HOME USABILITY Life starts at home. AUTHORS AND ACKNOWLEDGEMENTS Authors: Lillie Greiman MA, Craig Ravesloot PhD, Bob Liston MA Parker Sanders, Andrew Myers Acknowledgements: This project is a collaboration between the RTC on Disability in Rural Communities at the University of Montana and the RTC on Community Living at the University of Kansas. Funding by: The National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) LIFE STARTS AT HOME. Home is where everything begins Community participation Employment
Socialization and recreation Health A large proportion of people with mobility impairments live in homes that do not meet their needs. Of rental households that have someone who uses a mobility device (Greiman & Ravesloot, 2014): 54.2% have a step to enter them 44.9% do not have grab bars in the bathroom 9.4% do not have a main floor bedroom 6.2% do not have a bathroom on the main floor Bathrooms in particular present a safety risk to older adults and people with disabilities (Stevens, Haas, Haileyesus, 2008 and Vladutiu et al, 2012) HEALTH AND HOME SURVEY Self-report survey to assess home usability, health, and participation Descriptive characteristics of the home
Experiences within the home (ease, satisfaction, safety and exertion) Heath indicators Participation indicators METHODS General Population Sample: Look at home usability across three urban communities using a random sample of approx. 2,500 address from zip codes surrounding local CILs in: Atlanta, Georgia (33 Zips) Fresno, California (25 Zips) Indianapolis, Indiana (30 Zips) Total Design Survey Method (Dillman) Post cards to ID participants, surveys follow, reminder letters and priority surveys mailed SAMPLE DEMOGRAPHICS (N=23) Sex Male Female
30.4% 65.2% Mean Age (Range) 64 (31-91) Race and Ethnicity African American 21.7% White 56.5% Asian 8.7% American Indian 8.7% Hispanic 4.3% Education Less than high school 30.4% High school/GED
17.4% Some college/Tech degree 30.4% Bachelors and higher 21.7% Employment Not employed 73.9% Household Income < $20,000 56.5% $20,000-$60,000 12.9% $60,001-$100,000 21.7% >$100,000 4.3% IMPAIRMENT AND HEALTH Impairment
Walking Errands Dressing Hearing Memory Grasping Vision Time with limitations (mean) Number of limitations (mean) 82.6% 47.8% 39.1% 30.4% 30.4% 30.4% 4.3% 8.1yrs. 2.7
Equipment Cane Walker Manual Wheelchair Oxygen Health Excellent Very good Good Fair Poor 43.5% 30.4% 21.7% 17.4% 0% 8.7% 26.1% 30.4%
26.1% RELATIVE SAFETY THROUGHOUT THE HOME Safety Ratings: Scale from 1-5 (Not at all safe to very safe) Standard Home Activity Mean rating Dev. Cleaning 3.5 1.5 Bathing 3.6 1.3 Storage 3.8 1.5 Preparing food
4.0 1.3 Entering home 4.3 1.0 Using toilet 4.3 1.0 Getting to bed 4.4 0.9 Using living room 4.7 0.6 SAFETY RATINGS BY GRAB BARS Grab Bars and Safety Rating: Independent Samples T-Test Grab bars present Has toilet
Has shower Needs toilet Needs shower bars bars bars bars Yes No 4.4 4.0 3.6 2.8 4.2 3.3 4.9
4.2 Pvalue NS NS 0.013 0.028 IMPLICATIONS Overall, people appear to feel safe in their homes, but not completely safe. What effect may there be on ones confidence to participate in community, if they dont feel completely safe at home? If these results hold as we add cases, then simple home modifications will improve perceived safety. For the sizeable proportion of people in this small sample who want them, grab bars would reduce risk of injury. NEXT STEPS This data begins to help us understand the need for basic home
modifications, and what the possible outcomes of those modifications could be. Continue collecting data: Input of general population survey returns Collection of a CIL consumer sample Intervention: The Home Usability Network ( www.useablehome.com) Explore methods for increasing home usability for people with disabilities and older adults Collect pilot data on the health and participation outcomes of home modifications
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