Langer thuis blijven wonen als je ouder wordt, dat is waar de Nederlandse overheid op heeft ingezet. Maar hoe doe je dat? En willen we dat? Dit artikel belicht hoe 50-plussers en zorgverleners aankijken tegen domotica in relatie tot zelfstandig wonen.
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Third chapter of the English version of the book 'Energieke Arbeid' published by the Centre of Applied Labour Market Research and Innovation (Dutch abbreviation: KCA) to celebrate the 10th anniversary of applied labour market research at Hanze University of Applied Sciences. This chapter discusses the second line of research of KCA: The Labour Market in the EnergyPort Groningen Region.
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At ageing, there comes a certain point when people are no longer able to live independently in their own homes. With an ever increasing elderly population, this constitutes a significant and increasing burden for the health care expenses. The need for more cost effective solutions is evident.Research from H. van der Kloet (Hanze UAS) suggests that there is one main concern why people consider moving to an elderly home earlier than they actually need to; safety. There are many aspects to safety: self reliance, self confidence, indoor security and social security.With the elderly population becoming more technically aware, the opportunity of using technology to enable a longer independent life while maintaining or even enhancing quality of life, and thus to prevent rising health care expenses, is possible.With this in mind a Home Automated Living Platform (H.A.L.P.) was developed.
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Objective: To predict mortality by disability in a sample of 479 Dutch community-dwelling people aged 75 years or older. Methods: A longitudinal study was carried out using a follow-up of seven years. The Groningen Activity Restriction Scale (GARS), a self-reported questionnaire with good psychometric properties, was used for data collection about total disability, disability in activities in daily living (ADL) and disability in instrumental activities in daily living (IADL). The mortality dates were provided by the municipality of Roosendaal (a city in the Netherlands). For analyses of survival, we used Kaplan–Meier analyses and Cox regression analyses to calculate hazard ratios (HR) with 95% confidence intervals (CI). Results: All three disability variables (total, ADL and IADL) predicted mortality, unadjusted and adjusted for age and gender. The unadjusted HRs for total, ADL and IADL disability were 1.054 (95%-CI: [1.039;1.069]), 1.091 (95%-CI: [1.062;1.121]) and 1.106 (95%-CI: [1.077;1.135]) with p-values <0.001, respectively. The AUCs were <0.7, ranging from 0.630 (ADL) to 0.668 (IADL). Multivariate analyses including all 18 disability items revealed that only “Do the shopping” predicted mortality. In addition, multivariate analyses focusing on 11 ADL items and 7 IADL items separately showed that only the ADL item “Get around in the house” and the IADL item “Do the shopping” significantly predicted mortality. Conclusion: Disability predicted mortality in a seven years follow-up among Dutch community-dwelling older people. It is important that healthcare professionals are aware of disability at early stages, so they can intervene swiftly, efficiently and effectively, to maintain or enhance the quality of life of older people.
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This thesis has increased our knowledge of the needs of homeless people using shelter facilities in the Netherlands and of the needs and wishes of people living in persistent poverty. It provides guidance for policy and further professionalization and quality improvements to the services and support provided to homeless people and people living in persistent poverty. The results underscore the importance of broad and integrated policy measures to strengthen socioeconomic security, and emphasize the need for including the views of clients and experts by experience in the development of policy. Our research also stresses the need for services to employ peer workers to support homeless people and people living in persistent poverty and to apply a more human-to-human approach.
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The paper discusses the growing importance of urban freight research given the increasing urban population trends. The complexity of urban freight systems means that it is essential for the public and private sectors to work together - one way to achieve this has been through freight partnerships. A short review of freight partnerships highlights the way in which they have fostered mutual understanding among urban freight stakeholders. The literature on shared situational awareness (SSA) and joint knowledge production (JKP) has been adapted to position freight partnerships and to further develop and link these partnerships to the concept of a living laboratory concerned with urban freight transport. This novel application of the living lab concept is introduced. Next, the first phases of a city logistics living lab brought in practice in Rotterdam are shortly mentioned. The living lab concept fits the complexities of the urban freight system well and has been a cornerstone of a recently started major freight project in the EU (CITYLAB). © 2016 Published by Elsevier B.V.
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This dissertation focuses on the ability of frail older persons, living in homes for the elderly, to stay as independent as possible. The quality of life in older adults depends for a great deal on whether they are dependent from care or not, and to what extent they are dependent. Care dependency is directly linked to ADL performance. Older people experience failure when they cannot look after themselves any longer, after a life of hard work and build up independence. From the view of a geriatric physiotherapist, optimalization of physical fitness characteristics like muscle strength, flexibility, aerobic endurance, coordination, and balance is the tool which may improve performance of activities of daily living (ADL).
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In the Netherlands, there is an increasing need for collective forms of housing for older people. Such housing bridges the gap between the extremes of living in an institutionalised setting and remaining in their own house. The demand is related to the closure of many residential care homes and the need for social engagement with other residents. This study focuses on housing initiatives that offer innovative and alternative forms of independent living, which deviate from mainstream housing arrangements. It draws on recent literature on healthcare ‘rebels’ and further develops the concept of ‘rebellion’ in the context of housing. The main research question is how founders dealt with challenges of establishing and governing ‘rebellious’ innovative living arrangements for older people in the highly regulated context of housing and care in the Netherlands. Qualitative in-depth interviews with 17 founders (social entrepreneurs, directors and supervisory board members) were conducted. Founders encountered various obstacles that are often related to governmental and sectoral rules and regulations. Their stories demonstrate the opportunities and constraints of innovative entrepreneurship at the intersection of housing and care. The study concludes with the notion of ‘responsible rebellion’ and practical lessons about dealing with rules and regulations and creating supportive contexts. Original article at MDPI; DOI: https://doi.org/10.3390/ijerph17176235 And atachment "Supplementary Materials" (This article belongs to the Special Issue Feature Papers "Age-Friendly Cities & Communities: State of the Art and Future Perspectives")
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PowerPointpresentatie gehouden tijdens het webinar 'The Introduction to Living Labs' during the Kick off Meeting of INVEST.
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Technology that supports older adults can have a positive effect on their psychological and physical well-being in a way that they may live independently for longer periods of time. This study is conducted to identify relevant factors that influence the use of smart home and telecare technologies in order to develop a measurement tool for telecare acceptance. In this study we revise the original Technology Acceptance Model (TAM) to explain the use of smart home and telecare technology by older adults. The model will be tested in the field by researching the use of telecare technology (with multiple functionalities, such as personal alarms, screen-to-screen communication, and teleservices) by approx. 100 Dutch households. The research will provide guidelines for design, implementation and functionality of smart home and telecare technology for older adults. It will provide insight into what features contribute to effective use of technology for older adults who live at home independently.
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