A Place to Age Right

A fireside, a hot drink in a mug and slippered feet up on the recliner.An Australian perspective on living in the right place in later life is the subject of a  report from the Global Centre for Modern Ageing. Their research is aimed at the business community, but the findings support other social research. They use a “House-Home-Haven” framework to present their findings. They found that older Australians are not planning their enablement to remain at home:

    • “Despite wanting to stay at home, only 17% of respondents thought their home would require repairs or modifications to enable them to do so.”
    • “Even amongst those who are experiencing difficulties at home, only 40% acknowledge the need for home modifications.”
These findings repeat that of the larger scale AHURI research that found  most want to stay put and think their current home will enable them to do so. Similarly, the My Home My Choices Tool is a response to this issue.
The report identified seven distinct needs that make the right place: Choice; Safety; Comfort; Access, Independence; Connection; and Happiness. But they weren’t planning get all this in a facility where help would be available. There’s much more in this easy to read report, Ageing in the Right Place
Related research by Caroline Holland looks at how older people’s loneliness isn’t just about where and who they live with. She also has a book chapter on a similar topic

UD in school buildings AND learning

A female teacher stands smiling in front of a of young students in school uniform. One has her arm raised as if to ask or answer a question.While we talk of inclusive education and designing inclusive learning material, little has changed in the physical design of schools. According to an article in The Conversation, the classic 7 Principles of Universal Design are too vague and abstract to be of any help. However, designers are often directed to them as the way to go. Read more on this discussion about learning from the best that already exists. The authors are Scott Alterator, Benjamin Cleveland and Jocelyn Boys. There are more useful links to other documents in the article.The title of the article is, Students with disabilities need inclusive buildings. We can learn from what’s already working.

Steinfeld and Maisel in 2012 devised the 8 Goals of Universal Design, which are more practical, but they haven’t had the same coverage as the Principles. 

Editor’s note: I agree with the authors that the 7 Principles are only a starter for thinking inclusively. Unfortunately they are so often quoted in academia and guidebooks that it is difficult to shift away from them. Part of the problem is that the term “universal design” is used in the UN Convention on the Rights of Persons with Disability. That isn’t the problem per se. If people don’t know what universal design is, they Google it or go to Wikipedia. A Google search will almost certainly take you to the 7 Principles. And then perhaps policy makers and designers look no further.

There is no quick fix checklist. Inclusion is more than that – it is a way of thinking. I wrote an article along time ago that is still being read, Universal Design: Is it Accessible?   

Inclusive Outdoor Recreation

A man with a backpack is walking down a path on a hillside. What does the international research on accessible nature-based tourism say? That’s what researchers in Sweden checked out.  Nine major themes emerged for inclusive outdoor recreation:

      1. employee attitudes towards people with disability
      2. accessibility of tourism websites and information systems
      3. accessible transportation, accommodation and tourist attractions
      4. technical solutions
      5. experience, motivations and constraints in tourism settings for people with disability
      6. tourism for the families and carers of people with disability
      7. tourism and leisure activities for older people
      8. the accessible tourism market
      9. nature-based tourism and outdoor recreation

This review found that existing research took the perspective of the consumer rather than the tourism operator. The report goes into more detail on the nine factors. It includes evidence from USA, Europe, UK and Sweden. The title of the report is, Enhancing Accessibility in Tourism & Outdoor Recreation: A Review of Major Research Themes and a Glance at Best Practice.

An very academic article, but with important findings. The key point – we need more research on businesses rather than consumers. 

Access to natural waterfronts

Timber planked pier leading to the ocean. Access to natural waterfront landscapes.Natural landscapes generally receive less attention than landscape architecture. So it is good to see that three Hungarian researchers have taken a serious look at the issues. Their study took the perspective of tourism and looked at tourist habits. They list some of the factors that need to be specifically considered for access to natural waterfront landscapes, including beaches.

The list of factors covers mobility, vision, and hearing. Parking and approach, jetties, pontoons, bathing, and fishing are all discussed. Several photographs show good examples of accessibility.

“If inclusive design and nature conservation principles are taken into consideration from the very beginning of the whole design process, access to waterfront landscapes can be spreaded [sic], and the natural values of the landscape remain existing and provide the experience of nature for the human race.”

The title of the article is “Access to Waterfront Landscapes for Tourists Living with Disabilities by Gabriella Szaszák , Albert Fekete and Tibor Kecskés. It’s open access.

Older people value outdoor spaces 

Stockholm from the water showing classic Scandinavian heritage buildings.What makes a city or community age-friendly? The World Health Organization has researched this and produced a comprehensive guide. But sometimes it pays to drill down to the detail at a more local level. Older adults’ perceptions of public spaces could be different to younger people. A research paper from Stockholm looked at green spaces, transport infrastructure and urban development and growth. The methods included visual methods and focus groups. The title of the paper is Promoting ‘Age-Friendly’ Cities: Assessing Elderly Perceptions of Public Spaces.  

The report concludes that respondents gave a high degree of importance to green spaces, features that promote continuity and connection to local histories. Spaces that encourage social interaction were also important. Loss of identity or character of buildings, as well as being inaccessible and poorly lit, added to feelings of discomfort.  Image by Maria Michelle.

Swim, Sail, Relax

Front cover showing two people surfing in black wet suits. One is laying down on the board the other is standing on it.Having fun in the sand and surf is the iconic Australian pastime. But not everyone gets an opportunity to join in the fun and swim, sail and relax. The Association of Consultants in Access, Australia newsletter features articles and case studies on beach access, sailing, a resort for people with spinal cord injury, and provisions for people with autism. Plus the general news of the association. The articles mainly feature specialist activities and designs, such as the resort. But that is all part of creating an inclusive society.

The 2020 newsletter is available online where you can view online through Issuu magazine. 

Beaches and water

The 2023 access consultants association magazine, Insight, is all about beaches, water and access. The lead article by Jane Bryce looks at the damage done by storms and the erosion of once accessible beach access.

Derek Mah covers the accessibility of aquatic facilities from an architect’s perspective. Access for swimming pools was first introduced in 2011. But the standard for the public domain (AS1428.1) is inadequate for ramps and stairs in pools. Mah discusses the issues of design and certification of swimming pools and some of the assistive equipment.

Howard Moutrie adds the technical insights and background information. Swimming pools are covered in the National Construction Code when it is part of another building. But there are exceptions. Swimming pools can be part of an apartment complex, an hotel, and a regular back yard. This is where it all gets tricky. Howard works his way through these in the article.

There’s a related research paper, Practical Applications of Aquatic Physical Activity, Swimming, and Thereapy for People with Visual Impairment or Blindness.

Related to outdoor recreation is Agri-Tourism

People are looking at bright orange pumpkins piled in rows in a field on a farm A well designed conference poster published by Ohio State University encapsulates the key points. 

The poster poses this question: “Ohio has almost 700 farms with an agritourism feature, which brings visitors to vineyards, orchards, and corn mazes, but are these farms welcoming to everyone?” Using photos it explains how to make farms and vineyards more accessible to everyone. Tasmania also has an Agritourism Strategy, but it doesn’t say anything about inclusion and accessibility. 

Attachment by design

A row of villa units with palm trees around.Attachment to home is a complex concept. For older people it is often interpreted as a place holding memories and providing security and peace of mind. Consequently, attachment to home is usually cited as the reason older people are not keen to move. However, it could be because there aren’t any better places to move to, and that includes retirement villages. The design of the dwelling might be more important than the “resort-style” features in the glossy sales brochures. And that comes down to the details of the design.

Retirement village residents were asked what would encourage them to feel attached to the place they might move to or live in. That is, what design features would make them feel happy. Functionality of the space turned out to be key – not the latest fashions. This excerpt from the abstract shows that:

“…having an open/semi-open layout of internal space, large windows and plenty of sunlight, accessible large closet and storage space, shared/public green space and accessible and age-friendly design of entry, bathroom and kitchen area are features most participants found to be important in raising their sense of attachment to where they live”.

Although this is not a broadscale study, it indicates that these features aren’t just needed in retirement villages. They are attractive to any age. If we had mainstream homes with these features there would be more choice for “rightsizing”.

The title of the thesis from New Zealand is, The Role of Architectural Design in Enhancing Place Attachment for Older Adults in Retirement Communities.

 

Are we achieving inclusive design?

Front cover of inclusive designer book. The Royal Institute of British Architects (RIBA) asked Julie Fleck to write a book about achieving inclusive design, which was published recently. Fleck was asked by Tourism for All whether she thought we are doing a good job with inclusive design. She said the UK has made huge progress since the 1980s when access became a town planning matter. Improved building regulation, including housing, have had a significant impact on the accessibility of the built environment.

The book also provided an opportunity for Fleck to look at what still needs to be done. She discusses the need to challenge perceptions, attitudes and behaviours. These are the factors that exclude and discriminate – often unintentionally. The book also looks at the London “Square Mile” and the 2012 Olympic and Paralympic Games. It has case studies and lots of pictures. The title of the book is, Are you an inclusive designer?  

Overview:

Despite improvements in the last 20 years we still have a way to go before all our buildings, places and spaces are easy and comfortable for everyone to use. This book puts forward a powerful case for a totally new attitude towards inclusivity and accessibility.

This book will empower architects to have more enlightened discussions with their clients about striving for better than the bare minimum. It also challenges the notion that inclusive design is a list of “special features” to be added to a final design. Inclusive design should be business as usual rather than something added on at the end of the development process.

The book is an invaluable resource for students as well as practicing architects. It is richly illustrated with case studies showing both good and bad examples of inclusive design. A thought-provoking text arguing for a step change in attitude. It’s also a guide for practitioners on how to have constructive conversations with clients, and a learning resource for students. 

 

Downsizing: Is anyone interested?

A For Sale sign with a red roof over the lettering.Downsizing is not happening even if policy makers think it’s a good idea for older generations. This is the bottom line of the latest brief from AHURI. So, what is downsizing? First, this concept is mostly about home owners not renters. There is financial downsizing to release equity by buying a cheaper home. But only 20 per cent of owner-occupiers aged 55 to 64 years in 2001 moved to another home of lesser value by 2016 (this age cohort was the most likely to have ‘financially downsized’ during this 15 year period).

Physical downsizing is often seen as reducing the number of bedrooms, but this is a crude measure. This is because the number of bedrooms isn’t the issue. The size of all the rooms could be smaller, but it’s the size of the yard and maintenance that really matters to older people. Fewer than 15 per cent of older home-owners moved to another home with fewer bedrooms between 2001 and 2016. This latest research serves to confirm the key study by Bruce Judd and team where they found all bedrooms were in use. Also, older people spend more time at home, so it’s their space for recreation and activities

The title of the brief is, Understanding downsizing: What are the different types of downsizing and how common is it? There are references to other related AHURI research in this brief.

Editor’s comment: Government and the property industry might be keen to see older home owners move. However, the evidence is showing that the property industry might have to re-think their strategy of trying to entice people into their retirement villages by continuing to design and build homes so that people can’t age in place.  

 

Weaving for inclusion

A woman is in a power wheelchair. She is discussing with three other people.Being with, and watching users is the best way to understand how to design software. This is particularly important when focusing on making designs inclusive. A university in Scotland weaves concepts of inclusion and accessible design throughout students’ undergraduate degree gradually introducing them to more complex inclusive design factors. This model could be used in any design discipline. The difficult part is likely to be having teachers who are confident interacting with people with disability and able to support students as they interact with different user groups. The title of the article is “Weaving Accessibility Through an Undergraduate Degree” available from ResearchGate.  

From the conclusion:  “Across all years of our undergraduate programme, we support students to interact with a wide range of users, with a wide range of abilities. Students’ communication with the end users is important, to build confidence on both sides. Students engage with older adults first, as they can typically relate to them more easily and are encouraged to engage in a relaxed environment, e.g. only one note-taker is required. As students progress, they work with users with increasingly complex communication challenges. For students not familiar with disabilities, this can be a difficult experience, and so the communication is supported by teaching and research staff. Students may have personal perceptions of what they expect from this group, but as they build a relationship with the users these initial perceptions are adjusted. This gives our students motivation for the inclusion of accessibility in software development and we aspire for them to champion accessibility within industry and develop inclusive software as a result.”

Abstract: Globally, increasing numbers of people experience accessibility issues related to technology use. At the University of Dundee, we have developed a degree programme that aims to graduate socially-aware computing scientists who can develop for a range of access needs. To achieve this, we engage our students on a supported pathway of exploration, empathy and understanding. Students collaborate with user groups of older adults, adults with aphasia, and users of Alternative and Augmentative Communication (AAC). This practical experience leads to an understanding of the needs of the end-user and the need to develop for ‘people who are not like me’.  

Designing hospitals with dementia in mind

A long wide corridor with lots of confusing lines in a hospital. Need to design with dementia in mind.Most of us feel vulnerable in hospital environments. Usually it’s because of their size, lots of people, corridors and signs. For people with dementia and other cognitive conditions, this can be extra scary. A team of researchers in Ireland gathered the research on designing hospitals with dementia in mind and similar cognitive conditions. They’ve come up with key design themes which are expanded upon in their article:

    • Support engagement and participation
    • Provide a people-centred environment
    • Support patient safety, wellbeing, and health
    • Balance sensory stimulation
    • Support legibility, orientation and navigation’
    • Adequate space to support the particular needs of a person with a cognitive conditions. 
    • Space and supports for accompanying persons and staff

The title of the Cochrane Review article is, Hospital design for older people with cognitive impairment including dementia and delirium: supporting inpatients and accompanying persons. It’s by Grey, Fleming, Goodenough, XIdous, Mohler, and O’Neill.

From the abstract

The aim of the study was to assess the effects of planning and design of hospitals, and to find out which approaches and features affect the health and wellbeing of older inpatients with cognitive condition such as dementia and delirium.

The study also assessed the effects of built environment interventions on accompanying persons. The focus was on any design feature that supports any person accompanying the patient in the hospital. The study also assessed the effects of built environment interventions on staff who are providing care to older patients with cognitive conditions. 

Universal design and dementia friendly hospitals

Front cover of the documentAcademic research and consumer input underpins this comprehensive guide to designing dementia-friendly hospitals from a universal design approach. The guide was developed in Ireland where they estimate almost one third of patients have dementia. Of course, dementia friendly design using a universal design approach is good and inclusive for everyone. The guidelines are available to read online using Issuu software. 

The short video below provides an overview of the design factors to consider in creating a dementia friendly hospital.

Dementia friendly hospitals: An in-depth study

A hosptial room with three empty beds. It looks very clinical and not dementia friendly. The design of the hospital environment can have an effect on people with dementia. That’s the finding of some new research carried out in hospitals where they interviewed patients and family members. 

The title of the article is, Dementia Friendly Hospital Design: Key Issues for Patients and Accompanying Persons in an Irish Acute Care Public Hospital  You will need institutional access for a free read. Or you can go to ResearchGate and ask for the full text

From the abstract

The findings are based on a stakeholder engagement process. The research team spent approximately 150 hours observing within the hospital, administered 95 questionnaires to patients and/or accompanying persons. Two structured interviews were carried out with patients and accompanying persons. 

This research confirms the negative impact of the acute hospital setting on older people with cognitive impairments including dementia and delirium. The research points to the value of understanding the lived experience of the person with dementia and accompanying persons. The voices of patients, particularly persons with dementia, are a crucial element in helping hospitals to fulfill their role as caregiving and healing facilities. 

Placemaking or Making Place?

A blue picture with swirling shapes as if under water.It’s time to move away from the word “placemaking” to “making place” and “making space”. This concept is discussed from an Indigenous Australian context in a book chapter titled, There’s No Place Like (Without) Country. Making place and making space allows for a view of spatial histories, claiming and reclaiming sites, and to uncover stories that are often overlooked in urban design practice. This is an academic text in,  Placemaking Fundamentals for the Built Environment, and you will need institutional access for a free read. It includes an example of the authors’ experience at the Sydney Olympic Park site. Sydney Olympic Park has documented some of the local Indigenous history.

Introduction: “In this chapter, we critique traditional placemaking approaches to site, through the Indigenous Australian concept of Country. We contest that a move away from the word ‘placemaking’ is overdue. We instead propose a practice of ‘making place’, and further ‘making space’ (i) that allows overlooked spatial (hi)stories to reclaim sites that they have always occupied, and (ii) for the very occupants and stories that are ordinarily overlooked in urban and spatial design practice. To do so is to accept that we must look to those marginal occupants, practices and writings that challenge the gendered, heteronormative, white, neuro-typical and colonising discourses that dominate architecture. Placemaking practices employ community consultation, privileging local stories and quotidian ways-of-being in response. It is our position, that even these ‘community-engaged’ processes perpetuate erasure and marginalisation precisely through their conceptualisations of ‘Site’ and what constitutes community. We present a model for an Indigenous/non-Indigenous collaboration that offers methods of spatially encountering site within a colonial context. We share our experiences of a project that we collaboratively produced in the Badu Mangroves at Sydney Olympic Park, to share the overlooked spatial histories and cultures of countless millennia. We have woven together Indigenous epistemologies, ontologies and axiologies, and design-as-research methodology.

See also Introduction: making Indigenous place in the Australian city from Post Colonial Studies journal.

Are you Diverse or Diversish?

A mosaic of many different faces and nationalities. Are you diverse?Sometimes wry humour and satire is the way to get the message across. Sheri Byrne-Haber’s article You might be #Diversish if… explains what Diversish means. It’s a satirical term for businesses and organisations that call themselves diverse because they have a diversity policy. However, when you look at what they actually do, the policy is just collecting dust. So their claims lack authenticity. The article includes a British satirical video that really represents many of the business conversations around diversity. Funny but serious.