Karolinska Institutet
Browse

Older people's home modification process

Download (276.09 kB)
thesis
posted on 2024-09-02, 22:27 authored by Karin Johansson

The overall aim of the thesis was to provide theoretical and empirical knowledge of interactions involved in the encounters between older persons experiencing activity limitations in their home environments and the service organisation related to home modification services, in the context of one Swedish municipality. A transactional perspective was used, meaning that the focus was on driving forces and relationships connecting different aspects and actors involved in older people s encounters with the service organisation related to home modification services. Four studies were included in the thesis. Different designs were chosen in the four studies to get a comprehensive understanding of older people s home modification processes. The designs included explorative quantitative design, case study design, longitudinal in-depth interview study and critical discourse study.

Findings from all studies were ultimately integrated and analysed, using the concepts of place integration and practical rationalities as theoretical tools for analysis. A general finding from the studies was that the older persons aspiration to create possibilities for action was a strong driving force throughout their home modification processes. An additional general finding was that the strategies used to create possibilities for action were expressions of practical rationalities resulting from relationships between the older persons values and their experienced scopes of action. The findings also demonstrate how the relationship between older people s practical rationalities and different professionals practical rationalities directed the home modification process through a process of negotiations.

A conclusion from this thesis is that an approach that recognises the changing characters of older people s ongoing lives and their interconnectedness to the service organisation is needed to provide home modification services that meet needs satisfactorily and are empowering to older persons experiencing activity limitations in their homes.

List of scientific papers

I. Johansson K, Lilja M, Petersson I, Borell L (2007). "Performance of activities of daily living in a sample of applicants for home modification services." Scand J Occup Ther 14(1): 44-53.
https://doi.org/10.1080/11038120601094997

II. Johansson K, Borell L, Lilja M (2008). "Older persons navigation through the service system towards home modification resources". [Submitted]

III. Johansson K, Lilja M, Josephsson S (2008). "Creating possibilities for action in the presence of environmental barriers, in the process of ageing in place." Ageing and Society. [Accepted]
https://doi.org/10.1017/S0144686X08007538

IV. Johansson K, Josephsson S, Lilja M (2008). "Practicing the good in allocation of home modification services." [Submitted]

History

Defence date

2008-08-29

Department

  • Department of Neurobiology, Care Sciences and Society

Publisher/Institution

Karolinska Institutet

Publication year

2008

Thesis type

  • Doctoral thesis

ISBN

978-91-7409-114-4

Number of supporting papers

4

Language

  • eng

Original publication date

2008-08-08

Author name in thesis

Johansson, Karin

Original department name

Department of Neurobiology, Care Sciences and Society

Place of publication

Stockholm

Usage metrics

    Theses

    Categories

    No categories selected

    Keywords

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC