The ambition underlying this study is to provide a valid and efficient screening tool targeting accessibility problems in the ordinary housing stock. The study aims to test the feasibility and interrater agreement of a screening-tool version of the Housing Enabler in a real estate company practice context. Two rater pairs administer the screening in 35 apartments in a Swedish municipality. The overall agreement for the rater pairs was 83% and 78%. For 29 of the 61 items of the tool, the agreement was >80% for both rater pairs; for 8 items, it was <80%. The findings show that the tool is feasible for use in a real estate practice context but that there is a need for more rater training and an instrument manual. This study contributes to the development of research-based strategies for the identification of accessibility problems in ordinary housing, with the long-term aim to increase accessibility in the housing stock, ultimately supporting activity and participation among senior citizens.
American Association of Retired Persons. (2003). These four walls. Americans 45+ talk about home and community. Washington, DC: Author.
2.
ByrtT.BishopJ.CarlinJ. B. (1993). Bias, prevalence and kappa. Journal of Clinical Epidemiology, 46(5), 423-429.
3.
CarlssonG.SchillingO.SlaugB.FängeA.StåhlA.NygrenC.IwarssonS. (2009). Towards a screening tool for housing accessibility problems: A reduced version of the Housing Enabler. Journal of Applied Gerontology, 28(1), 59-80.
4.
ChristiansenC. H.TownsendE. (2004). Introduction to occupation, the art and science of living. Upper Saddle River, NJ: Pearson.
5.
FayersP. M.MachinD. (2001). Quality of life, assessment analysis and interpretation. New York: John Wiley.
6.
FängeA.IwarssonS. (2003). Accessibility and usability in housing: Construct validity and implications for research and practice. Disability and Rehabilitation, 25, 315-326.
7.
FängeA.RisserR.IwarssonS. (2007). Challenges in implementation of research methodology into community-based occupational therapy—The Housing Enabler example. Scandinavian Journal of Occupational Therapy, 14, 54-62.
8.
FreedmanV. A.MartinL. G.SchoeniR. F. (2002). Recent trends in disability and functioning among older adults in the United States. Journal of the American Medical Association, 288, 3137-3146.
9.
GitlinL. N. (2003). Conducting research on home environments: Lessons learned and new directions. Gerontologist, 43, 628-637.
10.
HelleT.NygrenC.SlaugB.BrandtÅ.PikkarainenA.HansenA-G.PétersdórttirE.IwarssonS. (2010). The Nordic Housing Enabler: Inter-rater reliability in cross-Nordic occupational therapy practice. Scandinavian Journal of Occupational Therapy, 17(4), 258-266.
11.
HeylV.WahlH.-W.MollenkopfH. (2005). Visions, out of home activities and emotional well-being in old age. Do macro-context make a difference. International Congress Series, 1282, 147-151.
12.
IwarssonS. (1997). Functional capacity and physical environmental demand. Exploration of factors influencing everyday activity and health in the elderly population. Doctoral dissertation. Lund, Sweden: Department of Community Health Sciences, Lund University.
13.
IwarssonS. (2005). A long-term perspective on person-environment fit and ADL Dependence among older Swedish adults. Gerontologist, 45, 327-336.
14.
IwarssonS. (2009). Housing adaptations—Current practices and challenges for the future. In SöderbackI. (Ed.), International handbook of occupational therapy interventions (pp. 63-69). New York: Springer.
15.
IwarssonS.NygrenC.SlaugB. (2005). Cross-national and multi-professional interrater reliability of the Housing Enabler. Scandinavian Journal Occupational Therapy, 12, 29-39.
16.
IwarssonS.SlaugB. (2001). Housing Enabler: An instrument for assessing and analysing accessibility problems in housing. Nävlinge and Staffanstorp, Sweden: Veten & Skapen HB; Slaug Data Management.
17.
IwarssonS.SlaugB. (2010a). Housing Enabler—A method for rating/screening and analysing accessibility problems in housing. Manual for the complete instrument and screening tool (2nd rev. ed.). Lund and Staffanstorp, Sweden: Veten & Skapen HB; Slaug Enabling Development.
18.
IwarssonS.SlaugB. (2010b). The Housing Enabler Screening Tool—Short manual. Lund and Staffanstorp, Sweden: Veten & Skapen HB; Slaug Enabling Development.
19.
IwarssonS.StåhlA. (2003). Accessibility, usability, and universal design—Positioning and definition of concepts describing person-environment relationships. Disability and Rehabilitation, 25, 57-66.
20.
KötterR.BalsigerP. W. (1999). Interdisciplinarity and transdisciplinarity. A constant challenge to the sciences. Issues in Integrative Studies, 17, 87-120.
21.
LawtonM. P.NahemowL. (1973). Ecology and the aging process. In EisdorferC.LawtonM. P. (Eds.), The psychology of adult development and aging (pp. 619-674). Washington, DC: American Psychological Association.
22.
OswaldF.WahlH.-W.SchillingO.NygrenC.FängeA.SixsmithA.IwarssonS. (2007). Relationships between housing and healthy ageing aspects in very old age: Results from the European ENABLE-AGE Project. Gerontologist, 47, 96-107.
PreiserW. F. E.OstroffE. (2001). Universal design handbook. New York: McGraw-Hill.
25.
ScheidtR. J.Norris-BakerC. (2004). The general ecological model revisited: Evolution, current status, and continuing challenges. In WahlH.-W.ScheidtR. J.WindleyP. G. (Eds.), Annual review of gerontology and geriatrics, 2003. Vol. 23: Aging in context: Socio-physical environments (pp. 34-58). New York: Springer.
26.
ShoukriM. M. (2004). Measures of inter-observer agreement. Washington, DC: Chapman & Hall/CRC.
27.
SpillmanB. C. (2004). Changes in elderly disability rates and the implications for health care utilization and cost. Milbank Quarterly, 82, 157-194.
28.
StarkS. (2004). Removing environmental barriers in the homes of older adults with disabilities improves occupational performance. Occupational Therapy Journal of Research: Occupation, Participation and Health, 24, 32-39.
29.
WahlH.-W.OswaldF.FängeA.GitlinL.IwarssonS. (2009). The home environment and disability-related outcomes in aging individuals: What is the empirical evidence?Gerontologist, 49, 355-367.
