Enhance Age Friendly Environments

  • Principal Investigators

    Dr Kay Saville-Smith

    CRESA

    Professor Jaqueline Cumming

    Victoria University

    Dr Robin Kearns

    University of Auckland

    Dr Beverley James

    Good Homes for Good Lives team

    Associate Professor Elsie Ho

    University of Auckland

    Dr Fiona Cram

    Katoa Ltd

    Enhance Age Friendly Environments

    Maintain Wellness Independence

    Promote Social Integration

    Value Older People in all Settings

    Independence and Housing Tenure

    This research is about the future of older people in an increasingly diverse New Zealand where structural population ageing is taking place at the same time as a housing tenure revolution.

    Exploring the impacts of rental housing into the future.
    Exploring the impacts of rental housing into the future.

    From the highest rates of home ownership in the western world, NZ’s owner occupation rates are falling rapidly to levels that prevailed in the 1930s. How will this rising reliance on the (mainly private) rental market impact on older people into the future?

    We ask to what extent will reliance on the rental market:

    • Inhibit or support older people’s wellbeing and independence
    • Promote or reduce older people’s on-going social, economic and cultural contributions and reciprocities
    • Reduce or support the mitigation of mental, physical, or cognitive disability to maximise engagement and personal dignity

    Our research explores those impacts and dynamics.

    Diverse older people trends graph 650px

     

    Age Concern group work
    Age Concern representatives contribute to planning.

    We work with older people and stakeholders in New Zealand’s diverse communities to identify adaptive strategies and tools that will mitigate negative impacts and optimise opportunities for older people. We aim to not only add life to their own years but continue to be productive, contributing and valued members of their communities.

    This is multi-method research which combines demographic and quantitative data with working with older people and communities to explore the impacts of tenure on older people and community well-being.

     


    Related Information

    Anticipated End Date: June 2019


    Publications &
    Proceedings

    2020

    Bates, L., Kearns, R., Coleman, T., & Wiles, J. (2020). ‘You can’t put your roots down’: Housing pathways, rental tenure and precarity in older age. Housing Studies, 35(8), 1442-1467. doi:10.1080/02673037.2019.1673323

    Cram, F., & Munro, M. (2020). Life when renting for older Māori. AlterNative: An International Journal of Indigenous Peoples, 16(1), 64-75. doi:10.1177/1177180120903504

    James, B. L., Bates, L., Coleman, T. M., Kearns, R., & Cram, F. (2020). Tenure insecurity, precarious housing and hidden homelessness among older renters in New Zealand. Housing Studies, 1-23. doi:10.1080/02673037.2020.1813259

    2019

    Pledger, M., McDonald, J., Dunn, P., Cumming, J., & Saville-Smith, K. (2019). The health of older New Zealanders in relation to housing tenure: analysis of pooled data from three consecutive, annual New Zealand Health Surveys. Australian and New Zealand Journal of Public Health, 43(2), 182-189. doi:10.1111/1753-6405.12875

    Bates, L., Kearns, R., Coleman, T., & Wiles, J. (2019). Older residents’ experiences of islandness, identity and precarity: Ageing on Waiheke Island. Island Studies Journal 14(2), 171-192.

    Bates, L., Wiles, J., Kearns, R., & Coleman, T. (2019). Precariously placed: Home, housing and wellbeing for older renters. Health & Place, 58, 102152. doi:10.1016/j.healthplace.2019.102152

    2018

    Lorraine James, B., & Saville-Smith, K. (2018). Designing housing decision-support tools for resilient older people. Architectural Science Review, 61(5), 305-312. doi:10.1080/00038628.2018.1505597

    Saville-Smith, K. (28 February, 2018). Sustainability and Environment in an Ageing New Zealand Keeping Pace with Two National Science Challenges. Presentation for Ministry for the Environment, New Zealand.

    2017

    James, B., Rehm, M., & Saville-Smith, K. (2017). Impacts of leaky homes and leaky building stigma on older homeowners. Pacific Rim Property Research Journal, 23(1), 15-34. doi:10.1080/14445921.2016.1266983

    James, B., Saville-Smith, K. (13 December, 2017). Older Tenants, Advocacy and Research-based Tools. Presentation to Council of Christian Social Services and the Tenants Advocacy Network, New Zealand.

    James, B. (4 December, 2017). Marlborough Housing Needs. Marlborough Housing Group, New Zealand.

    McDonald, J., Pledger, M., Cumming, J., Dunn, P., Fraser, R., & Saville-Smith, K. (1-3 November, 2017). Ageing well in New Zealand – is the health of older people related to their housing tenure? 10th Health Services & Policy Research Conference, Surfers Paradise, Australia.

    Saville-Smith, K. (18 October, 2017). Unsustainable, Dysfunctional, and Costly Cities for an Ageing New Zealand. New Zealand Sustainable Cities Seminar, Wellington, New Zealand.

    James, B., Saville-Smith, K. (18 September, 2017) Housing in an Ageing Society . Presentation to Housing Stakeholders, Nelson, New Zealand.

    James, B., Saville-Smith, K. (18 September, 2017) Secure Housing as We Age. Presentation to Housing Meeting Tasman District, New Zealand.

    Cram, F. (30 May, 2017). He Whare Rīhi – Older Māori and Life When Renting. Presentation to the Mid-term Summit, Tauranga, New Zealand.

    Ho, E. (30 May, 2017). New Settlers Case Study: The housing experience of Indian elders. Presentation to the Mid-term Summit, Tauranga, New Zealand.

    Jackson, N. (30 May, 2017). NZ’s Tenure Revolution and its Ageing Society -New Zealand’s Renting Revolution-, Address to ‘Life when renting’ Mid term Summit, Tauranga, New Zealand.

    James, B. (30 May, 2017). Older Renters in the Western Bay of Plenty and Tauranga. Presentation to the Mid-term Summit, Tauranga, New Zealand.

    Kearns, R., Coleman, T., Bates, L. (30 May, 2017). Older Renters’ Wellbeing: Waiheke Island case study. Regional Summit, Tauranga, New Zealand.

    Saville-Smith, K. (30 May, 2017). Landlords and the New World of Older Tenants. Regional Summit, Tauranga, New Zealand.

    Saville-Smith, K. (30 May, 2017). NZ’s Tenure Revolution and its Ageing Society. Regional Summit, Tauranga, New Zealand.

    Saville-Smith, K. (30 May, 2017). Dealing with ageing and our housing system. Regional Summit, Tauranga, New Zealand.

    Saville-Smith, K. (30 May, 2017). Enriching Relations between Landlords and Older Tenants. Regional Summit, Tauranga, New Zealand.

    Saville-Smith, K. (18 April, 2017). Auckland’s Future: Dealing with ageing and our housing system. RIMU Insights, Auckland Council, Auckland, New Zealand.

    Saville-Smith, K., James, B. (15-17 February, 2017). Affordability, Health and Renting for Older New Zealanders. Australasian Housing Researchers Conference, RMIT, Melbourne, Australia.

    2016

    Saville-Smith, K. (29 September, 2016) Older People of Tomorrow Realising the Longevity Dividend. HCHA Conference, Te Papa, Wellington, New Zealand.

    Ho, E. (6-7 September, 2016) Migration, housing and wellbeing of older Asian people. International Asian and Ethnic Minority Health Wellbeing Conference 2016. University of Auckland, Auckland, New Zealand.



  • Principal Investigators

    Dr Hamish Jamieson

    University of Otago

    Dr Sally Keeling

    University of Otago

    Enhance Age Friendly Environments

    Maintain Wellness Independence

    Promote Social Integration

    Reduce the Impact of Disability

    Risk Factors in Reduced Social Engagement

    This project will comprehensively assess the health and social needs of older people who are supported at home with community-based care.

    The interRAI Community Health Assessment tool will be used to identify risk factors for reduced social engagement of older people from different demographic groups, making gender, ethnic and regional comparisons.

    We will also assess possible interplay with other factors such as:

    • Living situation
    • Reduced cognition
    • Risk of falls
    • Reduced mobility
    • Pain
    • Depression and anxiety
    • Continence
    • Fatigue
    • Limitations in daily living activities

    Related Information

    Anticipated End Date: December 2016


    Publications &
    Proceedings

    2021

    Abey-Nesbit, R. (2021). Exploration of loneliness and informal carer stress in older adults. Eldernet.

    2019

    Beere, P., Keeling, S., & Jamieson, H. (2019). Ageing, loneliness, and the geographic distribution of New Zealand’s interRAI-HC cohort. Social Science and Medicine, 227, 84-92. doi:10.1016/j.socscimed.2018.08.002

    Jamieson, H., Abey-Nesbit, R., Bergler, U., Keeling, S., Schluter, P. J., Scrase, R., & Lacey, C. (2019). Evaluating the influence of social factors on aged residential care admission in a national home care assessment database of older adults. Journal of the American Medical Directors Association, 20(11), 1419-1424. doi:10.1016/j.jamda.2019.02.005

    2018

    Jamieson, H. A., Gibson, H. M., Abey-Nesbit, R., Ahuriri-Driscoll, A., Keeling, S., & Schluter, P. J. (2018). Profile of ethnicity, living arrangements and loneliness amongst older adults in Aotearoa New Zealand: A national cross-sectional study. Australasian Journal on Ageing, 37(1), 68-73. doi:10.1111/ajag.12496

    2017

    Jamieson, H. A., Gibson, H. M., Abey-Nesbit, R., Ahuriri-Driscoll, A. , Keeling, S., and Schluter, P. J. (2017). Profile of ethnicity, living arrangements and loneliness amongst older adults in Aotearoa New Zealand: A national cross-sectional study. Australasian Journal of Ageing, 37(1), 68-73.

    2016

    Schluter, P. J., Ahuriri, Driscoll, A., Anderson, T. J., Beere, P., Brown, J., Dalrymple‐Alford, J., … Keeling, S., Jamieson, H. A. (2016). Comprehensive clinical assessment of home‐based older persons within New Zealand: an epidemiological profile of a national cross‐section. Australian and New Zealand journal of Public Health, 40 (4), 349-355. doi:10.1111/1753-6405.12525



  • Principal Investigators

    Professor Martin Connolly

    University of Auckland

    Enhance Age Friendly Environments

    Maintain Wellness Independence

    Reduce the Impact of Disability

    Value Older People in all Settings

    Retirement Villages

    This research project will investigate the needs and levels of healthcare use by retirement village (RV) residents.

    This project aims to:

    • Identify the age, gender and ethnic make-up of the RV residents and thereby assess the medical problems, and functional abilities of the residents.
    • Assess RV residents medically and functionally over three and a half years

    A sub-group of particularly vulnerable RV residents will be studied by conducting a randomised controlled trial of complex clinical intervention. Our aim is to reduce preventable hospital admissions thereby avoiding or postponing entry into rest homes and private hospitals.


    Related Information

    Anticipated End Date: June 2019


    Publications &
    Proceedings

    2021

    Connolly, M.J., Hikaka, J., Bloomfield, K., Broad, J., Wu, Z., Boyd, M., . . . Bramley, D. (2021). Research in the retirement village community -The problems of recruiting a representative cohort of residents in Auckland, New Zealand. Australasian Journal on Ageing. doi:10.1111/ajag.12898

    Bloomfield, K., Wu, Z., Tatton, A., Calvert, C., Peel, N., Hubbard, R., Jamieson, H., Hikaka, J., Boyd, M., Bramley, D., Connolly, M. J. (2021). An interRAI-derived frailty index is associated with prior hospitalisations in older adults residing in retirement villages. Australasian Journal on Ageing, 40 (1), 66-71. doi:10.1111/ajag.12863.

    2020

    Boyd, M., Calvert, C., Tatton, A., Wu, Z., Bloomfield, K., Broad, J. B., . . . Connolly, M. J. (2020). Lonely in a crowd: Loneliness in New Zealand retirement village residents. International Psychogeriatrics, 1-13. doi:10.1017/s1041610220000393

    Broad, J. B., Wu, Z., Bloomfield, K., Hikaka, J., Bramley, D., Boyd, M., . . . Connolly, M. J. (2020). Health profile of residents of retirement villages in Auckland, New Zealand: Findings from a cross-sectional survey with health assessment. BMJ Open, 10(9), e035876. doi:10.1136/bmjopen-2019-035876

    Peri, K., Broad, J. B., Hikaka, J., Boyd, M., Bloomfield, K., Wu, Z., . . . Connolly, M. J. (2020). Study protocol: Older people in retirement villages. A survey and randomized trial of a multi-disciplinary intervention designed to avoid adverse outcomes. BMC Geriatrics, 20(1), 247. doi:10.1186/s12877-020-01640-6

  • Principal Investigators

    Dr Michal Lynn Boyd

    University of Auckland

    Enhance Age Friendly Environments

    Reduce the Impact of Disability

    Neurodegeneration and Individual Interventions

    This study investigates end-of-life neurodegenerative care and the potential benefits of individualised care

    Using interviews and surveys the study aims to determine the quality of death from families, GPs, and nurses’ perspectives.

    The goal is to translate evidence into practice by developing a palliative care guide for neurodegenerative conditions.

     


    Related Information

    Anticipated End Date: June 2018


    Publications &
    Proceedings

    2020

    Balmer, D., Frey, R., Gott, M., Robinson, J., & Boyd, M. (2020). Provision of palliative and end-of-life care in New Zealand residential aged care facilities: general practitioners’ perspectives. Australian Journal of Primary Health, 26 (2), 124-131. doi:10.1071/py19081

    Balmer, D. G., Frey, R., Gott, M., Collier, A., & Boyd, M. (2020). A Place to live and to die: A qualitative exploration of the social practices and rituals of death in residential aged care. Omega (Westport), 30222820935217. doi:10.1177/0030222820935217

    2019

    Boyd, M., Frey, R., Balmer, D., Robinson, J., McLeod, H., Foster, S., Slark, J., & Gott, M. (2019). End of life care for long-term care residents with dementia, chronic illness and cancer: prospective staff survey. BMC Geriatrics, 19(1), 137.

    Boyd, M., Frey, R., Balmer, D., Robinson, J., McLeod, H., Foster, S., . . . Gott, M. (2019). End of life care for long-term care residents with dementia, chronic illness and cancer: Prospective staff survey. BMC Geriatrics, 19(1), 137. doi:10.1186/s12877-019-1159-2

    Foster, S., Balmer, D., Gott, M., Frey, R., Robinson, J., & Boyd, M. (2019). Patient-centred care training needs of health care assistants who provide care for people with dementia. Health and Social Care in the Community, 27(4), 917-925. doi:10.1111/hsc.12709

    Frey, R., Balmer, D., Robinson, J., Gott, M., & Boyd, M. (2019). The effect of residential aged care size, ownership model and multi-chain affiliation on resident comfort and symptom management at the end of life. Journal of Pain and Symptom Management, 57(3), 545-555.e541. doi:10.1016/j.jpainsymman.2018.11.022

    2018

    Frey, R., Balmer, D., Robinson, J., Slark, J., McLeod, H., Gott, M., & Boyd, M. (2018). “To a better place”: The role of religious belief for staff in residential aged care in coping with resident deaths. European Journal of Integrative Medicine, 19, 89-99. doi:https://doi.org/10.1016/j.eujim.2018.03.001

    2017

    Boyd, M. (14 October, 2017). Comparison of the end of life experience for those with cancer, dementia and chronic Illness in residential aged care in New Zealand: A retrospective, cross-sectional study. Nursing Home International Research Group Conference, St. Louis, Missouri, USA.