Housing Residents Research Articles

BUILDING CLINICAL JUDGMENT IN THE HEALTH CARE WORKFORCE BY ADDRESSING THE 4MS AND MULTICOMPLEXITY

Abstract Since 2019, NJGWEP, Rutgers School of Nursing-Camden and Fair Share Support Services, Inc. partnered in an affordable housing site in an underserved, disadvantaged community to support aging in place. Senior nursing students conduct Resident Health Risk Assessments (RHRAs) using the 4Ms framework to build assessment skills, sharpen clinical judgment, and address the Geriatric 5th M in a multi-complex resident population. Nursing students, working in teams with social service and community health workers, completed 92 RHRAs incorporating the 4Ms (What Matters, Mind, Medication, Mobility). On average, residents had > 3 risk factors related to the 4Ms (M=3.31); 25% +screen for depression, 25% +screen for cognitive impairment, 64% w/mobility deficits, 83% w/polypharmacy, and 80% on 1 or more high-risk medications. There were 53% w/diabetes, 65% w/hypertension and other biopsychosocial factors related to social determinants of health; 91% could be characterized as multi-complex (the Geriatric 5th M) and in need of services/supports to age in place. The 4Ms framework, with the addition of the 5th M, provides curricular structure for development of clinical judgment through focused assessment, analysis, flagging of key assessment data, prioritization of problems, and developing person-centered plans of care. Interprofessional (IP) case studies of increasing levels of difficulty experienced by affordable housing residents build cultural competence, foster development of critical thinking, clinical reasoning, and, when supplemented by weekly IP case reviews, facilitate shared decision-making and care planning. The process is further supported by a customized electronic database that permits monitoring person-centered recommendations and outcomes over time, gauging impact.

Consumption and conservation behaviors among affordable housing residents in Southern California

Affordable housing residents, who are most impacted by rising utility costs and often misunderstood in terms of their energy and water use practices, are usually overlooked in conservation efforts. This study aims to explore the consumption and conservation behaviors, satisfaction and experience with building services, energy burden, and conservation drivers among affordable housing residents and help identify ways to reduce their utility bills and improve their overall quality of life. The research builds on a questionnaire that facilitated the collection of data from residents of four affordable housing facilities in Southern California. Drawing from the findings, this study outlines key intervention strategies aimed at enhancing efficiency while also identifying potential implementation barriers. Educational programs and the installation of Photovoltaic (PV) solar panels emerge as potential pivotal interventions. The findings of this study could inform designers, engineers, developers, policymakers, and other stakeholders in the affordable housing sector about ways to educate residents for sustaining long-term behavior change, promoting residents' participation in consumption reduction missions, and facilitating the success of demand response (DR) programs.

Varying mobility adaptation to COVID-19 of residents in urban villages and commodity housing communities: A quasi-experimental analysis in Shenzhen, China

Although studies have explored the travel behavior of residents in informal housing communities in recent years, few have been conducted in the context of a time series before and after the outbreak of COVID-19. This paper tracks individual-level daily mobility response for three months, using an interrupted time series (ITS) quasi-experimental design to infer daily causal effects of COVID-19 and community close-off management on individuals' daily travel distances. This study compares the mobility response to COVID-19 between people living in urban villages and commodity housing communities in Shenzhen, China. The results reveal that urban village residents reduced their travel less, with slower response and recovery rates after the COVID-19 outbreak. The community close-off management was less effective for urban village residents, with a smaller abrupt reduction in mobility and their recovery rate increasing faster during the post-lockdown period. Therefore, urban village residents may have experienced greater limitations in adjusting travel with higher exposure risks during the pandemic, compared with commodity housing residents. The variations in mobility change are significantly affected by some inherent differences between these two groups, even after controlling for their socioeconomic and built environment features. These results provide important insights for designing mobility restriction policies for different housing groups and planning more resilient neighborhoods in the post-COVID era.

Mental Health Service Use, Barriers, and Service Preferences During COVID-19 among Low-Income Housing and Market-Rate Housing Residents of Harlem in New York City.

This study examined the differences in mental health service use, barriers, and service preferences among 393 low-income housing (LIH) and market-rate housing (MRH) Harlem residents in New York City. One-third (34.6%) endorsed the need for professional support for psychological issues, 27.2% and 15.8% reported using counseling services and psychotropic medication, with no differences between housing types. LIH residents (21.6-38.8%) reported significantly higher use of all types of mental health resources (e.g., websites, anonymous hotlines, self-help tools) compared with MRH residents (16.1-26.4%). Eighty-six percent reported barriers to mental health access, with LIH residents reporting more than double the barriers. Particularly, LIH residents reported greater difficulty getting time off work (34.1% vs. 14%), lack of health insurance (18.7% vs. 9.8%), lack of trust in mental health providers (14.6% vs. 4.7%), and stigma (12.2% vs. 5.1%) compared with MRH residents. Residents most preferred places of services were health clinics and houses of worship; provided by healthcare and mental health providers; and services delivered in-person and phone-based counseling. In contrast, residents least preferred getting support at mental health clinics; from family/friends; and by the Internet. No differences were found between service preferences by housing type. LIH residents reported higher use of mental health services and resources, but they face significantly more barriers to mental health care, suggesting a need to address specific barriers. Preferences for mental health services suggest a need for expanding mental health services to different settings given the low preference for services to be delivered at mental health clinics.

Rental Price Prediction of Boarding Houses in Batam City Using Linear Regression and Random Forest Algorithms

Boarding houses, commonly known as "kost," are residential places typically rented by individuals, serving a function similar to hotels, but with more affordable pricing. With the proliferation of boarding house businesses, residents and newcomers in Batam city face challenges in selecting suitable accommodation based on both price and amenities. Leveraging machine learning, a branch of artificial intelligence (AI), and incorporating various algorithms, a system can be developed to predict the rental prices of boarding houses. This helps individuals make informed decisions regarding the suitability of a boarding house based on their preferences and budget. The algorithms utilized in this study are Linear Regression and Random Forest. The modeling process resulted in R2 Scores, with Linear Regression achieving a score of 64%, while Random Forest outperformed with an impressive 99% R2 Score. Due to the higher R2 Score of Random Forest, this model was selected for the development of a website using the Scrum framework. The outcome of this research is a predictive pricing website for boarding houses, offering a valuable tool for residents and visitors in Batam when seeking to rent or lease a boarding house.

Exploring the Interplay of Product Quality, Facilities, Consumer Satisfaction, and Sales Volume in Modern Markets

This study aims to determine the effect of two independent variables, namely product quality and facilities, on consumer satisfaction and its impact on sales volume in Griya Kalibaru Housing, Depok, West Java. This study used a quantitative approach with associative research using the questionnaire method as a data collection tool. Data analysis techniques used include validity tests, reliability tests, classical assumption tests, linear regression tests, correlation coefficient tests, determination coefficient tests, hypothesis tests, path analysis, and sobel tests. The population of this study was all residents of houses in Griya Kalibaru Housing, Depok City, West Java, totaling 58 people. Using saturated sampling techniques, a sample of 58 respondents was obtained. The results showed a positive and significant influence between facilities on sales volume through customer satisfaction, with a t-statistic value of 2.911, exceeding the t-table value of 1.96, and a sig value of 0.03, smaller than the significance level of 0.05, so that Ho9 was rejected and Ha9 was accepted. In addition, the Adjusted R Square coefficient of determination of 0.701 shows that the variables of product quality, facilities, and consumer satisfaction contribute 70.1% to sales volume. The remaining 29.9% was influenced by other factors not included in the study.

Social housing stigma in Toronto: Identifying asymmetries between stereotypes and statistical actualities of health, crime, and human capital

AbstractResearch on social housing stigma has proliferated due to growing concern over the effects of territorial stigmatization. The stereotyping of social housing as a site of ill‐health, criminality, and low human capital stems from empirically ambiguous narratives created and recirculated through popular modes (e.g., social media platforms, news coverage). This paper combines principal component analysis, k‐means cluster analysis, and geographic information systems to create and visualize clusters denoting different levels of health, crime, human capital, and dwelling composition in the city of Toronto, Canada. The quantitative research design allows for the identification of “asymmetries,” which are census tracts or neighbourhoods assigned to clusters indicative of high social housing density, and one of either sound health, low crime, or high human capital. The results reveal a spatial patterning of asymmetries in the inner city West End and Downtown, and in inner suburban North York, Etobicoke, and Scarborough. Overall, the paper illustrates the need to assess the empirical foundations of social housing stereotypes. Critically assessing stereotypes is important as they belie the rationale for social housing residents' living situations; pathologizes their identity, behaviour, and home; and generates public support for neoliberal solutions that displace long‐term residents from their communities.

Peran Masyarakat Rentan dalam Membangun Resiliensi Pasca Banjir

The journal "The Role of vulnerable Communities in Building Post-Flood Resilience" explores the complex interactions between indigenous residents who live outside Mangli housing complexes, and housing residents in the Mangli area, the majority of whom are immigrants. Apart from that, this journal also examines the role of communities in building resilience after floods caused by the conversion of agricultural land. This research examines how indigenous people, as a social group, are vulnerable to the risk of flooding due to the impact of converting agricultural land into housing on the indigenous Mangli population. and how vulnerable populations attempt to adapt in modern society which is filled with various social, economic and cultural changes. By focusing on the dynamics of conflict that arise throughout the lives of residents, this journal also analyzes the adaptation strategies used by vulnerable residents in responding to flood and post-flood disasters.

Study on the correspondence between vibration level and vibration evaluation by residents in real houses through one day

In recent years, the issue of environmental vibration has been much discussed due to the diversification of lifestyles and the increasing of habitation performance by residents. Prolonged exposure to vibration can have psychological and physiological effects on residents and may cause complaints. The current vibration evaluation standard for buildings in Japan is used in the "Standard for the Evaluation of Habitability to Building Vibration" by Architectural Institute of Japan (AIJ). The evaluation scale in that standard is also based on the results of short-time vibration evaluation experiments in laboratories. However, this evaluation scale is considered to be different from the vibration evaluation perceived by residents in their daily lives. Therefore, in this study, we researched for the purpose of the evaluation of vibration sensation in long-term daily life. In this paper, we measured vibration through one day in real houses. And we considered the correspondence between vibration levels and residents vibration evaluation.

청년 니트 결정요인

Youth period is a period of life in which individuals strive to design and realize their dreams and hopes. Recent profound changes in society, technology, the economy, ecology and environment, and politics have posed a crisis in youth employment and, if mishandled, can lead them into a state of NEET (Not in Education, Employment, or Training). In this study, we aimed to analyze the main factors contributing to youth NEET status, considering not only general demographic background information but also socio-economic variables such as self-efficacy, parents' occupation and education, housing type and residence, and financial independence from parents. To do this, we utilized data from the Korean Employment Information Service's Youth Panel from 2007 to 2015-2022 and conducted empirical analysis using logistic regression models.
 The analysis results indicated that, in general, young individuals with lower self-efficacy were more likely to transition into NEET status. Additionally, young adults who were financially dependent on their parents and lived with them were more likely to become NEETs. Regarding housing environment, it was found that young adults living in apartments or detached houses had a higher probability of becoming NEETs. Furthermore, the probability of NEET status was higher for males compared to females, and regional differences showed that young adults residing in the Jeolla-Gwangju region had a higher probability of NEET status.
 The implications of this study are as follows. Firstly, policy programs that can prevent youth unemployment (NEET) should be activated. Secondly, it is necessary to strengthen the content of the subject and establish performance indicators to enhance self-efficacy in the knit prevention policy program. Thirdly, a tailored industry development policy that takes into account regional characteristics, along with strategic Human resource development(HRD) in the field of education and training, should be implemented to improve youth employment opportunities. Lastly, it is recommended to establish a fair recruitment and talent management culture based on competencies rather than academic qualifications, along with policies to alleviate excessive wage gaps between job positions. A holistic approach to youth housing and employment policies was also suggested.

Thermal Comfort Comparison and Cause Analysis of Low-Temperature High-Humidity Indoor Environments of Rural Houses in Gansu Province, China

Low temperatures and high humidity often occur in the northern basins and mountainous regions of China. This research reveals a common winter indoor environment in this rural areas characterized by low-temperature and high-humidity indoor thermal conditions. Improving this environment directly with equipment would inevitably result in significant energy consumption. Therefore, comprehending the thermal performance mechanisms of different structural building materials is of vital importance as it provides crucial baseline values for environmental improvement. This study conducted a survey utilizing user questionnaires, resulting in the collection of 214 valid responses. Additionally, a local experiment regarding thermal comfort was conducted. Simultaneously, this study monitored the indoor physical environments of these houses (a sample of 10 rooms was taken from earth houses and 12 rooms from brick houses). Parameters measured on site included air temperature, relative humidity, light illumination, and CO2. The results showed that the humidity inside the earth houses is more stable and regression models can be developed between thermal sensations and temperature for long-term residents. The residents of these earth houses are more sensitive to temperature step. In contrast, the residents of brick houses, experiencing greater environmental variability, demonstrated lower sensitivity and greater adaptability to temperature changes. In addition, heating from bottom to top is more comfortable and healthier for the residents of brick houses in Gansu. Moreover, it is more favorable for the inhabitants’ livelihood to regulate the temperature steps to a maximum of 4 °C. This study provides valuable reference information for the future design of houses in low-temperature and high-humidity environments.

To stay or go? Understanding ambivalence toward moving on from supportive housing among supportive housing residents in a Moving On initiative

PurposeMoving On initiatives (MOIs) provide opportunities for permanent supportive housing (PSH) residents to exit PSH services for mainstream housing. This study aims to better understand the factors that influence residents’ decisions on whether to leave or stay in these services.Design/methodology/approachThis study examines ambivalence toward leaving PSH using interviews with 40 MOI participants. Data were analyzed using framework analysis.Findings“Pull factors” for staying in PSH included secure benefits, partial autonomy and being comfortable enough. Participants viewed PSH as their cheapest option and a protective force. They also described PSH as “semi-independence” and expressed concern with a lack of privacy, free movement and unwanted supervision.Originality/valueTo the best of the authors’ knowledge, this is the first study to consider residents’ motivations for staying in PSH when given the opportunity to leave. Implications for PSH service delivery and implementation of MOIs are discussed.

Addressing Security and Architecture Through Proposing Innovative Conceptual Idea on Landed Housing Windows

Metal grill for housing windows thatis fixed to the wall is commonly used in most of the residential houses in Malaysia. Due to high numbers of burglary cases reported across the country in a year, the feature seems desperately needed. However, the window grill creates a dispute, especially on the emergency exit, building façade, and opportunity to view surrounding outside. Through survey and input from the respondents, the purpose of the research is to propose an innovative idea on housing window that able to address both security and architecture aspects. Understanding behavior of typical housing residents, residents’ perception on window grill, and modus operandi of a burglar are important to ensure the innovation able to minimize the burglary ideation, without compromising the feature’s purpose as a housing window. Inspired by French windows of a traditional Malay kampong house, the design is improvised to correlate with the current context. In this research, the housing typology that is focused on is landed house, which may include bungalow, terrace, semi-detached, and townhouse.

Physical Environment, Socio-Psychological Health, and Residential Satisfaction: A Link across Housing Types in the Unique Chinese Context

Housing plays a critical role in health and has real consequences on people’s wellbeing. Numerous studies have provided extensive insights into the housing–health–wellbeing association. However, in the Chinese context, the unique housing allocation system with institutional force may present a distinct picture from that based on international knowledge. Using sample data from housing surveys, this study employs statistical analysis and the Tobit model to explore the links between the physical environment, socio-psychological dispositions, and residential satisfaction at the neighborhood level across different housing types in the unique Chinese context. The analyses reveal that (1) residents’ socio-psychological dispositions and residential satisfaction vary remarkably across different housing types, with residents in replacement housing experiencing particularly low levels of residential satisfaction, presenting a regionalization trend; (2) housing types appear to have a significant effect on socio-psychological dispositions; and (3) physical environment characteristics in conjunction with socio-psychological dispositions significantly affect residential satisfaction. These findings suggest that social housing development should integrate socio-psychological initiatives with physical environment improvement, particularly for disadvantaged groups in public and replacement housing, to achieve more livable communities with better residential satisfaction and higher social resiliency and sustainability.

Analysis of Bangka Culinary Business Development in Gading Serpong

Gading Serpong area is developing into a center of business, lifestyle, health and education then office buildings, worship facilities, culinary centers to meet the needs of housing and investment for residents of the capital and its surroundings. The culinary business is currently a big business and attracts many people because they like culinary and want to try local food from other regions and has high profit potential. The Bangka Culinary Business in Gading Serpong with several existing stores has continued to grow since 2018 coupled with the occupancy and community around so that the need for a variety of foods has also increased. This research method uses qualitative methods. While the results of this research conducted by interviews that Bangka culinary first opened in 2017 through a shop because at that time there were no Bangka cuisine rivals in Gading Serpong. The development of Bangka's culinary business continues to grow rapidly from 2018 until now because many are in demand by various groups of people, and the results of these interviews also show the satisfaction of visitors who visit snack shops or restaurants is very satisfied, both from products, services, and management according to existing business standards.

МОБІЛЬНА АРХІТЕКТУРА ЯК СПОСІБ ВИРІШЕННЯ ПРОБЛЕМИ ЗАБЕЗПЕЧЕННЯ ВНУТРІШНЬО ПЕРЕМІЩЕНИХ ОСІБ ДОСТУПНИМ ЖИТЛОМ

The article highlights the problems of the creation and implementation of mobile housing for internally displaced persons in Ukraine, which provides people with a decent and comfortable shelter. In addition to social and cultural problems, refugees who are forced to relocate also deal with physical problems, where shelters are designed to meet the minimum needs of temporary accommodation. Designing emergency housing requires innovative and flexible thinking to ensure that housing is safe, healthy and comfortable. This would help improve the quality of housing for residents and surrounding communities. Portable architecture can help develop an industry-wide strategy that includes new materials, components, and construction methods. As a type of building project that must respond to relatively extreme operating parameters, it more often uses experimental and exploratory logistic and construction methods that may ultimately have more general significance. Portable buildings can do almost anything that permanent ones can, and they are also often able to perform other functions that would not be possible with other means. Portable buildings have a low environmental impact; they can be located in rural or urban areas with minimal long-term consequences. They can use a temporary identified address, which is valuable to both the operator and the visitor, as well-known locations can be used to increase the number of people reached over some time. Unusual forms of buildings that are temporarily placed in familiar settings can also change people's view of the environment and perhaps give them the impetus to recognize more clearly its positive and negative features.

Place Attachment and Aging in Place: Preferences and Disruptions.

This paper examines the links between place attachment and older persons' preferences to age in place, and factors that disrupt these preferences. We use data from the 2001-2021 Household, Income and Labour Dynamics in Australia Survey and panel-data modelling to confirm strong associations between several place attachment dimensions and aging-in-place preferences. Strong ties to children, strong social capital, residence in social housing, homeownership status, housing wealth, and home and neighborhood satisfaction are all positively linked to a stronger preference to age in place. Our findings reveal important differences between older homeowners and older non-owners. For owners, closeness to children is a strong predictor of aging-in-place preferences, although mortgage debt can trigger involuntary moves. For non-owners, tenure security achieved through longer durations at one's address of residence is linked to stronger aging-in-place preferences. However, private renters are more often exposed to involuntary moves. We discuss the policy implications of these disruptions.

Keberkesanan Taman Poket dalam Meningkatkan Kualiti Hidup Penduduk Bandar di Kawasan Perumahan Bertingkat Kos Rendah di Malaysia

Issues and problems regarding the allocation of open space in high-rise residential buildings that have been determined by the Local Authority (PBT) do not match the population is a problem that has been going on for a long time and has been debated but has not yet been fully addressed even though various strategic measures have been identified and taken to reduce the problem this. Rapidly developing cities have long struggled with the issue of green space requirements. Adding green areas such as pocket parks is one of the actions that can be taken to reduce the effects of rapid urbanization. Research on the effectiveness of pocket parks in improving the quality of life of urban residents in Malaysia has been studied in this study. The main aim of this study is to identify the allocation of pocket park design guidelines by Local Authorities (PBT) for high-rise houses/low-rise apartments in Malaysia and to identify the effectiveness of pocket parks in improving the quality of life of low-cost housing residents in Selangor. To achieve the objective, a questionnaire survey was conducted involving 108 respondents who stayed in three low-cost multi-storey housing. This questionnaire survey discusses the issue of pocket parks in Selangor as well as the role of pocket parks in improving the quality of life of residents. Findings from the analysis of the questionnaire are divided into three parts, which are the demographics of the respondents, the understanding of the pocket park, and the suggestions and improvements of the respondents regarding the effectiveness of the pocket park in improving the quality of life of the people in Selangor. The results of this study show that there are several factors that contribute to the effectiveness of pocket gardens in high-rise residential buildings. The majority of the respondents agreed that the pocket park facilities provided as a whole improve the quality of life of the residents.

Facilitating exit from encampments: combining low-barrier transitional housing with stabilizing treatment for substance related problems

BackgroundTent encampments in the neighborhood surrounding Boston Medical Center (BMC) grew to include 336 individuals at points between 2019 and 21, prompting public health concerns. BMC, the City of Boston, and Commonwealth of Massachusetts partnered in 2/2022 to offer low-barrier transitional housing to encampment residents and provide co-located clinical stabilization services for community members with substance use disorders (SUDs) experiencing homelessness.MethodsTo meet the needs of some of the people who had been living in encampments, BMC established in a former hotel: 60 beds of transitional housing, not contingent upon sobriety; and a low-barrier SUD-focused clinic for both housing residents and community members, offering walk-in urgent care, SUD medications, and infection screening/prevention; and a 24/7 short-stay stabilization unit to manage over-intoxication, withdrawal, and complications of substance use (e.g., abscesses, HIV risk, psychosis). A secure medication-dispensing cabinet allows methadone administration for withdrawal management. Housing program key metrics include retention in housing, transition to permanent housing, and engagement in SUD treatment and case management. Clinical program key metrics include patient volume, and rates of initiation of medication for opioid use disorder.ResultsHousing: Between 2/1/22–1/31/2023, 100 people entered the low-barrier transitional housing (new residents admitted as people transitioned out); 50 former encampment residents and 50 unhoused people referred by Boston Public Health Commission. Twenty-five residents transferred to permanent housing, eight administratively discharged, four incarcerated, and four died (two overdoses, two other substance-related). The remaining 59 residents remain housed; none voluntarily returned to homelessness. One hundred residents (100%) engaged with case management, and 49 engaged with SUD treatment. Clinical: In the first 12 months, 1722 patients (drawn from both the housing program and community) had 7468 clinical visits. The most common SUDs were opioid (84%), cocaine (54%) and alcohol (47%) and 61% of patients had a co-occurring mental health diagnosis in the preceding 24-months. 566 (33%) patients were started on methadone and accepted at an Opioid Treatment Program (OTP).ConclusionsDuring the 1st year of operation, low-barrier transitional housing plus clinical stabilization care was a feasible and acceptable model for former encampment residents, 49% of whom engaged with SUD treatment, and 25% of whom transitioned to permanent housing.

Microlearning and online simulation-based virtual consultation training module for the undergraduate medical curriculum – a preliminary evaluation

BackgroundVirtual consultation is a synchronous mode of telemedicine provided remotely via information and communication technology. The projected growth of digitalization in healthcare delivery, however, necessitates medical student training in virtual consultation (VC) to ensure safe and effective patient care. This study describes the implementation and preliminary evaluation of a competency-based VC training module for undergraduate medical students.MethodsA newly developed six-week VC module was implemented online through asynchronous microlearning and synchronous simulation-based experiential learning modalities. Clinical students in years 4 and 5 and fresh graduates, who had not started pre-registration house officer or residency programmes, were invited to participate. Training outcomes using checklist-based video-recorded assessments of VC encounters between medical students and simulated patients were compared. Each video was independently assessed by two facilitators trained in VC teaching and assessment, using a direct observed virtual consultation skills checklist derived from established VC competencies. The participants completed course evaluations electronically as additional outcome measures.ResultsFifty-two clinical phase medical students and alumni completed both the instructional and practical phases of this module. Altogether, 45 (95.7%) students found the module beneficial, and 46 (95.9%) reported increased self-efficacy for conducting VC. In total, 46 (95.9%) students would recommend the course to others. Post-test results showed a significant increase in the students’ abilities to conduct a VC (t-test = 16.33, p < 0.05).ConclusionMicrolearning and simulation-based sessions were effective instructional delivery modalities for undergraduate medical students in their attainment of VC competencies.