Skip to main content

Grey Smart Societies: Supporting the Social Inclusion of Older Adults by Smart Spatial Design

  • Chapter
  • First Online:

Part of the book series: S.M.A.R.T. Environments ((SMARTE))

Abstract

In this chapter, we explore the possibility to use the living environment (of inpatient and outpatient care settings) for facilitating and encouraging the social inclusion of older adults in an increasingly smart society. We therefore pay attention to the spatial and smart design of emerging housing typologies for older adults in the Netherlands in which social activities and encounters take place.

Our first explorative research question reads: To what extent can the social inclusion of older adults with physical and/or mental disabilities contribute to their well-being? Based on (sociological) theories and existing knowledge from the literature, we can conclude that there are sufficient indications that the social inclusion of senior citizens in society have positive effects on their well-being, by strengthening social resources, in the case of intimate ties, and by stimulating public familiarity and random encounters. Moreover, it can be argued that encounters between elderly people with (either physical or mental) disabilities and healthy others can have a positive influence on the social acceptance of the former.

Following on the above, our second research question examines which spatial and smart interventions in and around inpatient and outpatient care settings can stimulate social inclusion. In this light, we discussed two new housing typologies in the Netherlands that can positively affect the inclusion of senior citizens in society: Farm sharing, which is particularly suitable for vital older adults who want to live independently for as long as possible, and the Care Estate, that seems to be a suitable form of living for vulnerable elderly people with physical and mental comorbidity, such as dementia. These housing typologies demonstrate the existence of an interplay between spatial design and smart technologies, in the sense that these factors can make each other superfluous or can provide added value.

In order to be able to optimize the well-being and health status of their residents, housing typologies must meet the needs of (vulnerable) older adults with regard to care, and social interaction, autonomy as much as possible. The art of designing new suitable housing typologies for older adults therefore should be based on linking different layers of people’s living environment: the care environment, the socio-spatial environment, and the digital environment. The two examples of housing typologies that we cover in this chapter, demonstrate how these different layers can be interconnected in order to design a new suitable housing concept.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Allport, G. W. (1954). The nature of prejudice. Reading: Addison-Wesley.

    Google Scholar 

  • Blokland, T. (2003). Urban bonds. Social relationships in an inner-city neighbourhood. Cambridge: Polity Press.

    Google Scholar 

  • Blokland, T. (2008). Ontmoeten doet ertoe. Rotterdam: Vetia.

    Google Scholar 

  • Bouwman, M., & Mohammadi, M. (2013) On the relation of spatial design and social fabrics: Relating place and spatial design to social fabrics through chance encounters, Abstract for the Fourth International and Interdisciplinary Conference on Emotional Geographies. Groningen, The Netherlands, 1–3 July 2013.

    Google Scholar 

  • Brannelly, T. (2011). Sustaining citizenship: People with dementia and the phenomenon of social death. Nursing Ethics, 18(5), 662–671.

    Article  Google Scholar 

  • Brooker, D. (2003). What is person-centred care in dementia? Reviews in Clinical Gerontology, 13(3), 215–222.

    Article  Google Scholar 

  • Brorsson, A., Öhman, A., Lundberg, S., & Nygård, L. (2011). Accessibility in public space as perceived by people with Alzheimer’s disease. Dementia, 10(4), 587–602.

    Article  Google Scholar 

  • Burns, V. F., Lavoie, J. P., & Rose, D. (2012). Revisiting the role of neighbourhood change in social exclusion and inclusion of older people. Journal of Aging Research, 2012, 112.

    Article  Google Scholar 

  • Cadieux, M. A., Garcia, L. J., & Patrick, J. (2013). Needs of people with dementia in long-term care a systematic review. American Journal of Alzheimer's Disease and Other Dementias, 28(8), 723–733.

    Article  Google Scholar 

  • Cattell, V., Dines, N., Gesler, W., & Curtis, S. (2008). Mingling, observing, and lingering: Everyday public spaces and their implications for well-being and social relations. Health & Place, 14(3), 544–561.

    Article  Google Scholar 

  • Chalfont, G. E., & Rodiek, S. (2005). Building edge: An ecological approach to research and design of environments for people with dementia. Alzheimer’s Care Today, 6(4), 341–348.

    Google Scholar 

  • Chung, J. C. (2004). Activity participation and well-being of people with dementia in long-term—Care settings. OTJR: Occupation, Participation and Health, 24(1), 22–31.

    Google Scholar 

  • Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54(9), 765–776.

    Article  Google Scholar 

  • Couture, S., & Penn, D. (2003). Interpersonal contact and the stigma of mental illness: A review of the literature. Journal of Mental Health, 12(3), 291–305.

    Article  Google Scholar 

  • Cummins, R. A., & Lau, A. L. D. (2003). Community integration or community exposure? A review and discussion in relation to people with an intellectual disability. Journal of Applied Research in Intellectual Disabilities, 16, 145–157.

    Article  Google Scholar 

  • Davis, S., Byers, S., Nay, R., & Koch, S. (2009). Guiding design of dementia friendly environments in residential care settings: Considering the living experiences. Dementia, 8(2), 185–203.

    Article  Google Scholar 

  • Diener, E., & Fujita, F. (1995). Resources, personal strivings, and subjective well-being: A nomothetic and idiographic approach. Journal of Personality and Social Psychology, 68(5), 926–935.

    Article  Google Scholar 

  • Edwards, C. A., McDonnell, C., & Merl, H. (2013). An evaluation of a therapeutic garden’s influence on the quality of life of aged care residents with dementia. Dementia, 12(4), 494–510.

    Article  Google Scholar 

  • Fleming, R., & Purandare, N. (2010). Long-term care for people with dementia: Environmental design guidelines. International Psychogeriatrics, 22(7), 1084–1096.

    Article  Google Scholar 

  • Fleming, R., Kelly, F., & Stillfried, G. (2015). I want to feel at home’: Establishing what aspects of environmental design are important to people with dementia nearing the end of life. BMC Palliative Care, 14(1), 26.

    Article  Google Scholar 

  • Fratiglioni, L., Paillard-Borg, S., & Winblad, B. (2004). An active and socially integrated lifestyle in late life might protect against dementia. The Lancet Neurology, 3(6), 343–353.

    Article  Google Scholar 

  • Gardner, P. J. (2011). Natural neighborhood networks—Important social networks in the lives of older adults aging in place. Journal of Aging Studies, 25(3), 263–271.

    Article  Google Scholar 

  • Gonzalez, M. T., & Kirkevold, M. (2014). Benefits of sensory garden and horticultural activities in dementia care: A modified scoping review. Journal of Clinical Nursing, 23(19–20), 2698–2715.

    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 

  • Guest, A. M., & Wierzbicki, S. K. (1999). Social ties at the neighborhood level: Two decades of GSS evidence. Urban Affairs Review, 35(1), 92–111.

    Article  Google Scholar 

  • Harris, P. B. (2013). Dementia and friendship: The quality and nature of the relationships that remain. The International Journal of Aging and Human Development, 76(2), 141–164.

    Article  Google Scholar 

  • Hassink, J., Elings, M., & Steenstra, F. A. (2007). Kwaliteiten van zorglandgoederen (No. 136, p. 34). Plant Research International.

    Google Scholar 

  • Hill, N. L., & Kürüm, E. (2010). Agreeableness and activity engagement in nursing home residents with dementia. Journal of Gerontological Nursing, 36(9), 45–52.

    Article  Google Scholar 

  • Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513–524.

    Article  Google Scholar 

  • Hubbard, G., Cook, A., Tester, S., & Downs, M. (2002). Beyond words: Older people with dementia using and interpreting nonverbal behaviour. Journal of Aging Studies, 16(2), 155–167.

    Article  Google Scholar 

  • Huxhold, O., Miche, M., & Schüz, B. (2013). Benefits of having friends in older ages: Differential effects of informal social activities on well-being in middle-aged and older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69(3), 366–375.

    Article  Google Scholar 

  • Innes, A., Kelly, F., & Dincarslan, O. (2011). Care home design for people with dementia: What do people with dementia and their family carers value? Aging & Mental Health, 15(5), 548–556.

    Article  Google Scholar 

  • Jang, Y., Haley, W. E., Small, B. J., & Mortimer, J. A. (2002). The role of mastery and social resources in the associations between disability and depression in later life. The Gerontologist, 42(6), 807–813.

    Article  Google Scholar 

  • Keady, J., Campbell, S., Barnes, H., Ward, R., Li, X., Swarbrick, C., et al. (2012). Neighbourhoods and dementia in the health and social care context: A realist review of the literature and implications for UK policy development. Reviews in Clinical Gerontology, 22(02), 150–163.

    Article  Google Scholar 

  • Kitwood, T. (1997). Dementia reconsidered: The person comes first. Buckingham: Open University Press.

    Google Scholar 

  • Kitwood, T., & Bredin, K. (1992). Towards a theory of dementia care: Personhood and well-being. Ageing and Society, 12(03), 269–287.

    Article  Google Scholar 

  • Knight, T., & Mellor, D. (2007). Social inclusion of older adults in care: Is it just a question of providing activities? International Journal of Qualitative Studies on Health and Well-being, 2(2), 76–85.

    Article  Google Scholar 

  • Leff, J., & Warner, R. (2006). Social inclusion of people with mental illness. Cambridge University Press.

    Google Scholar 

  • Lui, C. W., Everingham, J. A., Warburton, J., Cuthill, M., & Bartlett, H. (2009). What makes a community age-friendly: A review of international literature. Australasian Journal of Ageing, 28(3), 116–121.

    Article  Google Scholar 

  • Marshall, M. (1998). Therapeutic buildings for people with dementia. In S. Judd, M. Marshall, & P. Phippen (Eds.), Design for dementia (pp. 11–14). London: Hawker Publications.

    Google Scholar 

  • Mc Parland, P. (2014). Dementia: What comes to mind? An exploration into how the general public understands and responds to dementia. University of Stirling, thesis.

    Google Scholar 

  • Mens, N., & Wagenaar, C. (2009). De architectuur van de ouderenhuisvesting: bouwen voor wonen en zorg (p. NAi010). Rotterdam.

    Google Scholar 

  • Mitchell, L., & Burton, E. (2006). Neighbourhoods for life: Designing dementia-friendly outdoor environments. Quality in ageing and older adults, 7(1), 26–33.

    Article  Google Scholar 

  • Mitchell, L., & Burton, E. (2010). Designing dementia-friendly neighbourhoods: Helping people with dementia to get out and about. Journal of Integrated Care, 18(6), 11–19.

    Article  Google Scholar 

  • Mitchell, L., Burton, E., Raman, S., Blackman, T., Jenks, M., & Williams, K. (2003). Making the outside world dementia-friendly: Design issues and considerations. Environment and Planning B: Planning and Design, 30(4), 605–632.

    Article  Google Scholar 

  • Mohammadi, M. (2014). Domoticakompas: Inzichten uit een decennium slimme zorgprojecten in Nederland. Eindhoven: Van Litsenburg B.V.

    Google Scholar 

  • Mohammadi, M. (2017). Empathische woonomgeving. Eindhoven: Technische Universiteit Eindhoven.

    Google Scholar 

  • Mohammadi, M., van Buuren, L. P. G., Hammink, J. H. W., Dominicus, M. M. T., Hamers, K., & Yegenoglu, H. H. (2018). The evolution of housing typologies for older adults in the Netherlands from 1945–2016: An analysis in the context of policy, societal and technological developments. Journal of Housing for the Elderly, 1–22.

    Google Scholar 

  • Moise, P., Schwarzinger, M., & Um, M.Y. (2004). Dementia care in 9 OECD countries.

    Google Scholar 

  • Moor, N., de Graaf, P. M., & Komter, A. (2013). Family, welfare state generosity and the vulnerability of older adults: A cross-national study. Journal of Aging Studies, 27(4), 347–357.

    Article  Google Scholar 

  • Moor, N., Mohammadi, M., & Curulli, I. G. (2015). Designing encounters: Care estate as an enabler to support the social fabric of dementia patients. Advances in Social and Behavioral Sciences, 10, 105–110.

    Google Scholar 

  • Moyle, W., Venturto, L., Griffiths, S., Grimbeek, P., McAllister, M., Oxlade, D., & Murfield, J. (2011). Factors influencing quality of life for people with dementia: A qualitative perspective. Aging & Mental Health, 15(8), 970–977.

    Article  Google Scholar 

  • Oswald, F., Hieber, A., Wahl, H. W., & Mollenkopf, H. (2005). Ageing and person–environment fit in different urban neighbourhoods. European Journal of Ageing, 2(2), 88–97.

    Article  Google Scholar 

  • Post, S. G. (2000). The concept of Alzheimer disease in a hypercognitive society. In Concepts of Alzheimer disease: Biological, clinical and cultural perspectives (pp. 245–256). Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Prince, M., Wimo, A., Guerchet, M., Ali, G. C., Wu, Y. T., & Prina, M. (2015). World Alzheimer report 2015. The global impact of Dementia. Alzheimer’s Disease International. London: Alzheimer’s Disease International (ADI).

    Google Scholar 

  • Putnam, R. D. (2001). Bowling alone: The collapse and revival of American community. New York: Simon and Schuster.

    Google Scholar 

  • Sabat, S. R., & Gladstone, C. M. (2010). What intact social cognition and social behavior reveal about cognition in the moderate stage of Alzheimer’s disease a case study. Dementia, 9(1), 61–78.

    Article  Google Scholar 

  • Sabat, S. R., & Lee, J. M. (2011). Relatedness among people diagnosed with dementia: Social cognition and the possibility of friendship. Dementia, 0(0), 1–13.

    Google Scholar 

  • Shakespeare, T. (2006). The social model of disability. The disability studies reader, 2, pp. 197–204. New York: Routledge.

    Google Scholar 

  • Shankar, A., Rafnsson, S. B., & Steptoe, A. (2015). Longitudinal associations between social connections and subjective wellbeing in the English longitudinal study of ageing. Psychology & Health, 30(6), 686–698.

    Article  Google Scholar 

  • Skouby, K. E., Kivimäki, A., Haukiputo, L., Lynggaard, P., & Windekilde, I. M. (2014). Smart cities and the ageing population. In: Proceedings of the 32nd Meeting of WWRF, Marrakech, Morocco, 20–22 May 2014.

    Google Scholar 

  • Smebye, K. L., & Kirkevold, M. (2013). The influence of relationships on personhood in dementia care: A qualitative, hermeneutic study. BMC Nursing, 12(1), 29.

    Article  Google Scholar 

  • Sweeting, H., & Gilhooly, M. (1997). Dementia and the phenomenon of social death. Sociology of Health and Illness, 19(1), 93–117.

    Article  Google Scholar 

  • Thielke, S., Harniss, M., Thompson, H., Patel, S., Demiris, G., & Johnson, K. (2012). Maslow’s hierarchy of human needs and the adoption of health-related technologies for older adults. Ageing International, 37(4), 470–488.

    Article  Google Scholar 

  • Tiernan, C., Lysack, C., Neufeld, S., & Lichtenberg, P. A. (2013). Community engagement: An essential component of well-being in older African-American adults. The International Journal of Aging and Human Development, 77(3), 233–257.

    Article  Google Scholar 

  • Tonkens, E., & Weijers, I. (1999). Autonomy, solidarity, and self-realization: Policy views of Dutch service providers. Mental Retardation, 37(6), 468–476.

    Article  Google Scholar 

  • Torrington, J. (2007). Evaluating quality of life in residential care buildings. Building Research & Information, 35(5), 514–528.

    Article  Google Scholar 

  • Van Alphen, L. M., Dijker, A. J., van den Borne, B. H., & Curfs, L. M. (2010). People with intellectual disability as neighbours: Towards understanding the mundane aspects of social integration. Journal of Community & Applied Social Psychology, 20(5), 347–362.

    Article  Google Scholar 

  • Van Eijk, G., & Engbersen, R. (2011). Facilitating ‘light’ social interactions in public space: A collaborative study in a Dutch urban renewal neighbourhood. Journal of Urban Regeneration & Renewal, 5(1), 35–50.

    Google Scholar 

  • Van Houtven, C. H., & Norton, E. C. (2004). Informal care and health care use of older adults. Journal of Health Economics, 23(6), 1159–1180.

    Article  Google Scholar 

  • Verbeek, H., van Rossum, E., Zwakhalen, S. M., Kempen, G. I., & Hamers, J. P. (2009). Small, homelike care environments for older people with dementia: A literature review. International Psychogeriatrics, 21(2), 252–264.

    Article  Google Scholar 

  • Verdonschot, M. M., De Witte, L. P., Reichrath, E., Buntinx, W. H. E., & Curfs, L. M. (2009). Community participation of people with an intellectual disability: A review of empirical findings. Journal of Intellectual Disability Research, 53(4), 303–318.

    Article  Google Scholar 

  • Verplanke, L., Verplanke, L. H., Duyvendak, J. W., Duyvendak, W. G. J., & Groenendijk, J. (2010). Onder de mensen?: Over het zelfstandig wonen van psychiatrische patiënten en mensen met een verstandelijke beperking. Amsterdam: Amsterdam University Press.

    Book  Google Scholar 

  • von Hippel, E. (2005). Democratizing innovation. Boston: MIT Press.

    Book  Google Scholar 

  • Wang, H. X., Karp, A., Winblad, B., & Fratiglioni, L. (2002). Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: A longitudinal study from the Kungsholmen project. American Journal of Epidemiology, 155(12), 1081–1087.

    Article  Google Scholar 

  • Ward, R., Vass, A. A., Aggarwal, N., Garfield, C., & Cybyk, B. (2008). A different story: Exploring patterns of communication in residential dementia care. Ageing and Society, 28(05), 629–651.

    Article  Google Scholar 

  • Whear, R., Coon, J. T., Bethel, A., Abbott, R., Stein, K., & Garside, R. (2014). What is the impact of using outdoor spaces such as gardens on the physical and mental well-being of those with dementia? A systematic review of quantitative and qualitative evidence. Journal of the American Medical Directors Association, 15(10), 697–705.

    Article  Google Scholar 

  • Wiersma, E. C., & Pedlar, A. (2008). The nature of relationships in alternative dementia care environments. Canadian Journal on Aging/La Revue canadienne du vieillissement, 27(1), 101–108.

    Article  Google Scholar 

  • Wiles, J. (2005). Conceptualizing place in the care of older people: The contributions of geographical gerontology. Journal of Clinical Nursing, 14, 100–108.

    Article  Google Scholar 

  • Yen, I. H., Michael, Y. L., & Perdue, L. (2009). Neighborhood environment in studies of health of older adults: A systematic review. American Journal of Preventive Medicine, 37(5), 455–463.

    Article  Google Scholar 

  • Young, A. F., Russell, A., & Powers, J. R. (2004). The sense of belonging to a neighbourhood: Can it be measured and is it related to health and well-being in older women? Social Science & Medicine, 59(12), 2627–2637.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masi Mohammadi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Moor, N., Mohammadi, M. (2020). Grey Smart Societies: Supporting the Social Inclusion of Older Adults by Smart Spatial Design. In: Biloria, N. (eds) Data-driven Multivalence in the Built Environment. S.M.A.R.T. Environments. Springer, Cham. https://doi.org/10.1007/978-3-030-12180-8_8

Download citation

Publish with us

Policies and ethics