Abstract：
Home adaptation can be a key contributor to successfully aging at home, allowing older adults to remain in a familiar environment while maintaining their quality of life and well-being despite progressing functional difficulties. Although several theoretical studies on home adaptations exist, the benefits of custom home adaptations remain poorly evaluated. The present study\'s primary aims were to explore older adults\' expectations and needs regarding home adaptations and evaluate the impact of individualized home adaptations on quality of life, fear of falling, independence, and difficulties using adapted rooms. Its secondary aim was to describe the barriers and facilitators of home adaptation.
The 15 homes in this case series were adapted using an inclusive, interdisciplinary approach. Adaptations\' effects were assessed using a parallel mixed-methods design. Quantitative and qualitative data were collected using questionnaires and semi-structured interviews. An architect and a health professional visited each home twice to assess the older adult\'s expectations and needs, evaluate the home\'s technical aspects, and co-create an adaptation plan with that study participant. They assessed the older adult\'s perceived quality of life, fear of falling, independence, and difficulties using the rooms needing adaptations. Inhabitants received two more visits after the adaptations (one or two months and six months later) to assess their benefits.
Most homes had their bathroom adapted. Participants reported improved safety, independence, ease of use, positive feelings, and comfort. They also reported lower perceived levels of difficulties during the activities of daily living in the adapted rooms (reductions of 93.4% [SD = 12.7] of bathrooms and 100% of kitchens), an improvement in quality of life of 9.8% (SD = 27.6), and a reduction in fear of falling of 12.5% (SD = 9.7).
Home adaptations are beneficial to older adults\' activities of daily living and improve their quality of life; however, several factors hinder the implementation of those adaptations.
The 15 homes in this case series were adapted using an inclusive, interdisciplinary approach. Adaptations\' effects were assessed using a parallel mixed-methods design. Quantitative and qualitative data were collected using questionnaires and semi-structured interviews. An architect and a health professional visited each home twice to assess the older adult\'s expectations and needs, evaluate the home\'s technical aspects, and co-create an adaptation plan with that study participant. They assessed the older adult\'s perceived quality of life, fear of falling, independence, and difficulties using the rooms needing adaptations. Inhabitants received two more visits after the adaptations (one or two months and six months later) to assess their benefits.
Most homes had their bathroom adapted. Participants reported improved safety, independence, ease of use, positive feelings, and comfort. They also reported lower perceived levels of difficulties during the activities of daily living in the adapted rooms (reductions of 93.4% [SD = 12.7] of bathrooms and 100% of kitchens), an improvement in quality of life of 9.8% (SD = 27.6), and a reduction in fear of falling of 12.5% (SD = 9.7).
Home adaptations are beneficial to older adults\' activities of daily living and improve their quality of life; however, several factors hinder the implementation of those adaptations.
摘要：
家庭适应可能是家庭成功老化的关键因素，允许老年人留在熟悉的环境中，同时保持他们的生活质量和福祉，尽管进展功能困难。尽管存在一些关于家庭适应的理论研究，定制家庭适应的好处仍然没有得到很好的评估。本研究的主要目的是探索老年人对家庭适应的期望和需求，并评估个性化家庭适应对生活质量的影响。害怕跌倒，独立性,和使用适应的房间的困难。其次要目的是描述家庭适应的障碍和促进者。
这个案例系列中的15个家庭是使用包含的，跨学科的方法。使用平行混合方法设计评估适应效果。使用问卷调查和半结构化访谈收集定量和定性数据。建筑师和健康专业人员两次访问每个家庭，以评估老年人的期望和需求，评估家庭的技术方面，并与该研究参与者共同制定适应计划。他们评估了老年人的生活质量，害怕跌倒，独立性,和使用需要适应的房间的困难。居民在适应后（一两个月和六个月后）又接受了两次访问，以评估他们的收益。
大多数家庭都对浴室进行了改造。参与者报告安全性得到改善，独立性,易用性,积极的感情,和舒适。他们还报告了在适应房间的日常生活活动中感知到的困难程度较低（浴室和厨房减少了93.4％[SD=12.7]），生活质量改善9.8%(标准差=27.6)，恐惧下降12.5%(SD=9.7)。
家庭适应有利于老年人的日常生活活动，提高他们的生活质量；然而，有几个因素阻碍了这些改编的实施。
这个案例系列中的15个家庭是使用包含的，跨学科的方法。使用平行混合方法设计评估适应效果。使用问卷调查和半结构化访谈收集定量和定性数据。建筑师和健康专业人员两次访问每个家庭，以评估老年人的期望和需求，评估家庭的技术方面，并与该研究参与者共同制定适应计划。他们评估了老年人的生活质量，害怕跌倒，独立性,和使用需要适应的房间的困难。居民在适应后（一两个月和六个月后）又接受了两次访问，以评估他们的收益。
大多数家庭都对浴室进行了改造。参与者报告安全性得到改善，独立性,易用性,积极的感情,和舒适。他们还报告了在适应房间的日常生活活动中感知到的困难程度较低（浴室和厨房减少了93.4％[SD=12.7]），生活质量改善9.8%(标准差=27.6)，恐惧下降12.5%(SD=9.7)。
家庭适应有利于老年人的日常生活活动，提高他们的生活质量；然而，有几个因素阻碍了这些改编的实施。
