Maximise inclusion for ageing in place

A row of red brick terraced houses where people will age in place.
An image from the report

What does ‘ageing in place’ actually mean? For some it means staying put in the family home in their later years. For others it means staying in the same community. A co-design method was used to maximise inclusion for ageing in place. 

Researchers at the University of Manchester developed a ‘village’ model of support based on those in the US. The residents came together to identify the services that they need and how they could be better managed. Storytelling was an integral part of the data collection. Ideas were generated for supporting ageing in place at a local level. 

Front cover of the report on ageing in place.
Front cover of the report

The report on the project provides more detail about the diversity of the people they worked with. It recounts the difficulties recruiting volunteers and participants as well as overcoming distrust of decision-makers. Access to formal and informal meeting places was also an issue.

Recommendations include building social infrastructure and strengthening organisations led by older people. The title of the report is, Community interventions to promote ‘ageing in place‘. 

To move or not to move?

We expect to grow old, but because we don’t aspire to grow old, we rarely plan for it. “I’ll worry about it when the time comes” is a usual response. A report from AHURI looks at the housing situation for older Australians and some previous research is confirmed.

Most respondents felt their current home would suit them as they grow older, but they are not planning ahead. If they are, they lack information on how to go about it, what to look for, and what their options are other than age-segregated housing. A significant proportion of respondents hadn’t thought about planning ahead for their living arrangements. This is one reason why we need the Livable Housing Design Standard adopted in all states and territories. It is in the 2022 edition of the National Construction Code and there is a handbook for designers.  

Plenty of material in this report for anyone interested in housing and older people. Title of the report is, Older Australians and the housing aspirations gap. There’s a full report and an executive summary. 

But do all older people want to stay put?

Apartment block with blue windows and balconies with plants and washing drying.It is often said that older people want to stay put, but this may not be the case for everyone. A study from Berlin, Germany looked at this issue in depth. While some of the findings might be specific to Berlin, the article raises interesting questions.

The researchers found that social class, gender, age and migrant history were not necessarily measures of movement behaviour. The top three reasons that emerged were: to have a smaller apartment, an obstacle-free apartment, and to have to a cheaper apartment. 

The title of the article is, Why Do(n’t) People Move When They Get Older? Estimating the Willingness to Relocate in Diverse Ageing Cities.  This is an open access article in Urban Planning journal. The results indicate decisions to move are multifaceted. Older adults are not an homogeneous group with the same needs. As with other studies, older people want the same things as younger people. 

Related reading

Jem Golden provides an overview of the research project in a LinkedIn article.  The main objectives are:

    • Advance understanding of ‘ageing in place’ in cities using interdisciplinary perspectives
    • Examine policies and age-friendly initiatives aimed at supporting ageing in place across seven cities
    • Explore experiences of ageing in place among diverse ageing populations (reflecting different ethnic, gender and class backgrounds) living in urban neighbourhoods
    • Develop methods and tools for measuring and reporting the impact of age-friendly interventions
    • Co-produce innovative models of dissemination with various stakeholder groups

Inclusive Design Toolkit for designers

five members of the inclusive design group stand behind a table with the toolkit displayed. Each person is holding a card with a word. The words spell out 10 years inclusive design toolkit.
Left to right: Joy Goodman-Deane, Sam Waller, Mike Bradley, Ian Hosking, and John Clarkson.

The Inclusive Design Toolkit has proved to be an invaluable tool for designers since it’s inception in 2007. The updated version includes the exclusion calculator which shows how many potential users might be excluded. This makes it a great toolkit for designers in any field.

The news bulletin from the Engineering Design Centre that produces the Toolkit and other resources has information on:

    • The tenth anniversary of the Inclusive Design Toolkit and what has been achieved in that time.
    • New exclusion calculator for better assessment for vision and dexterity.
    • E-commerce image guidelines for mobile phone viewing.
    • Impairment simulator software for vision and hearing is now very handy for showing how vision impairments look and sound.

Cover of the book Inclusive design toolkitThe Engineering Design Centre has made great progress in inclusive design. It began by working with business to show the benefits of including as many people as possible in the design. The design team continue to break new ground keeping users at the centre of the process

An article in the Inclusive Design Toolkit Bulletin explains how a student redesigned the chip packet for easier opening. A beer and a packet of chips is a simple pleasure for most. But if you can’t open the chip packet then not so pleasurable. This is a problem for more people than you might think. 

Two gadgets to help designers, gloves and glasses, are available. Using a pack of Post-it Notes, Sam Waller demonstrates in the video below how many people will find it impossible to remove the cellophane wrapping. A good example of including people with low vision and/or arthritis is good for everyone and increases market size.

 

Tool for overcoming bias in design

A magnifying glass is held over a grid montage of human faces. Overcoming bias in design.Everyone has a bias. Our biases can lead us to fall into the traps that create unintended barriers or inconveniences for users. Recognising biases in our outlook is the key to countering them in design processes. Airbnb Design has a tool for overcoming bias in design. 

It’s a human trait to hold on to initial evidence more strongly than information we gather later on. Then we fit our interpretation of the world to match that initial evidence, regardless of what else we might learn as time passes. This can prevent the process of designing inclusively.

Airbnb Design partnered with journalists from News Deeply and came up with a toolkit for designers. Another Lens is a research tool for conscientious creatives. “We believe that both designers and journalists have the responsibility to shine a light on their bias by asking the right questions, seeking conflicting viewpoints, and expanding their lens to build inclusive, global solutions”.  

Three principles underpin the thinking process: balance your bias, consider the opposite and embrace a growth mindset. All good principles for universal design thinking. The website tool is simple to use, poses critical questions and provides the thinking behind it. 

It’s the way the brain processes things

A globe atlas of the world sits on a desk and lined up in front are small dolls representing different countriesDr Belina Liddell argues that culture may affect the way your brain processes everything. And that is important. The term “culture” is a very complex web of dynamic systems – beliefs, language and values, and also religion, socio-economic status and gender may play a part too.

Liddel explains how culture makes a difference to the way we not only perceive things intellectually, but visually as well. All this is from the emerging field of cultural neuroscience.  Now we have new acronym to deal with, WEIRD – Western, Educated, Industrialised, Rich, Democratic. The article also discusses refugee populations. See the ABC science website for more on this interesting article. 

 

Accessibility with help from Standards

The ISO Guide 71 eleven goals of accessibility.
Slide showing the 11 accessibility goals.

Who wants to refer to the instruction manual if they can avoid it?  In the same way, standards documents get overlooked unless it’s mandatory to comply. But there is one standards document that is worth looking at. It can help us progress accessibility and universal design. On day two of UD2021 Conference, Emily Steel explained how the international accessibility standard works. 

Emily Steel pointing to the 11 Goals of the Guide on the presentation slide.
Emily Steel with the 11 Goals of the Guide.

The international standard has done all the thinking for us. The document guides standards committees as they write and update standards for their specific industry or profession. It is also useful for any committee developing guides or standards for accessibility and universal design. So, we don’t have to re-invent the wheel. 

The Guide’s use of the the term “accessibility” relates closely to universal design. “The extent to which products, systems, services, environments and facilities can be used by people from a population with the widest range of characteristics and capabilities to achieve a specified goal in a specified context of use”. 

The Guide has two main parts. The first describes user needs and 11 accessibility goals. These are similar to the 8 Goals of Universal Design. The second describes human characteristics and abilities, and design considerations. 

Guide 71 was adapted by the European standards authority and is titled, CEN-CENLEC Guide 6. It is basically the same information. You can see a previous post about this document. 

There is also an Accessibility Masterlist by Gregg Vanderheiden. It’s a collaborative resource for understanding access features in digital applications. Also worth a look.

All standards should ensure they meet the goals of the UN Convention on the Rights of Persons with Disabilities. Guide 71 shows how to do this.

 

European universal design standard

Front cover of the Design for All standard.Universal design is a design thinking process so a universal design standard is a contradiction in terms. Standards are fixed where universal design is a continuous improvement process. However, where designers cannot grasp the concept of an inclusive thinking process, a set of design directions is needed. Hence a new European universal design standard for products, goods and services.

The standard sets out requirements and recommendations for extending the customer base for products and services. It’s for organisations that design and manufacture products and/or provide services. The aim is to ensure products and services are available to the widest range of users possible.

Diverse user needs, characteristics, capabilities and preferences area all covered. It is based on processes of user involvement and building on accessibility knowledge. The standard can also be used for complying with legislation and to advance corporate social responsibility. 

The standard was developed by Ireland’s National Disability Authority that houses the Centre for Excellence in Universal Design. The document has the title “design for all” which is a recognised European term, but notes that universal design, barrier-free-design and transgenerational design are the same thing. 

Design for All – Accessibility following a Design for All approach in products, goods and services – Extending the range of users can be purchased from the standards authority

There is a media release explaining a little more. 

Personas for digital technology

12 Faces representing the 12 personas.There’s nothing like asking potential users what they think of a new product. Even better if you involve them in the design process. But sometimes it’s not possible and designers resort to personas. This is often the case in digital technology. The Inclusive Design Toolkit has a suite of 12 personas representing a broad view of potential users. Each one has a story to tell about their lifestyle and their connection to technology.

Many factors affect digital exclusion: prior experience, competence, motivation and general attitude about technology. The personas highlight these factors to make it easier for designers to be inclusive. Each persona has a description of their lifestyle, competency with technology, and physical and sensory capabilities. 

The online resource is part of the Inclusive Design Toolkit with the option to download a PDF. You can take a deeper dive into the personas as a family set. This takes personas one step further by introducing family interactions. The Inclusive Design Toolkit also has an exclusion calculator that estimates the number of people unable to use a product or service. 

Cover of the book Inclusive design toolkitThe Inclusive Design Toolkit is based on thorough research over more than ten years. The personas were produced as part of a project to improve the inclusivity of railway journeys. 

The team wrote a conference paper about using personas for product development. They assessed the task of carrying a tray of food across a cafe, taking into account how using mobility aids restricts hand use. The title of the paper is, Evaluating inclusivity using quantitative personas. The full paper is available by request from ResearchGate. 

 

Videos more effective than policy

A brightly coloured film strip with the word Video on it.Policy is often seen as the way to make change. But when it comes to being inclusive it hasn’t worked very well. If policies, codes and papers are not accessible to all stakeholders, how can we create inclusion? Janice Rieger says videos are more effective than policy.

The title of her short paper and workshop is, Reframing Universal Design: Creating Short Videos for Inclusion. Her research provides insights on how videos travel and reach different audiences. This results in a significant impact and enacted change and informed policy. Dr Rieger concludes that “video impacts more than policies, codes and papers ever can”. 

Here is an extract from her paper:

“Video is a visceral medium, offering the opportunity to reframe universal design practice and education. It captures movements and can be co-created with people with disabilities. Videos co-created for inclusion encourage detailed and rich embodied knowledge and experiences because information is prompted by association with one’s surroundings. Significantly, videos have the capacity to excavate personalized knowledge of those with different abilities and uncover systems of exclusion that are often hidden or naturalized, and shamedly rendered invisible through policies, codes and papers.”

In a short video titled, Wandering on the Braille Trail, Sarah Boulton explains how she navigates the environment using her white cane and tactile ground markers.

 

Playmobile helps with design translation

Playmobile figure in a bed with a doctor figure standing by.Doctors and architects speak different languages. That’s understandable – they’ve been to entirely different schools. We can get by in a foreign country with gestures. But when it comes to communicating detail we need a phrasebook. Similarly, architects and health professionals a similar tool – Playmobile. It helps with design translation. 

Using Playmobile figures and 3D printed beds and hospital equipment designers and medical staff can shape the spaces together. Not everyone can grasp the concept of spaces on a two-dimensional drawing. Likewise, designers do not have an intimate understanding of how clinics work. But everyone has played with toys. 

This is a great example of Universal Design for Learning (UDL). The short article on FastCompany doesn’t mention this specifically, but it follows the basic tenets: multiple means of engagement, representation and expression. 

This is not a new idea – Lego has been used in other situations.

Online hearing and vision simulators

Picture of a coffee machine in a cafeEver wondered what it is like for someone with hearing loss trying to be part of a conversation in a restaurant? Or wondered what it is like to try and read a transit map if you have glaucoma?  Now you can check this out using online hearing and vision simulators to get the idea of the way things sound and look.

The Inclusive Design Group at the University of Cambridge have come up with a hearing simulator that covers mild, moderate and severe hearing loss in five different settings: restaurant, classical music, rock music, a ringing phone, and a station platform announcement. Similarly, the vision simulator includes the main vision impairments including macular degeneration, glaucoma, cataracts, and diabetic retinopathy. 

You can also use their Exclusion Calculator for vision, hearing, thinking, dexterity, reach and stretch and locomotion, to see how many people might be excluded if not thought about in the early stages of design. You can set the calculator for multiple capacities, such as sight, hearing, thinking and locomotion – all of which are needed to negotiate public transport, for example. A very useful tool for any designer.

 

Designers need help to prioritise

A table with white notes with the word "ideas" written in different ways on each one.Designing inclusively means to do the best you can to include everyone. But conflicts arise when a design feature suits one group and not another. So how do designers decide what is best? This is where designers need help to prioritise features that provide the most social good. And where else to look but to user groups, older people and people with disability.

A thoughtful conference paper discusses some of the underlying philosophy of inclusive/universal design and takes the road of pluralism. The authors argue that inclusive design, if taken literally, is unattainable. Justice and fairness are discussed and the authors frame this as ‘design as a deliberative enterprise’. Two case studies where people with disability were included in the design process provide a practical basis for their arguments.

The title of the paper is, Inclusive Design as a Deliberative Enterprise: The multifold value of involving disabled people in design.

Editor’s note: Taking the dictionary definition of “inclusion” for the purposes of research can be helpful if it aids implementation. Perhaps “universal” becomes a better term because it is not about perfection. Rather it is about the iterative process of continuous improvement to include as many people as possible in designs.

Abstract

Designers are challenged to consider human differences in order to meet the needs of the widest possible audience – the purpose of inclusive design. Yet, paradoxically, taking differences seriously may severely restrict ‘the widest possible audience’. How can design be fair if it is impossible to meet the needs of all? Earlier work on inclusivity and quality in design argued for conceiving inclusive design as a deliberative enterprise that involves both designers and the users they design for. A critical reason to involve the latter is that those affected by design decisions are likely to be best positioned to collect contextual information about the needs and demands to be
addressed.

In this paper, we build on this earlier work to take a more detailed look at the deliberative feature of inclusive design. To this end, we analyze two cases in which disabled people, not educated as designers, are involved in design: the first case concerns disabled students and staff of KU Leuven, who give students in engineering-architecture advice on their design projects; the second case concerns the Accessibility Advisory Council in Leuven, Belgium, which is chaired and composed by disabled people, and gives advice on design projects the city is involved in. The analysis is based on written reports and conversations about the project discussions with disabled students/staff and the Advisory Council.

Through this analysis we show that the value of deliberation in this context is multifold: letting contextual information filter in the design process; allowing users to advance reasons for and against possible design alternatives, and draw attention to implications, inconsistencies, ambiguities affecting the relevant beliefs and preferences; enabling both designers and users to reflect on reasons that can be shared, and putting them in a situation of interaction where they can recognize their interrelation with a group.

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