Faculty of Health and Life Sciences, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle-upon-Tyne, UK.
School of Architecture, Planning & Landscape, Newcastle University, Newcastle-upon-Tyne, UK.
Health Soc Care Community. 2019 Nov;27(6):1469-1480. doi: 10.1111/hsc.12818. Epub 2019 Aug 8.
Most adults over 65 years old live in mainstream housing in the United Kingdom, yet these can often be unsuitable for an individual's needs. With increased understanding of the relationship between housing, and health and well-being, the importance of modifying the home to suit individuals is recognised as being paramount. However, it is often difficult to monitor the ways in which home adaptations and equipment are used in the home. This study used innovative wearable technology to explore everyday, lived experiences of using home adaptations and equipment. Six older adults who had received a major home adaptation in the last 24 months took part in this study. Each participant used a wearable camera for one day and participated in a semi-structured interview while watching the images back as a 'slideshow'. Using this novel approach, three themes were generated from the data: acquiring adaptations and equipment, adapting routine and changing behaviour, and inconsistent and unintended uses. The findings of this study open up the complexity of the lived experience of using home adaptations and equipment. Experiences from access to long-term outcomes are personal, and individuals modify and use the adaptations in various ways to suit their own needs. The wearable camera allowed additional insight into lived experience that would otherwise not have been captured without its use, as the photographs acted as a way of stimulating conversation and highlighting taken-for-granted behaviours not often consciously considered by the individuals.
大多数 65 岁以上的成年人居住在英国的主流住房中，但这些住房往往不能满足个人的需求。随着人们对住房与健康和幸福感之间关系的理解不断加深，人们越来越认识到对住房进行改造以适应个人需求的重要性。然而，要监测家庭改造和设备在家庭中的使用方式通常是很困难的。本研究使用创新的可穿戴技术来探索日常使用家庭改造和设备的生活体验。六名在过去 24 个月内接受过重大家庭改造的老年人参加了这项研究。每位参与者使用可穿戴相机一天，并在观看完图像作为“幻灯片”后参加半结构化访谈。通过这种新颖的方法，从数据中生成了三个主题：获取改造和设备、调整日常生活和改变行为以及不一致和意外的使用。这项研究的结果揭示了使用家庭改造和设备的生活体验的复杂性。从获得长期结果的经验来看，个人会以各种方式对改造和设备进行修改和使用，以满足自己的需求。可穿戴相机提供了额外的生活体验洞察力，如果没有它的使用，这些洞察力是无法捕捉到的，因为这些照片可以作为一种激发对话的方式，并突出一些被认为是理所当然的行为，而这些行为通常不会被个人有意识地考虑。
