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

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.

Lessons Learned from the Adaptations of Post-Flood Housing Reconstruction in Kuala Krai, Kelantan

The outcome of post-disaster housing in Malaysia, particularly in Kuala Krai Kelantan, has remained unexplored. Therefore this paper attempted to discover the project impacts in Kampung Manek Urai Lama by investigating occupants' housing adaptation and modification. This study employed a case study method involving 18 respondents through purposive sampling. Findings revealed that the original house design does not consider several spatial needs and living traditions. The result established that these shortcomings were the main factors affecting housing modifications. The outcome of this study presents discoveries that can facilitate disaster management in Malaysia, particularly when planning for future post-disaster housing. Keywords: housing reconstruction, post-disaster adaptation, post-disaster housing, housing modification eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v6i17.2820

Beyond the freedom to build: Long-term outcomes of Elemental’s incremental housing in Quinta Monroy

In 2003, the Chilean architecture firm Elemental began to revisit the idea of partially completed housing harnessing the productive capacities of the informal process within a more formal framework. The Quinta Monroy project in the northern Chilean city of Iquique was the first such project and involved the in-situ replacement of an informal settlement. The desire of residents was for a middle-class house that was beyond the scope of their budget or the subsidy. The Elemental project at Quinta Monroy comprised 93 expandable houses designed in parallel buildings and organized in four courtyards aiming to promote community interaction and maintain neighbors’ affinities. This paper investigates the process of housing adaptation through self-construction twelve years after the residents received their homes in 2005. The strategy to promote resident-driven expansions has been successful as 92 out of 93 households expanded their homes. The most significant concerns focused on the deterioration of living standards due to progressive and uncontrollable extensions which might have significant impacts on the settlement development. The findings from this paper focus on the neighbors’ negotiations for housing extensions and the risk of the re-creation of precarious living environments evidencing limitations for unassisted or spontaneous incremental schemes of housing development.

City Government’s Adoption of Housing Adaptation Policy Innovation for Older Adults: Evidence From China

Objectives Utilizing policy innovation and diffusion theory, this study aims to explain why city governments adopt housing adaptation policies that primarily benefit older people based on the case of China. Methods The data are drawn from an event history data set of a housing adaptation policy for older people collected from 283 Chinese cities from 2010 to 2018. Piecewise constant exponential models are utilized. Results The results indicate that cities facing greater internal pressure and a higher political status are more likely to adopt a housing adaptation policy for older people. Policy adoption by neighboring cities could further facilitate this process. Discussion Policy innovation and diffusion theory provide a useful framework for this study. That is, the Chinese city government’s adoption of housing adaptation policy for older adults is initially driven by local needs and then accelerated by interactions among neighboring governments.

Older Clients’ Pathway through the Adaptation System for Independent Living in the UK

Housing adaptation is recognized as an effective intervention for successful independent living and has been given a greater political priority. However, the current adaptation implementation is fragmented and sometimes confusing. This study is aimed at examining blockages in the adaptation system in the United Kingdom (UK) and identifying practical ways to tackle them. It adopted a mixed-method sequential explanatory research strategy. A questionnaire survey was first conducted in all local authorities in England, Scotland and Wales. This was followed by individual interviews and a focus group with professionals and older clients. The study found that multiple organizations are involved during the delivery of housing adaptations; poor cooperation between them is a major barrier to a seamless service. The adaptation process involves five key stages; there are many inconsistencies and inequities in the process across local authorities. Significant delays are found at all stages, the average length of time taken to complete an adaptation is unacceptably long. There are also many inconsistencies and inequities across different local authorities. This study identified some common deficiencies, which cause inefficiencies and ineffectiveness in housing adaptation practices and makes some recommendations on specific actions that need to be taken at both national and local levels to address them.

Causes of Delays during Housing Adaptation for Healthy Aging in the UK

Housing adaptation is a rehabilitation intervention that removes environmental barriers to help older people accommodate changing needs and age in place. In the UK, funding application for home adaptations to local authorities is subject to several procedural steps, including referral, allocation, assessment, funding and installation. The five stages need to complete in a sequential manner, often cause long delays. This study aims to investigate the timelines across these key stages of the adaptation process and examine the main causes of delays in current practice. A mixed-methods research strategy was employed. A questionnaire survey was first undertaken with all 378 local authorities in England, Scotland and Wales; it was followed by 5 semi-structured interviews and 1 focus group meeting with selected service providers, and 2 case studies of service users. The results showed that the average length of time taken to complete the whole process is relatively long, with the longest waiting time being observed at the funding decision stage. Delays were found in each of the key stages. Main causes of delay include insufficient resources, lack of joint work, legal requirements, shortage of competent contractors and the client’s decisions. These issues need to be addressed in order to improve the efficiency and effectiveness of future housing adaptation practice.