Home Environment and Its Relation with Quality of Life of Older People

In this cross-sectional study, we tested the relationship between sociophysical environment, quality of life (QOL), and perceived social support among elderly in Iran. The sample includes 128 participants recruited in the city of Shahrekord, Iran. We measured Evaluation of Older People Living Environment (EVOLVE); Control, Autonomy, Self-realization and Pleasure scale (CASP-19) and Multidimensional Scale of Perceived Social Support (MSPSS) tools respectively, through home-based observation and interview. A significant relationship was found between several domains of home environment, QOL, and perceived social support. The interaction effect of the home environment and gender in relation to QOL and perceived social support was statistically significant. Our results support that the home physical environment may not be considered a strong predictor of QOL among the Iranian elderly.     

Impacts of Home Modifications on Aging-in-Place

The purpose of this study is to analyze the relationship between home modifications and aging-in-place. Using the ENABLE-AGE United Kingdom sample (N = 376), the authors hypothesize that seniors who have modified their housing are likely to have stayed longer in their current housing. There is a positive relationship between home modifications and aging-in-place. The results underscore the importance of supportive environment to prolong living in housing settings.     

Client Satisfaction with Live-In and Live-Out Home Care Workers in Israel

Abstract

In an era of globalization where the migration of long-term care workers is common, foreign live-in home care workers can compensate for the unavailability of family members and, perhaps, even substitute for institutional care in the provision of long-term care services to disabled older persons.

This study examines differences in home care satisfaction between disabled older persons in Israel with “live-in” home care workers and those with “live-out” workers, and explores some differences in socio-demographic and personal characteristics between these two groups. Face-to-face interviews were held with a random sample of 93 older persons in Beer-Sheva.

Older persons with live-in home care workers were more satisfied with their home care service than those with live-out workers. Those with live-in workers were more severely disabled, tended not to have any children living in close proximity, although an adult child was available as an informal caregiver. Communication difficulties between the elderly persons and their home care workers were found not to affect negatively the satisfaction with the service.     

Marital Satisfaction,Family Emotional Expressiveness,Home Learning Environments,and Children's Emergent Literacy

The current study investigates associations among marital satisfaction, family emotional expressiveness, the home learning environment, and preschool‐aged children's emergent literacy skills among 385 Midwestern mothers and their children. Path analyses examined how marital satisfaction related to emotional expressiveness in the home and whether this path was associated with the home learning environment and children's literacy skills. Higher maternal satisfaction was associated with higher levels of positive and lower levels of negative family emotional expressiveness. Additionally, family emotional environments characterized by mothers with higher positive expression were related to better home learning environments, which in turn were associated with higher literacy skills in children. Study findings underscore the importance of marital and family processes when considering young children's academic development.     

Exploring Home Sharing for Elders

Research suggests that third party-arranged home sharing (“TPAHS”) enables elders to remain at home in advanced age by connecting elder home owners with suitable live-in “matches.” TPAHS potentially saves elders, their families, and Medicaid budgets millions of a dollars per year in avoided and postponed nursing home costs. In interviews with elder TPAHS participants of one TPAHS program, we found that similarity in values, ability to utilize the TPAHS organization's guidance, and, when relevant, familiarity with their matches' mental health challenges, correlated with said participants' satisfaction with their matches while a lack of these qualities correlated with match dissatisfaction. With these findings in mind, we suggest strategies TPAHS organizations can use to best serve the elderly TPAHS participants who may benefit from intensified match support but may not seek it.     

Restoring and Sustaining Home: The Impact of Home Modifications on the Meaning of Home for Older People

ABSTRACT

The importance of a supportive home environment to successful aging has been well-established in the literature, with home modifications increasingly acknowledged as ways of removing barriers to function and increasing independence for older people. Home modification literature and practice primarily focus on the home environment as a physical space in which to perform tasks and on the impact of modification on competencies and function. Home, however, is much more than a physical environment. Within a transactive framework, people and places are seen as engaged in a dynamic, reciprocal relationship through which home becomes a place of significant personal meaning. Through a qualitative framework, this study examines the experience of older people living in the community who are recipients of a home modification service. It explores the impact modifying the physical environment has on their experience of home as a place of meaning and provides insight into how home modifications can strengthen the home as a place of personal and social meaning as well as improve safety and comfort for the older person at home.     

Home visiting program impacts on reducing homelessness among young mothers

In the current study, we aimed to determine the effects of Healthy Families Massachusetts (HFM), a statewide home visiting program, on young mothers’ experiences with homelessness during enrollment and after program completion. Data were drawn from a longitudinal, randomized control trial evaluation of HFM. Data collection occurred across 5 time points between 2008 and 2015 from a sample of 704 participants. The current analyses were restricted to a subsample of mothers (n?=?443) with Time 5 data (74 months post-enrollment; 59.1% program, 40.9% control), which was representative of the Time 1 sample. We used data from maternal phone interviews to assess program effects on experiences with homelessness. Young mothers who participated in HFM were less likely to experience homelessness when their children were preschool-age or older than mothers in the control group. During program participation, the number of home visits was negatively associated with concurrent homelessness when children were infants or toddlers.     

Physical Home Environment as a Determinant of Aging in Place for Different Types of Elderly Households

The aim of this research was to investigate the relationship between physical housing features and home modifications to aging in place or precipitating a housing transition among elderly households. Data was taken from two waves (1998 and 2000) of the Health and Retirement Survey. Univariate, bivariate, and multivariate analyses were performed. Residing in a multi-family home without an elevator was a predictor for housing transition for couple households, while residing in a home with small interior modifications was a predictor for remaining in place for single households. Implications for policy makers, health care providers, housing industry and elderly are discussed.     

Stress,satisfaction and role conflict in dual-doctor partnerships

Stress in doctors has major implications for themselves, their family and patients. In dual-doctor partnerships, stress may or may not be compounded. Previous studies have suggested that demands of work have a greater impact on home life than vice versa, and that there may be a gender difference in stress between work and home. This study compared perceived stress, satisfaction and conflict for professional males and females working in dual-doctor partnerships investigating the bi-directional relationship between work and home roles. A sample of 244 male and female doctors in dual-career partnerships working in the National Health Service in Scotland completed a self-report questionnaire. Male doctors perceived their work as more stressful and less satisfying than females. Work stress had a greater impact on home life than vice versa, but there were no gender differences in levels of stress from work to home (WH) or home to work (HW). However, more males than females, particularly younger males, reported that work was a source of conflict with their partner. WH stress predicted marital conflict for both male and female doctors, whereas HW stress predicted marital conflict only for females. Time on call out of hours, the ethical commitment to medicine, and work encroaching into family time were identified as major sources of conflict. These findings have implications both for the well-being of doctors and their families, and for patient care, and for other professionals in dual-career partnerships.     

Interpreting Home in the Transnational Discourse

ABSTRACT

The aim of this article is to present a selection of primary findings culled from empirical data collected in Dublin with post-European Union enlargement Polish migrants as the cohort in study. One aspect of the project was to investigate how that group interpreted home since they have left Poland. Based on the outcomes of interviews with thirty-one informants, the narratives reveal a group of individuals who continuously contest social constraints and push the boundaries of previously held notions of migration, identity, and home. This article situates their aspirations, preferences, and practices within discourses of transnationalism, thereby connecting their migration experiences with a consciousness of feeling at home in the world. This article breaks up “home” as interpreted by the informants into three categories—centered home, sentimental home, and transportable home. The wide range of perspectives held by informants and the inability to clearly define their position with regard to the notion of “home” reinforces the hypothesis of this article that, for a transnational cohort, the meaning of home is contested. In relation to the wider international literature regarding concepts of home, this article makes a contribution to the deepening scope of migration research in Ireland.     

The Value of the Relationship in Volunteer Home Support Programs Working with Vulnerable Families

This paper reports on a program evaluation project that included interviews with 35 parents from high-risk backgrounds who received home volunteer support as part of the Dalwood Volunteer Home Support Program. It provides insight into the meaning and value parents attach to the volunteer relationship. The evaluation findings suggest that home volunteer support was associated with parent perception of increased wellbeing, decreased social isolation, and an improved relationship with their child. The results also suggest that parents perceived their relationship with their volunteer as significant in providing a secure base relationship.     

The risk of Telling: A Dyadic Perspective on Romantic Partners’ Responses to Child Sexual Abuse Disclosure and Their Associations with Sexual and Relationship Satisfaction

Among 70 community couples who reported childhood sexual abuse (CSA) and disclosure to their partner, this study examined associations between survivors’ perception of partner responses to their disclosure, and both partners’ sexual and relationship satisfaction. Participants completed self‐report questionnaires online. Results of path analyses within an actor–partner interdependence model indicated that survivors’ perceived partner responses of emotional support to disclosure were associated with their own and their partners’ higher sexual satisfaction. Survivors’ perceived responses of being stigmatized/treated differently by the partner were associated with their own and their partners’ poorer relationship satisfaction. Findings suggest that survivor‐perceived partner responses to the disclosure of CSA can have a positive and a negative impact on the sexual and relationship satisfaction of both partners.     

Opting Back In: The Influence of Time at Home on Professional Women's Career Redirection after Opting Out

Limited research on professional women's labour force re‐entry after a career break (so‐called ‘opting out’) finds that women redirect away from former careers. Little is known about why this occurs. Our study, based on in‐depth interviews with 54 at‐home mothers, extends prior research to address this question. We find that among women who intended to return to work (who constitute the majority), most planned to pursue alternative careers, typically in traditionally female‐dominated professions or were uncertain about their career direction; few planned to return to their former employers. The reasons for this redirection were women's negative experiences in family inflexible occupations, skill depreciation and perceived age discrimination. Equally or more important, however, was their adaptation to new constraints and opportunities at home (such as increased involvement in mothering and community work), which engendered an aspirational shift towards new, care‐oriented professions that were lower paid and had lower status. We discuss the policy implications of these findings.     

Client satisfaction with live-in and live-out home care workers in Israel

In an era of globalization where the migration of longterm care workers is common, foreign live-in home care workers can compensate for the unavailability of family members and, perhaps, even substitute for institutional care in the provision of long-term care services to disabled older persons. This study examines differences in home care satisfaction between disabled older persons in Israel with "live-in" home care workers and those with "live-out" workers, and explores some differences in sociodemographic and personal characteristics between these two groups. Face-to-face interviews were held with a random sample of 93 older persons in Beer-Sheva. Older persons with live-in home care workers were more satisfied with their home care service than those with live-out workers. Those with live-in workers were more severely disabled, tended not to have any children living in close proximity, although an adult child was available as an informal caregiver. Communication difficulties between the elderly persons and their home care workers were found not to affect negatively the satisfaction with the service.     

High-Tech Amenities for the Elderly: The Technological Assistance Needs of Elderly Koreans Aging at Home

This study builds on existing literature regarding residential technological systems and the elderly. This study investigates elderly Koreans’ needs for technological systems in their residential environments and makes appropriate suggestions for creating high-tech amenities to support their aging at home. This study surveyed 60 elderly Koreans and presented them with 5 categories of 24 technological systems to evaluate. Results of this study show that participants were willing to adapt technological systems in their residential environment without any technophobia. In terms of their needs, the participants ranked the safety and security system category first, the indoor environment control system category second, and the health-related system category third. The results of this study suggest that residential environments, including individual housing and apartment properties, should incorporate technological systems to extend elderly residents’ independent living at home.     

Adoptive Family Adjustment and Its Relation to Perceived Family Environment

ABSTRACT

Fifty-one adopted college students from three mid-sized East Coast universities participated in interviews structured to gather information regarding adoptees' perceptions of adoptive family life. Additionally, subjects completed a scale which measured their perceptions of general characteristics of family environment. Multiple regression analysis revealed that of ten adoption-specific factors derived from interview data, overall satisfaction with one's adoptive status and family life was the strongest predictor of perceived general family environment. Adoptee satisfaction predicted high levels of family expressiveness, ethical focus and involvement in shared activities as well as low levels of family conflict. Adoptees' perception of adoptive fathers' and mothers' communication styles predicted different aspects of family environment. Adoptees' acknowledgment of life differences due to their adoptive status did not relate to family expressiveness. The latter finding lends support to recent research suggesting that acknowledgment and expressiveness are independent aspects of adoptive family functioning.     

The Effect of Long-Term Care Insurance on Home Care Use Among the Disabled Elders

Using the 1998?C2004 Health and Retirement Study, this study uses Cox??s model to explore the effects of private long-term care insurance ownership on first home care use among the disabled elderly. Results show that long-term care insurance ownership and Medicaid eligibility did not significantly increase the likelihood of using home care services, while income and homeownership lowered this likelihood. Functional limitation was the key determinant of home care use and those who lived with children were less likely to use home care services. Based on the findings, this study provides foundations for long-term care policies and long-term care planning programs.     

Home care for the elderly: the role of relatives,friends and neighbors

We use data from the Survey of Health, Ageing and Retirement in Europe to examine the hours of home care received by the elderly. The existing empirical literature has mostly examined informal home care from children and formal home care. We identify two additional informal home care providers, namely, relatives (other than children) and friends (including neighbors) who provide about 30 % of the hours of informal home care. Our main new empirical finding is that single elderly persons who can rely less on children—and in particular daughters—for their home care receive not only more formal care but also more care from friends and neighbors. These findings suggest that policymakers need to take into account not only home care provision from children but also home care provision from friends and neighbors to obtain accurate projections concerning the increasing costs of formal care programs due to an aging population.     

Sex role perceptions and the abortion decision

This paper is concerned with the relationship between two aspects of self‐concept—perception of gender role and perceived competence—and the decision to have an abortion as a solution to a problem pregnancy. It was hypothesized that (1) there will be a positive relationship between the choice of abortion and perceived competence, and (2) there will be a negative relationship between the choice of abortion and the degree to which female role is perceived traditionally. The data came from a broader study conducted throughout Michigan during 1974–75. The study group consisted of 921 women who chose to have an abortion. A comparison group included 360 women with problem pregnancies who chose to keep their child. Data were obtained through an anonymous questionnaire which included the two relevant indices. The abortion group was found to be significantly higher in perceived competence than those who chose to keep the child, and the black abortion group was significantly less traditional than the black group which chose to keep the child. These relationships remained significant when age was controlled. Race did not affect subjects' degree of perceived competence, but blacks were more traditional than whites regardless of decision.