Feature Article
Home Modification and Prevention of Frailty Progression in Older Adults: A Japanese Prospective Cohort Study
Journal of Gerontological Nursing, 2014;40(8):40–47
Cite this articlePublished Online:March 11, 2014https://doi.org/10.3928/00989134-20140311-02Cited by:23
Abstract
The aim of this study was to determine whether home modification was associated with subsequent progression of frailty and mortality in older adults. We conducted a prospective cohort study in 574 adults 65 and older who required a low or moderate level of care. Of these, 34% modified their homes—most frequently a corridor—and the most common type of modification was the installation of handrails. The mortality was significantly lower among older adults with home modifications than in those without home modifications at 2 years (adjusted hazard ratio [HR] = 0.52; 95% confidence interval [CI] [0.32, 0.87]), 3 years (HR = 0.57, 95% CI [0.54, 0.81]), and 4.7 years (HR = 0.65, 95% CI [0.65, 0.91]). These findings suggest that home modification may prevent the progression of frailty (i.e., need for low/moderate level of care increasing to the need for high level of care) in older adults. [Journal of Gerontological Nursing, 40(8), 40–47.]
- Agency for Healthcare Research and Quality. (2010). AHCPR research on long-term care. Retrieved from http://www.ahrq.gov/research/longtrm1.htm > Google Scholar
- Bureau of Statistics Ministry of Internal Affairs and Communications. (2002). Relocation information in basic resident register. Retrieved from http://www.stat.go.jp/data/idou/index.htm > Google Scholar
- Costa-Font J. (2008). Housing assets and the socio-economic determinants of health and disability in old age. Health & Place, 14, 478–491.
10.1016/j.healthplace.2007.09.005 > Crossref MedlineGoogle Scholar - Grønskag A.B., Romundstad P., Forsmo S., Langhammer A., Schei B. (2012). Excess mortality after hip fracture among elderly women in Norway. The HUNT Study. Osteoporosis International, 23, 1807–1811.
10.1007/s00198-011-1811-y > Crossref MedlineGoogle Scholar - Henderson V. (1969). Basic principles of nursing care. Geneva, Switzerland: International Council of Nurses. > Google Scholar
- Hofmann M.T., Bankes P.F., Javed A., Selhat M. (2003). Decreasing the incidence of falls in the nursing home in a cost-conscious environment. A pilot study. Journal of the American Medical Directors Association, 4, 95–97.
10.1016/S1525-8610(04)70282-0 > Crossref MedlineGoogle Scholar - James R.N.. (2008). Residential satisfaction of elderly tenants in apartment housing. Social Indicators Research, 89, 421–437.
10.1007/s11205-008-9241-8 > CrossrefGoogle Scholar - Kuroda K., Baba A., Mizuno H., Tsumura C. (1994). Effectiveness of a programme to improve housing conditions for elderly requiring supportive care in Edogawaku, Tokyo. Nihon Koshu Eisei Zasshi, 41, 404–414. > MedlineGoogle Scholar
- Mann W.C., Ottenbacher K.J., Fraas L., Tomita M., Granger C.V. (1999). Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly. A randomized controlled trial. Archives of Family Medicine, 8, 210–217.
10.1001/archfami.8.3.210 > Crossref MedlineGoogle Scholar - Miceli D.G., Strumpf N.E., Reinhard S.C., Zanna M.T., Fritz E. (2004). Current approaches to postfall assessment in nursing homes. Journal of the American Medical Directors Association, 5, 387–394.
10.1016/S1525-8610(04)70007-9 > Crossref MedlineGoogle Scholar - Ministry of Health Labour and Welfare. (1998). 1998 report on nursing care services for older adults. Retrieved from http://www.med.or.jp/nichinews/n110305h.html > Google Scholar
- Ministry of Health Labour and Welfare. (2005). Trends in long-term care insurance related statistics. Kousei no Shihyo, 52(16), 9. > Google Scholar
- Ministry of Health Labour and Welfare. (2012a). Trends in health of nation in Japan. Kousei no Shihyo, 599, 42–47. > Google Scholar
- Ministry of Health Labour and Welfare. (2012b). White paper 2012: Social security. Tokyo, Japan: Nikkeiinsatsu. > Google Scholar
- Ministry of Land Infrastructure, Transport and Tourism. (1950). Article 22 of the Building Standard Act. Government Ordinance. No. 338. > Google Scholar
- Ministry of Land Infrastructure, Transport and Tourism. (2004). Housing demand survey in 2004. Retrieved from http://www.mlit.go.jp/kisha/kisha04/07/070903.html > Google Scholar
- Nikolaus T., Bach M. (2003). Preventing falls in community-dwelling frail older people using a home intervention team (HIT). Results from the randomized Falls-HIT trial. Journal of the American Geriatrics Society, 51, 300–305.
10.1046/j.1532-5415.2003.51102.x > Crossref MedlineGoogle Scholar - Ono M., Takafuji Y., Nakamura C., Kawahara M., Matsumoto N., Seguchi C., Kusuhara K. (2005). Change of clients and their family’s life by home modifications: Interview with the recipients of long-term care insurance program and families. Ronen Kango, 35, 128–130. > Google Scholar
- Rubenstein L.Z., Josephson K.R., Osterweil D. (1996). Falls and fall prevention in the nursing home. Clinics in Geriatric Medicine, 12, 881–902. > Crossref MedlineGoogle Scholar
- Shirasawa S. (2004). The home nursing system for the elderly of Nykoeping, Sweden. Journal of the Research Institute of Science and Technology, 103, 135–147. > Google Scholar
- Social Policy Bureau Cabinet Office. (2013). Home accidents in older persons from hospital information on harms. Retrieved from http://www.kokusen.go.jp./pdf/n-20080904_3.pdf#search > Google Scholar
- Statistics Denmark. (2011). Denmark in figures 2011. Retrieved from http://www.dst.dk/pubpdf/14851/dkinfigures > Google Scholar
- Wada I. (2012). Welfare policies and health service research. Nihon Koshu Eisei Zasshi, 59, 566–568. > MedlineGoogle Scholar
- Wang C.B., Lin C.F., Liang W.M., Cheng C.F., Chang Y.J., Wu H.C., Leu T.H. (2013). Excess mortality after hip fracture among the elderly in Taiwan: A nationwide population-based cohort study. Bone, 56, 147–153.
10.1016/j.bone.2013.05.015 > Crossref MedlineGoogle Scholar - Yokozuka M., Nito E., Suzuki K., Azumi H. (2010). Effects of home improvements funded by the long-term care insurance program on daily life activities. Rigaku Ryoho Kagaku, 25, 855–859.
10.1589/rika.25.855 > CrossrefGoogle Scholar - Zhao L., Tatara K., Kuroda K., Takayama Y. (1993). Mortality of frail elderly people living at home in relation to housing conditions. Journal of Epidemiology and Community Health, 47, 298–302.
10.1136/jech.47.4.298 > Crossref MedlineGoogle Scholar
