Choice and control for people ageing with intellectual disability in group homes.

BACKGROUND: Many people ageing with intellectual disabilities (ID) age in place in group homes. Participation is a central concept in support and service to people with ID, but age is often a determining factor for participation among this group. Choice and control are dimensions of participation. AIM: The aim of this article is to explore how choice and control in the everyday life of people ageing with ID is expressed and performed in the group home's semi-private spaces. MATERIAL AND METHODS: Participant observations and interviews with residents and staff were conducted in four different group homes in Sweden that had older residents. RESULTS: Four categories were found that can be understood as aspects of choice and control in the group home's semi-private spaces in the everyday life of people ageing with ID. These categories included aspects such as space and object, time and routines, privacy, and a person-centred approach. CONCLUSION AND SIGNIFICANCE: People ageing with ID are vulnerable when it comes to maintaining choice and control in various situations in the home's semi-private spaces. It is argued that occupational therapists should include this occupational arena in their evaluations and interventions for people ageing with ID.

All the things I have - handling one's material room in old age.

The article explores how old people who live in their ordinary home, reason and act regarding their 'material room' (technical objects, such as household appliances, communication tools and things, such as furniture, personal belongings, gadgets, books, paintings, and memorabilia). The interest is in how they, as a consequence of their aging, look at acquiring new objects and phasing out older objects from the home. This is a broader approach than in most other studies of how old people relate to materiality in which attention is mostly paid either to adjustments to the physical environment or to the importance of personal possessions. In the latter cases, the focus is on downsizing processes (e.g. household disbandment or casser maison) in connection with a move to smaller accommodation or to a nursing home. The article is based on a study in which thirteen older people (median age 87), living in a Swedish town of medium size were interviewed (2012) for a third time. The questions concerned the need and desire for new objects, replacement of broken objects, sorting out the home or elsewhere, most cherished possessions, and the role of family members such as children and grandchildren. The results reveal the complexity of how one handles the material room. Most evident is the participants' reluctance to acquire new objects or even to replace broken things. Nearly all of them had considered, but few had started, a process of sorting out objects. These standpoints in combination resulted in a relatively intact material room, which was motivated by an ambition to simplify daily life or to facilitate the approaching dissolution of the home. Some objects of special value and other cherished objects materialized the connections between generations within a family. Some participants wanted to spare their children the burden of having to decide on what to do with their possessions. Others (mostly men), on the contrary, relied on their children to do the sorting out after they had died.

Doing everyday life--experiences of the oldest old.

The purpose of this article is to explore how a group of elderly people, living and managing on their own, describe and experience their everyday doings. Interviews and observations were conducted with 18 community-living people aged 85 and above. The experiences of 'Doing everyday life' are described in five overarching themes: 'Experiencing being old', 'Doings in everyday life', 'Patterns of the day', 'Altered doings', and 'The importance of time'. What is done during an ordinary day does not differ much from earlier in life, but how the doings are performed has changed. Being occupied and staying healthy and sound in mind was stressed as important in old age and even if reduced energy and functional constraints limited the doings, a strong volition to manage independently was expressed. The participants perceived society as regarding the elderly as useless and worthless. Knowledge emanating from the very old themselves is vital to diversify the image of elderly people and to offer interventions and support adapted to their needs and desires.

A review of research with elderly people as respondents reported in occupational therapy journals.

The aim of this article is to review research presented in occupational therapy journals with the elderly as respondents. With an increasing number of elderly people in society research including the elderly should play a vital role within occupational therapy especially since emphasis on subjective experience is an important factor in the core constructs of occupation. Through a review of six occupational therapy journals, covering the period 2001--2006, it was discovered that 15% of the total number of articles included the elderly as respondents. The published articles with the elderly as respondents were mainly quantitative with the most frequent subject being instrument developing and testing. Most studies had a population group of mixed ages, making it hard to draw conclusions concerning the elderly population. The conclusion is that more research of a qualitative nature reflecting the subjective perspectives of the elderly is needed, especially regarding the oldest age group since this is the fastest growing and there is still limited knowledge regarding their perspective on matters concerning their everyday lives and their doings. Technological developments are implied to benefit elderly people but more research and discussion is needed on how this will affect both the elderly and occupational therapy theory and practice.