Aging in Place Program in Canada
Aging in Place Program in Canada
ABSTRACT
A number of challenge programs to fund research have been initiated at the National Research Council of Canada in the past several years
and the outcomes of the research is likely to influence the design of future dwellings and the retrofit of the existing housing stock in Canada.
One of these challenge programs addresses the need to support an aging population. It is estimated that by 2051, adults over the age of 65
will represent 25% of the population of Canada. Most aging adults would prefer to age in place in the dwelling or community of their
choice. The Aging in Place Challenge program was launched in 2021 with the goal of developing technologies and innovations to support
an increase in the number of aging adults who remain in homes and communities of their choice by 2031. The program supports research
projects in collaboration with older adults and family caregivers as well as partners in academia, industry, and government toward enabling
advancements in AgeTech in Canada. In addition, a number of Aging in Place projects in the Construction Research Center are focused
on developing guidance for the design of dwellings intended for successful aging in place. Acoustics, lighting, climate control and other
environmental factors all play an important role support the wellbeing of aging adults. The results of the projects from the Construction
Research Center will be publicly available guidance for new buildings and the renovation of existing buildings to support aging in place.
Survey found that while many want to age in place in the A list of current projects that have been funded by the AiP
home or community, only 26% believe that they will be Challenge program can be found through the NRC’s
able to do so [15]. An aging adult’s home and community website [18]. Some examples of the research projects
might be a comforting, familiar place despite the fact that include: privacy by design and cybersecurity for safe,
it is becoming burdensome to maintain or unsafe and a effective and reliable home health care for aging in place
source of anxiety [16]. The survey suggested that home [19], cultural dimensions affecting the perception of
modifications or other measures to support aging in place privacy and intrusiveness of video monitoring
are a key solution for closing the gap [15]. technologies for aging at home [20], meeting older
Canadians’ mobility needs via public transportation [21]
THE AGING IN PLACE CHALLENGE PROGRAM and the supportive smart home [22].
AT THE NATIONAL RESEARCH COUNCIL
CANADA
now expired tax credit in the province of Ontario [26] Establishing Guidance for Indoor Environmental
could be claimed for eligible renovations that improved Conditions for Healthy Aging in Place
the safety and accessibility or helped an aging adult be
more functional or mobile at home. The risk for these tax This research project is a collaboration between the NRC,
credits is that the lack of central guidance for the the National Institute of Advanced Industrial Science and
improvements may lead to renovations by well-meaning Technology (AIST) in Japan and the University of
applicants and contractors that don’t actually support Toronto. The project includes field measurements and
aging in place. The lack of guidance for renovations social surveys [27] to establish guidance for suitable
creates the possibility for predatory contractors who can interior conditions (daily light exposure patterns; in-home
take advantage of the tax credit programs by acoustic conditions; ventilation, humidity, temperature,
implementing improvements that are overpriced, not and indoor air and lighting quality) to support health and
correctly installed (e.g. grab bars not fixed to studs or well-being for adults as they age. The guidance will be
blocking in the wall) or are incorrectly specified (e.g. grab applied to both new builds and retrofits and will be
bars with an inadequate weight capacity) and therefore do integrated across building systems where appropriate. For
nothing to actually improve the livability of the dwelling example, the guidance for façade systems can take into
or may make it worse. account the transmission loss, the daylighting, the
available ventilation and the thermal performance. The
The results of the research at the Construction Research outcomes from the projects will be transferred to
Center will be collected into publicly available research regulatory bodies to facilitate its uptake and application.
reports and guidance. The reports will support future
changes in building codes for specifications for dwellings Noise Sensitivities amongst Aging Adults
intended for successful aging in place.
This research project is a collaboration between the NRC
Summaries of three of the projects in the Construction and the National Institute of Advanced Industrial Science
Research Center are presented in the following sections. and Technology (AIST) in Japan is to determine if aging
All of the projects span multiple years and will conclude adults tend to display stronger sensitivity to noise and if
in 2026. noise sensitivity can be successfully determined through a
limited number of questions on a questionnaire.
Developing guidance for integration and future
adoption of assistive and smart home Noise sensitivity increases the susceptibility of
technologies individuals to noise and those with high noise sensitivity
who are exposed to noise are more likely to pay attention
This project is designed to address some of the key to the noise, to interpret the noise negatively as a threat or
challenges to developing and adoption of innovative annoyance and to react emotionally, compared to those
technologies that can enable older adults to live safe, with low noise sensitivity [28]. Understanding the
healthy and socially connected lives whilst remaining in relationship between noise sensitivity and age is important
their homes. The project will investigate how to make due to the strong correlation between noise sensitivity and
technologies more readily acceptable to aging adults and health and wellbeing.
to ensure that the technologies are used correctly. In
addition, the project will develop the NRC’s state-of-the- A high noise sensitivity can increase the negative effects
art research facility, the FlexHouse of the Canadian Centre of noise exposure on health [29,30]. Individuals with high
for Housing Technology (CCHT) shown in Figure 4 as a noise sensitivity are likely to be less healthy than
testbed for the evaluation of new technologies. individuals with low noise sensitivity [31]. Noise
sensitivity has been shown to be related to hypertension
and chest pain [32] and noise sensitivity may be a risk
factor for cardiovascular mortality in women [33]. Noise
sensitivity has been associated with a number of
behavioral risk factors for disease such as stress, smoking
and hostility [34]. Noise sensitive individuals are more
likely to report symptoms of inadequacy, depression,
anxiety, sensitivity, anger, tension, inferiority and
nervousness [35]. Noise sensitivity is also one of the
factors that affects noise-induced sleep disturbance
[36,37].
less sensitive persons [30]. Neighbor annoyance relates determining questions that are open to bias or which have
to experiences of negative social interactions that are no correlation to noise sensitivity is needed.
typically associated with an unpleasant perception of the
neighborhood [38]. It has been shown that individuals The project involves both in person and on-line subjective
who express critical or negative judgments about noise tests where participants are asked a number of questions
will also give negative environmental judgments. By including the WNSS21 questions. A link to the on-line
locating the position of an individual on the critical- subjective test is shown in Figure 5.
uncritical dimension, one can predict how this person will
tend to evaluate all neighborhood features-noise, air
pollution, community services, privacy, safety, neighbors
even though these features appear to be distinct and
relatively independent [40]. Issues of residential
satisfaction are particularly important for aging adults as
significant dissatisfaction can create chronic stress with
consequent mental and physical health results [41–43].
One of the most commonly used questionnaires for The study will look for specific sensitivities in different
evaluating noise sensitivity was developed by Weinstein age groups based on the results of the annoyance test
[45] in 1978 as part of a study of college student reactions which are then correlated with the noise sensitivity
to noise in a dormitory context. The twenty-one question determined from the WNSS21. Conducting the study
Weinstein Noise Sensitivity Scale (WNSS21) has been both in Canada and Japan allows for a wide diversity in
translated into numerous languages and may researchers the participants and access to AISTs experience with
have modified or reduced the questions as part of their subjective tests with aging participants, strengthening the
studies. Some studies such as [40] have gone further by results of the study.
adding questions about a person’s neighborhood in
If it is found that there is an increase or decrease in noise
general or if the person planned to take action about
sensitivity as people age, it may be possible to better
aircraft noise [46] to determine if the person completing
establish environments for successful aging in place.
the questionnaire was a chronic complainer.
Ranges in the data collected from annoyance studies to
One study in Finland [47] asked one question, “do you determine minimum requirements for building codes can
have a noise sensitivity” whereas another study [48] asked be better understood and if aging adults are shown to be
dozens of questions to assess the noise sensitivity. In a typically more sensitive to noise, then higher minimum
study about aircraft noise [46], participants who lived near requirements for sound insulation will be needed. Based
airports in Australia were asked to rate their annoyance to on the results of the study, it may be possible to provide
being woken up by a dog barking, to hearing an answered data driven evidence to reduce the number of questions
telephone ringing, to trying to concentrate in a noisy used to determine the noise sensitivity if some questions
environment, to hearing a lawnmower while trying to rest, are shown to have small correlations to the sensitivities
to having a conversation interrupted by traffic noise, to determined from the annoyance testing. This will also be
hearing a neighbor’s TV or radio playing loudly. The important for aging in place since an individual’s noise
results were used to give a number related to noise sensitivity can indicate anticipated health and wellbeing
sensitivity. The researchers then tried to correlate the and a validated questionnaire based on the results of this
noise sensitivity to annoyance due to aircraft noise. study would be an advantageous tool for tracking the noise
However, the assumption that those six questions revealed sensitivity.
a noise sensitivity is compromised by potential biases.
The study is ongoing, but descriptions of the subjective
For example, few people like being woken up and so the
studies and some preliminary results can be found in
annoyance rating could be related to that more than the
conference proceedings [50–54].
source of the disturbance. The person may also not like
dogs and annoyance. However, some have questioned the
validity and reliability of these questions because they rely
on people remembering how they felt at a point in time
about a noise they no longer hear [49]. A means of
DISCUSSION AND CONCLUSIONS [12] Fenton, M.R., Hoppmann, C.A., Boger, J., Dalton,
B.H., Komisar, V., Sakakibara, B.M., and Jakobi,
The Aging in Place Challenge program at the National J.M., Growing Older at Home: Canadians’ Meaning of
Research Council Canada was developed to fund Aging in Place, Journal of Aging and Environment, ,
collaborative projects to allow for a greater number of 1–23, (2024).
aging adults to live in the home or the community of their [13] Spinks, N., Beaulieu, M., Bryanton, O., Estabrooks,
choosing rather than to only have the option to move to C., Hébert, R., Jeffrey, L., Saad, O., Simces, Z., Sinha,
long-term care facilities. All of the Aging in Place S., and Williamson, P., “Supporting Canadians Aging
Challenge program projects described in this paper are at Home: Ensuring Quality of Life as We Age”,
ongoing, with results to be published in 2026. National Seniors Council, Gatineau, Quebec, Canada
(2024).
While many of the AiP Challenge projects focus on [14] “Common Challenges, Shared Priorities: Measuring
AgeTech, many of the projects at the NRC’s Construction
Access to Home and Community Care and to Mental
Research Center focus on developing guidelines for the
Health and Addictions Services in Canada — Volume
design or retrofit of dwellings intended for aging in place.
2”, Canadian Institute for Health Information, Ottawa,
The results of the subjective studies, social surveys and
Ontario, Canada (2022),
research will result in guidance that will be made publicly https://www.cihi.ca/sites/default/files/document/com
available through the NRC to promote its use and possible mon-challenges-shared-priorities-vol-2-report-en.pdf.
inclusion in future building codes.
[15] National Survey Shows Canadians Overwhelmingly
Want to Age at Home; Just One-Quarter of Seniors
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2nd – 4th September 2024, Christchurch
Conference of the Acoustical Society of New Zealand