1451–1470.

    Article  Google Scholar 

  • SWOI. (2012). Retrieved from http://www.behzisti.ir/. Accessed 28 May 2018.

  • Tanner, B., Tilse, C., & de Jonge, D. (2008). Restoring and sustaining home: The impact of home modifications on the meaning of home for older people. Journal of Housing for the Elderly, 22(3), 195–215. https://doi.org/10.1080/02763890802232048.

    Article  Google Scholar 

  • Torghabeh, E. K., Ehsani, M., Koozechian, H., & Mehrabi, Y. (2011). Effect of 16 weeks walking with different dosages on psychosocial function related quality of life among 60 to 75 years old men. Sālmand, 5(4), 21–29.

    Google Scholar 

  • Tyvimaa, T., & Kemp, C. L. (2011). Finnish seniors’ move to a senior house: Examining the push and pull factors. Journal of Housing for the Elderly, 25(1), 50–71.

    Article  Google Scholar 

  • van Hoof, J., Janssen, M., Heesakkers, C., Van Kersbergen, W., Severijns, L., Willems, L., et al. (2016). The importance of personal possessions for the development of a sense of home of nursing home residents. Journal of Housing for the Elderly, 30(1), 35–51.

    Article  Google Scholar 

  • Vincent, J.-L., Sakr, Y., Sprung, C. L., Ranieri, V. M., Reinhart, K., Gerlach, H., et al. (2006). Sepsis in European intensive care units: Results of the SOAP study. Critical Care Medicine, 34(2), 344–353.

    Article  Google Scholar 

  • Wagner, S. L., Shubair, M. M., & Michalos, A. C. (2010). Surveying older adults’ opinions on housing: Recommendations for policy. Social Indicators Research, 99(3), 405–412.

    Article  Google Scholar 

  • Weeks, L. E., Keefe, J., & Macdonald, D. J. (2012). Factors predicting relocation among older adults. Journal of Housing for the Elderly, 26(4), 355–371. https://doi.org/10.1080/02763893.2011.653099.

    Article  Google Scholar 

  • WHOQOL. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558.

    Article  Google Scholar 

  • Zarghami, E., Azemati, H., Fatourehchi, D., & Karamloo, M. (2018). Customizing well-known sustainability assessment tools for Iranian residential buildings using Fuzzy Analytic Hierarchy Process. Building and Environment, 128, 107–128. https://doi.org/10.1016/j.buildenv.2017.11.032.

    Article  Google Scholar 

  • Zarghami, E., Fatourehchi, D., & Karamloo, M. (2017). Impact of daylighting design strategies on social sustainability through the built environment. Sustainable Development. https://doi.org/10.1002/sd.1675.

    Article  Google Scholar 

  • Zarghami, E., & Olfat, M. (2015). Investigation of the relationship between ease of access to educational facilities in the elderly participation rate in education and life expectancy. Indian Journal of Science and Technology, 8(11), 1–13.

    Article  Google Scholar 

  • Zarghami, E., & Olfat, M. (2017). Relationship between physical and mental health and different housing types for elderly. Payesh Journal, 16(14), 521–530.

    Google Scholar 

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  1. Faculty of Architecture and Urban Planning, Shahid Rajaee Teacher Training University, Shabanlou St., Lavizan, Tehran, Iran

    Esmaeil Zarghami, Milad Olfat & Dorsa Fatourehchi

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  1. Esmaeil Zarghami
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Zarghami, E., Olfat, M. & Fatourehchi, D. An investigation into the relationship between quality of life of the elderly in relation to physical spaces in order to select an ideal residence. J Hous and the Built Environ 34, 465–488 (2019). https://doi.org/10.1007/s10901-018-9630-5

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