Better home design reduces care hours

A bathroom has been stripped out and a few builders tools lay about on the floor. The bath is laying on its side. So why don’t we design homes for longevity in the first place? These findings are from a study by Phillippa Carnemolla, and there is more to this story. People felt more independent and enjoyed improved quality of life. This had a positive impact on their general health as well. There is more to discover in Carnemolla’s paper and it supports the need for all new homes to have basic access features included.

The title of the paper is, How Home Modifications Impact Ageing Well at Home: Supporting a Lasting Housing Legacy. It was published in Proceedings of the 5th International Conference for Universal Design in Fukushima & Tokyo 2014. Hence the reference in the Abstract to the upcoming 2020 Tokyo Games.

The International Journal of Environmental Research and Public Health published an update in 2019. The Title is, Housing Design and Community Care: How Home Modifications Reduce Care Needs of Older People and People with Disability

Here is Phillippa’s Three Minute Thesis video giving the bottom line.

Abstract

A lasting legacy of all Olympic and Commonwealth games is their athletes villages. This paper discusses the potential for home modifications to support the process of ageing well that builds on this housing legacy and as such points to the benefits to be gained from both wider uptake of universal design in housing plus attention to special adaptations as needed.

In the context of Australia’s ageing population, ageing well can encompass a number of different housing and care models, however common to all of these is a drive to maintain quality of life levels.

There is evidence to suggest that home modifications impact recipients in a number of overlapping ways, by increasing independence within the home, increasing social participation and enabling people to remain in their own homes for longer as they age.

This paper refers to completed stage one findings (Levels 1, 2 and 3) of an ongoing research project investigating the value of home modifications. It uses a mixed method approach and thematic analysis of survey responses from home modification recipients (n=157). This research design enables the measurement of the impact of home modifications to housing and resulting changes to care giving needs.

The survey results reveal a decrease in reported care hours needed following home modifications, a trend which is further supported by the thematic analysis. In conclusion, the research contributes to developing evidence that home modifications can have a measurable impact on the care needs of recipients and support the changing social needs of ageing populations in ageing well.

Dr Phillippa Carnemolla is a Director of CUDA. 

 

Persistence, Policy and Research

Parliament House, Canberra Australia facade.How well can evidence influence policy? Evidence can sometimes be an inconvenient political truth. This situation is frustrating for researchers and advocates alike. A few tips could help. Ten things to know about how to influence policy with research provides some helpful guidance. 

    1. Know what you want to influence – be clear about the policy issue
    2. Find out who you want to influence – who has the power?
    3. Consider when to influence
    4. Build relationships and networks
    5. Policy development is not a linear process
    6. Policy making is inherently political
    7. Plan your engagement
    8. Focus on idea and be propositional – be constructive
    9. It takes time, stick at it
    10. Monitor, learn and adjust along the way
    11. There are links to other useful references for researchers

Seems persistence is the key – don’t give up, says David McDonald. The 10 things to know was developed by the Overseas Development Institute based on years of experience. Find out more about the ten things. Here at CUDA, we are remaining persistent about implementing universal design everywhere.

Counting costs that don’t count

Road workers in hi-vis vests are laying bitumen. Counting costs don't count.
Workers repairing the road

Ever wondered why economic arguments seem to fall on stony ground even when they’ve been well researched and even asked for? Seems politicians’ personal experience counts more when decisions are being made. A Norwegian researcher wanted to find out why road-building priorities diverge from those suggested by cost-benefit analysis. It is likely that many other policy decisions are made in a similar way, not just road investments. That’s why sometimes counting costs don’t count.

Here is an excerpt from the findings about why factors other than cost criteria mean that counting costs don’t count:

Political institutions have created a kind of gift relationship in the road sector, with the state as donor and municipalities as recipients.

To the extent that the state cannot scrutinize all assumptions and calculations of traffic, costs and benefits, an information asymmetry arises and favours the local receivers.

In cases of local/national conflict of interest, some key politicians and other stakeholders at the donor side either have their own agendas (such as campaigning), or their loyalty is with the recipient rather than the donor (society).

It seems reasonable that elected representatives are less likely to vote in accordance with the benefit/cost ratios of projects the more sceptical they are to the method of CBA. When sceptical, they are apt to look for alternative decision support, even if several studies have found CBA results to be quite robust.

The intention has not been to argue that the benefit/cost ratio should be decisive when setting priorities among projects on classified roads, but rather to highlight circumstances that tend to push CBA results into the background. The principle of choosing projects with high benefit/cost ratio may be supplemented by so many other assessment criteria that the difference between professional and political judgement is dissolved.”

The title of the article is, Why don’t cost-benefit results count for more? The case of Norwegian road investment priorities. Published in Urban, Planning and Transport Research an open access article.

Abstract:

The starting point is that the benefit/cost ratio is virtually uncorrelated to the likelihood of a Norwegian classified road project entering the list of investments selected for the National Transport Plan. The purpose of the article is to explain what pushes cost-benefit results into the background in the prioritization process.

The reasons for their downgrading point to mechanisms that are at work not only in Norway. Explanatory factors are searched for in incentives for cost-ineffective action among planners, bureaucrats and national politicians, respectively, as well as in features of the planning process and the political system.

New data are used to show that the road experts’ list of prioritized projects changes little after submission to the national politicians, suggesting that the Norwegian Public Roads Administration puts little emphasis on its own cost-benefit calculations. Besides, it is shown that the petroleum revenues of the state do not provide a strong reason for neglecting cost-benefit accounts.

The overall contribution of the article is to offer a comprehensive explanation why professional and political authorities in Norway set road-building priorities diverging massively from those suggested by cost-benefit analysis.

Design and Inequality

Front cover of the journal. A black background with an orange abstract design.The introduction to a special issue of Design Issues focuses on the way design can reproduce inequality in society. It asks questions such as: In what ways do designers or design processes emerge in relation to social inequalities? How can the discussion of inequality be broadened within design practices? This introduction discusses the rise of design and refers to different concepts and debates relating to design and designing. An academic journal asking important questions about the role of design in exercising power, creating accessibility, capitalism and consumption, cultural reproduction, oppression and neglect. An important contribution to the discourse on design.

The introduction is titled, On the Need for Mapping Design Inequalities, by Mona Sloane. Subscription to the full journal Design Issues is required to read the other contributions.

“This collection offers Design Issues readers insight into the
multi-layered connections between design and inequalities. All the
articles address issues that are both deeply sociological and acutely concerned with design. They move across themes like the economy, labor, gender, disability, politics, colonization, material culture, class, and (social) policy. The essays clearly position themselves in the context of design inequality by pushing for greater criticality and reflexivity in design scholarship and practice.”

Volume 35, Issue 4.

 

Joining the dots for ageing in place

A chart shows the four main features of Lifelong homes: Safety, Walkable community, Visitability, and Affordability.A research paper from Colorado State University brings together all the elements for successful ageing in place – universal design in housing, walkable and wheelable communities and a discussion on home and place, and what it means for residents. It shows how simply providing infrastructure is insufficient to support population ageing.

While the situation is a little different in the US, the research supports Australian studies and the advocacy for universal design in housing. However, the recommendation for market incentives in terms of certification has not worked in Australia, save for the specialised homes specifically for people with disability. It is a similar situation in New Zealand. It has not produced mainstream uptake of accessible housing.

The tile of the report is, Colorado Lifelong Homes: A review of barriers and solutions for aging in place. 

Abstract:

Colorado’s aging population is growing, yet our housing options are not evolving to support this population. The need for housing that accommodates older adults as they age is crucial to balancing demands on other services, such as assisted living facilities, and to support successful and healthy aging.

Most homes in our state are not built using principles of universal design that support successful aging in place. The outcomes of community and industry engagement activities show that advocating for lifelong housing is a critical step to help advance age-friendly housing in the state of Colorado.

This paper summarizes key research and industry trends related to lifelong homes, the barriers in the marketplace, and the key qualities of lifelong homes. Based on this research, we present a path forward for advancing affordable, healthy, and safe home options for our growing population of older adults in Colorado and beyond.

 

Inclusive leisure facilities: A design guide

Front cover of Designing for Inclusivity. Designing for inclusive leisure facilities.
Front cover of guide

A design guide for inclusive leisure facilities is an excellent resource for designers, policy makers and municipal authorities. Lots of drawings and graphics provide design guidance and highlight the key points. Using the principles of universal design means that it is not a standardised design template.

Privacy and comfort for all users is one of the key elements. Mixed gender spaces for caregivers and parents with young children are also important. Local cultural customs also need to be considered. The classic gender segregation of space has already evolved into more universal space because of disability legislation. 

An assistance dog leans down towards a swimmer in the water at the side of the pool. Designing inclusive leisure facilities. The guide addresses confusion over language and terminology, use of space and general design principles. The title of the guide is, Designing for Inclusivity: Strategies for Universal Washrooms and Change Rooms in Community and Recreation Facilities. It covers: inclusivity for families, people with disability, transgender and non-binary people, privacy, increased efficiency and forward thinking design. The principles are:

1.  Strive for inclusivity and access for all
2. Use openness to enhance safety through activity and shared monitoring
3. Create privacy where most needed to enhance comfort
4. Welcome everyone with signage that emphasizes function and is clear, inclusive, and positive
5. Ensure supportive staff operations and communications

Universally designed leisure facilities

A walkway entrance at a universally designed leisure facility has a big green sign that has icons showing lots of different user groups. Universally designed leisure facilities.What does washroom and change room design have to do with social justice? Darryl Condon answers this question in a Pools and Leisure Magazine article. He has a good grasp of all the relevant design issues across the diversity and inclusion spectrum for universally designed leisure facilities.

The advice and information is explained using a universal design approach, which makes it relevant to other public facilities. Condon lists five design strategies that designers can take away. At the end of the article he advises that with any new facility, a diverse group of users should be consulted. A very thoughtful article in this international magazine published via issuu. It has other articles of interest to designers and architects.

The article, Designing for Inclusivity: Strategies for universal washrooms and change rooms in community sport and recreation facilities, is on page 48. Pictures and graphics are a nice addition.

The article begins: “What does washroom and change room design have to do with social justice? A great deal. As architects, we must consider the social impact resulting from all aspects of our work. Universal washrooms and change rooms are increasingly crucial in the design of recreation and sport facilities and are one element in our approach to more impactful design”.

This article is also on Linked In and probably easier to read than the issuu version. The picture is from the Linked In version. The social inclusion aspect is also discussed by Katherine Webber in Toilets, Taboos and Design Principles.  

 

Inclusive Tourism Language: Still taboo?

A orange-yellow sky with many coloured hot air balloons. The tourism sector continues to follow the medical model of disability where it’s the fault of the individual’s body rather than the design of the world around them. This approach affects the language used in promotional material. It also reinforces the mistaken idea that accessible “products” need to be special and separate. Stefania Gandin’s article looks at the language used in the tourism sector and the way tourism and travel is promoted. Understanding the social model of disability could help operators understand it is more than just catering to a particular physical condition. It is a matter of thinking of disability as a human characteristic and not being afraid to talk about it in promotional material and websites. Or, of developing only specialised disability-specific products as being “accessible tourism”. The underpinning principle of inclusive tourism is being able to independently enjoy holiday or leisure time without any barriers or problems. The move from the terminology of “accessible” tourism to “inclusive” tourism could also help.  

There will always be a need for specialist tourism products, particularly for people with physical disabilities who want adventure activities. But this does not take account of everyone, including people with health conditions who want to travel in groups. After all, many disabilities are invisible.

The title of the chapter is, Tourism, Promotion and Disability: Still a (Linguistic) Taboo? A Preliminary Study. The chapter is from Innovative Perspectives on Tourism Discourse and can be purchased separately. It can also be accessed via ResearchGate where you can ask the author for a copy. 

Abstract: This study illustrates the preliminary results of a corpus-based analysis aimed at discovering the main linguistic features characterising the promotion of tourism for special-needs travellers. Even if accessible tourism represents an important sector in the market, not only for its social and moral importance but also for its strong economic potential, detailed research on the linguistic properties of tourism for disabled people is still rather limited and mainly tends to focus on the problems of physical access rather than considering the ways to improve its promotional strategies. Through a comparative corpus-based analysis, this paper will investigate the relevant linguistic features of a corpus of promotional materials advertising holidays and tourist services for the disabled, and relate them to the communicative strategies of two other corpora dedicated to the standard and translational language of tourism. The aim of this research is to show how mainstream tourism discourse still considers disability as a taboo topic, mostly ignoring or vaguely mentioning it in the general promotion of tourist destinations. The study will also attempt to suggest new linguistic and social attitudes aimed at stylistically improving and further including the accessible tourism sector within the overall tourism promotion.   

Universally designed leisure facilities

A walkway entrance at a universally designed leisure facility has a big green sign that has icons showing lots of different user groups. Universally designed leisure facilities.What does washroom and change room design have to do with social justice? Darryl Condon answers this question in a Pools and Leisure Magazine article. He has a good grasp of all the relevant design issues across the diversity and inclusion spectrum for universally designed leisure facilities.

The advice and information is explained using a universal design approach, which makes it relevant to other public facilities. Condon lists five design strategies that designers can take away. At the end of the article he advises that with any new facility, a diverse group of users should be consulted. A very thoughtful article in this international magazine published via issuu. It has other articles of interest to designers and architects.

The article, Designing for Inclusivity: Strategies for universal washrooms and change rooms in community sport and recreation facilities, is on page 48. Pictures and graphics are a nice addition.

The article begins: “What does washroom and change room design have to do with social justice? A great deal. As architects, we must consider the social impact resulting from all aspects of our work. Universal washrooms and change rooms are increasingly crucial in the design of recreation and sport facilities and are one element in our approach to more impactful design”.

This article is also on Linked In and probably easier to read than the issuu version. The picture is from the Linked In version. The social inclusion aspect is also discussed by Katherine Webber in Toilets, Taboos and Design Principles.  

Tourism Australia and accessibility

A line pf people are boarding a coach outside a transit building.There is a cruise ship in the backgound.Tourism Australia has a web page titled Accessible Tourism. It is not a “how to” page. It gives a brief description of what accessible tourism is and Australian policies and legislation. Then it refers readers to a list of other organisations or guides listed below. This is not an exhaustive list, but it is a good start for tourism businesses, planners and local government.

Useful sites

    • Accessible Tourism in Victoria and Queensland – the report examines the travel experiences of domestic travellers with accessibility needs
    • PhotoAbility – Stock image library featuring individuals with disabilities in travel, leisure and lifestyle settings.
    • Push Adventures –  offers advice to make tourism businesses inclusive and accessible by a whole range of guests.
    • Sydney for All – A visitors’ guide to Sydney using universal icons to help users decide which attractions provide the appropriate level of access.
    • Accessible Victoria – The official tourist site for Melbourne and Victoria. Includes information on accessible accommodation, activities and attractions and the best ways to get around in Melbourne and Victoria.
    • Queensland Inclusive Tourism Guide –  a guide for making businesses more accessible and inclusive. Covers legal obligations, knowledge about the market, and strategies to improve the accessibility to appeal to a wider range of visitors of all abilities and ages.
    • TravAbility – TravAbility is dedicated to Inclusive Tourism through education, advocacy, and by providing accessibility information for the world’s best travel destinations.
    • Travellers Aid Australia – An organisation that provides simple, practical travel-related support and aid to help visitors of all backgrounds travel independently and confidently.
    • Vision Australia – Vision Australia has fact sheets on issues relating to people who are blind and vision impaired. The fact sheets range from accessible design for homes to customer service tips.
    • Inclusive Tourism: Economic Opportunities – enabling regional tourism businesses and local governments to improve information about inclusive services and products. 

Including people with disability also includes people with young children in prams, older people, and people with temporary disabilities. Accessible, or inclusive tourism is about ensuring tourist destinations, products and services are accessible to everyone, regardless of their physical limitations, disabilities or age. 

Landscaping with universal design

A garden with water features and lots of plantings around a curving footway. In the background a woman is being pushed in a wheelchair.Compliance with legal requirements in public spaces is rarely enough to guarantee access for everyone. People with invisible disabilities are often left out of designs. A focus on technical aspects often results in spaces that are still challenging for many. The American Society of Landscape Architects has a Universal Design page where they list some of the disabilities and impairments regularly overlooked. For example, dementia, deafness, vision loss, and autism. The classic 7 Principles of Universal Design are re-jigged to suit landscape design: 

      • Accessible
      • Comfortable
      • Participatory
      • Ecological
      • Legible
      • Multi-sensory
      • Predictable
      • Walkable/Traversable.

Parks and Plazas

Two people walk on a path that is edged with lots of greenery. In the background there are white cafe umbrellas. Universal design parks and plazas.Poorly designed spaces limit the number of people who can use them – they might look great, but that is not enough. Everyone should benefit from great civic space. The American Society of Landscape Architects has a great guide to Parks and Plazas. The online guide includes good case studies and easy to follow tips. Here are a few of the points covered. 

Connections to the street: Parks and plazas should meet the street at grade, ensuring that anyone can enter the space. When a grade change is needed, a choice of a ramp and steps creates a unified experience. Choose safe, slip resistant materials that are tactile and provide high contrast.

Clear identity: While maintaining a seamless entry from the street is important, creating a space separate from the street gives identity to the space. Trees can buffer noise and other sensory information from other areas.  

Providing options: Public places serve many different groups of people, with differing needs. One solution is not going to accommodate everyone, but the scale of many public places creates room for spaces that give visitors different choices and opportunities.

Ease of access to restrooms: Bathrooms that are easy to locate allow families with children, people with disabilities, and older adults to readily use facilities that everyone needs. Placing bathrooms near streets and along major pathways of parks makes locating restrooms easier if the need arises. Clear and regular signage to toilets are an essential part of enjoying parks and plazas. 

What is a great civic space? supports the parks and plaza guide. It looks at benefits of inclusion and the identity of place.  

Parks Designed for Inclusion

Open parkland with St Patrick's Cathedral Melbourne in the background.. Parks designed for inclusion.The Parks and Recreation Report does an excellent job of covering just about everyone in terms of age, level of capability, cultural background, refugee status and sexual orientation. Statistics on each of the groups help focus the mind when it comes to designing parks and recreation facilities.

The Report is a concise document emphasising that everyone can take advantage of facilities, programs, places and spaces that make their lives and communities great. Published by the National Recreation and Park Association. 

Also, have a look at Advancing play participation for all: The challenge of addressing play diversity and inclusion in community parks and playgrounds. This is an academic article which is also available on ResearchGate

Landscape architects lead the way

Image from the Arcadia report showing seating decorated with a shape of the shoreline.
Sandstone seating and Turpentine Ironbark timber. Corian detail shaped to reflect the shoreline of Sydney Harbour,

NSW legislation dictates that Aboriginal heritage must be protected. It’s a means of enriching the built environment, and not just a legal necessity. So, it falls to landscape architects to lead the way. 

A report by Arcadia Landscape Architects aims to show that engagement with First Nations people is not difficult. They are concerned that designers will unwittingly perpetuate the colonisation of space if they continue with established practice. As they say, it has to go beyond token responses of “ornamental recognition”. They add that engaging with First Nations people continues after the life of the design project. 

The report aims to encourage the wider built environment industry to engage with First Nations people. The concept of Country is more than just land, water and sky. Country is language, family culture and identity, and is loved, needed and cared for.   

“Arcadia emphatically rejects the softening of language when referring to British invasion and processes of colonisation. It is a trend for these processes to be referred to as “arrival” and “settlement”, however the softening of language perpetuates myths of terra nullius and denies First Nations people their history and suffering endured.”

Front cover of Arcadia report. Landscape architecture leads the way.The report covers:

      • Approach and a note on language
      • How to engaging with Knowledge holders
      • Engaging with Country, which has 5 steps and examples
      • Engaging with Industry 
      • What to do when you can’t engage 
      • Where to next? includes conducting cultural training

There is a list of references and further reading at the end. The title of the report is, Shaping Country: Cultural Engagement in Australia’s Built Environment.