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Participation and Independence in Old Age - Aspects of home and neighbourhood environments

Author

Summary, in English

The current trend in Sweden is to support older people to remain living in their own homes as long as possible. Older people spend much of their daily life within the home and neighbourhood environment. It is well known that participation and independence is important in experiencing well being in old age. Thus from a health-promotion perspective it is interesting to uncover aspects within the home and neighbourhood environment that might relate to participation and independence in old age, in particular in very old age since resent research within this area is rather unexplored. Thus the overarching aim of this thesis was to explore old and very old people's participation and independence, focusing on aspects of home and neighbourhood environments. Public facilities in the neighbourhood important to visit were reported and a majority of problems in the neighbourhood environment were perceived along walking routes. Home was experienced as the locus and origin for participation and a signification of independence. Two dimensions of participation; Performance-oriented participation and Togetherness-oriented participation emerged and were statistically validated and objective as well as subjective home and neighbourhood variables were related the two dimensions of participation. The concept of independence was found to be a complex construct and there is a need of further explorations as regards the differentiation between independence and autonomy. The results of this thesis have further deepened the knowledge about very old peoples? own experiences of participation and independence as well as their relationships to the home and neighbourhood environment. The results are useful in future research on interventions on individual and societal level foremost in community-based occupational therapy.

Publishing year

2006

Language

English

Publication/Series

Lund University Faculty of Medicine Doctoral Dissertation Series

Document type

Dissertation

Publisher

Department of Health Sciences, Lund University

Topic

  • Occupational Therapy

Keywords

  • grounded theory
  • ENABLE-AGE
  • home
  • independence
  • neighbourhood environment
  • occupational therapy
  • participation
  • very old people
  • Medicine (human and vertebrates)
  • Rehabilitering (medicinsk och social)
  • revalidation
  • rehabilitation
  • kinesitherapy
  • Occupational health
  • industrial medicine
  • Yrkesmedicin
  • arbetsmiljömedicin
  • Physical medicine
  • Gerontologi
  • Gerontology
  • Medicin (människa och djur)
  • Social sciences
  • Samhällsvetenskaper

Status

Published

Project

  • Home, Health and Disability along the Process of Ageing

Research group

  • Sustainable occupations and health in a life course perspective

Supervisor

ISBN/ISSN/Other

  • ISSN: 1652-8220
  • ISBN: 91-85559-56-3

Defence date

15 December 2006

Defence time

09:00

Defence place

Vårdvetenskapens Hus, Baravägen 3, Lund

Opponent

  • Elizabeth Townsend (Professor)