Background: With the increasing global population of older adults, there is a need for environmental interventions that directly affect their physical, psychological, and emotional well-being to help them maintain or regain their independence and autonomy – all of which promote longevity. Methods: To better understand potential opportunities and challenges associated with interior design and “future homes” that may promote well-being, aging in place, and independent living in older adults, the authors reviewed relevant literature and included their own expert opinions from a multidisciplinary point of view including interior design, wellness, and engineering. Results: After summarizing existing environmental interventions for the aging population and their effectiveness, this review reveals knowledge gaps in interior design for the well-being and longevity of older adults followed by a discussion of opportunities for future research that may fill these gaps. Some of these opportunities include finding habilitative design strategies that identify and address unique situational needs of each user, advancing multidisciplinary fields such as environmental gerontology that recreate security and independence for older adults even outside of their homes, implementing technically advanced design strategies, which are flexible and adaptive to individual needs; and integrating the Internet of things (IoT) into living environments, including voice-activated command technologies to improve seniors’ central role in enabling an optimized healthcare ecosystem. Conclusions: Knowledge of current evidence regarding the impact of different environmental factors may hasten adaptation of well-designed innovations that can provide optimal healing and living environments for the aging population. By effectively addressing older adults’ unique and specialized needs, design practitioners can become an indispensable part of their medical, social, and environmental team. One of the rapidly developing infrastructures promising to revolutionize the design of “future homes” is the IoT. While it is at an early stage of development, ultimately we envisage a connected home using voice-controlled technology and Bluetooth-radio-connected add-ons, to augment much of what home health does today. Bringing these approaches together into an effective strategy for a model of effective geriatric care is important and needs to become an integral part of both design education and practice.

1.
United Nations Populations Fund, Help Age International: Ageing in the Twenty-First Century: A Celebration and a Challenge, 2012. http://unfpa.org/ageingreport/.
2.
Werner CA: The older population 2010: 2010 Census Briefs. United States Census Bureau, 2011 November. https://www.census.gov/prod/cen2010/briefs/c2010br-09.pdf.
3.
Centers for Disease Control and Prevention: The state of aging and health in America Atlanta, GA: Centers for Disease Control and Prevention, US Dept. of Health and Human Services, 2013. https://www.cdc.gov/aging/agingdata/data-portal/state-aging-health.html.
4.
Kopec D: Environmental Psychology for Design, ed 2. New York, Fairchild books, 2012, pp 133–150.
5.
Dombrowski MM: The Next Generation of Senior Living. Interiors and Sources, 2013 March 1. http://www.interiorsandsources.com/articledetails/articleid/15318/viewall/true?title=the%20next%20generation%20of%20senior%20living.
6.
Lawlor D, Thomas MA: Residential Design for Aging in Place. Hoboken, Wiley, 2008, pp XIV–XV.
7.
Esther I: Aging in place: from theory to practice. Anthropol Noteb 2015; 20: 21–33.
8.
Kohli M, Künemund H, Vogel C: Staying or moving? Housing and residential mobility; in Börsch-Supan A, et al: Health, Ageing and Retirement in Europe (2004–2007) – Starting the Longitudinal Dimension. Mannheim, MEA, 2008, pp 108–113.
9.
OECD: New Orientations for Social Policy. Paris, Organisation for Economic Co-operation and Development, 1994, p 37.
10.
Evidence Matters, U.S. Department of Housing and Urban Development: Measuring the Costs and Savings of Aging in Place, 2013. www.huduser.gov/portal/periodicals/em/fall13/highlight2.htmal.
11.
Marek KD, Stetzer F, Adams SJ, Popejoy LL, Rantz M: Aging in place versus nursing home care: comparison of costs to medicare and medicaid. Res Gerontol Nurs 2012; 5: 123–129.
12.
LaPlante MP: The woodwork effect in medicaid long-term services and supports. J Aging Soc Policy 2013; 25: 161–180.
13.
Ng T, Harrington C, Kitchener M: Medicare and medicaid in long-term care. Health Aff (Millwood) 2010; 29: 22–28.
14.
Bond J, Peace SM, Dittmann-Kohli F, Westerhof G: Ageing in Society. Sage, 2007, pp 209–234.
15.
Wiles JL, Leibing A, Guberman N, Reeve J, Allen RE: The meaning of “aging in place” to older people. Gerontologist 2012; 52: 357–366.
16.
Rojo Perez F, Fernandez-Mayoralas Fernandez G, Pozo Rivera E, Manuel Rojo Abuin J: Aging in place: predictors of the residential satisfaction of elderly. Social Indicators Research 2001; 54: 173–208.
17.
Lager D, Van Hoven B, Huigen PP: Understanding older adults’ social capital in place: obstacles to and opportunities for social contacts in the neighbourhood. Geoforum 2015; 59: 87–97.
18.
Taylor SA: Place identification and positive realities of aging. J Cross Cult Gerontol 2001; 16: 5–20.
19.
Oswald F, Wahl HW, Mollenkopf H, Schilling O: Housing and life satisfaction of older adults in two rural regions in Germany. Res Aging 2003; 25: 122–143.
20.
Andersson JE: Architecture for the silver generation: Exploring the meaning of appropriate space for ageing in a Swedish municipality. Health and Place 2011; 17: 572–587.
21.
Vitman A, Iecovich E, Alfasi N: Ageism and social integration of older adults in their neighborhoods in Israel. Gerontologist 2013; 54: 177–189.
22.
Garvin T, Nykiforuk CI, Johnson S: Can we get old here? seniors’ perceptions of seasonal constraints of neighbourhood built environments in a northern, winter city. Geografiska Annaler: Series B, Human Geography 2012; 94: 369–389.
23.
Boyden S: Biological determinants of optimal health; in Vorster DJ (ed): Proceedings of a Conference Held in Blantyre Malawi. London, International Biology Program, 1971 April 5–12.
24.
Wood R, Chan D: The hippocampus, spatial memory and Alzheimer’s disease. ANCR 2015; 15: 5–7.
25.
Stichler JF: Design considerations for aging populations. Health Environ Res Des 2013; 6: 7–11.
26.
Sundermeier L, Woollacott MH, Jensen JL, Moore S: Postural sensitivity to visual flow in aging adults with and without balance problems. J Gerontol Med Sci 1996; 51A:M45–M52.
27.
Boschetti MA: Attachment to personal possessions: an interpretive study of the older person’s experience. J Inter Des 1995; 21: 1–12.
28.
Zeisel J: Environmental design effects on Alzheimer symptoms in long-term care residences. World Hosp Health Serv 2000; 36: 27–31.
29.
Heerwagen J: Affective functioning, light hunger and room brightness preferences. Environ Behav 1990; 22: 608–635.
30.
Rubin HRR, Owens AJ, Golden G: Investigation to Determine Whether the Built Environment Affects Patients’ Medical Outcomes. The Center for Health Design, 1998. https://www.healthdesign.org/chd/research/investigation-determine-whether-built-environment-affects-patients-medical-outcomes.
31.
Figueiro MG: An overview of the effects of light on human circadian rhythms: implications for new light sources and lighting systems design. J Light Vis Environ 2013; 37: 51–61.
32.
Brabyn JA, Haegerstrom-Portnoy G, Schneck ME, Lott LA: Visual impairments in elderly people under everyday viewing conditions. JVIB 2000; 94: 741–755.
33.
Ahrentzen S, Tural E: The role of building design and interiors in ageing actively at home. Building Res Inf 2015; 43: 582–601.
34.
Wilson EO: Biophilia. Cambridge, Harvard University Press, 1984.
35.
Lindemann U, Stotz A, Beyer N, Oksa J, Skelton DA, Becker C, Rapp K, Klenk J: Effect of indoor temperature on physical performance in older adults during days with normal temperature and heat waves. Int J Environ Res Public Health 2017; 14: 186–195.
36.
Bjørn G, Patil GG: Biophilia: does visual contact with nature impact on health and well-being? Int J Environ Res Public Health 2009; 6,9: 2332–2343.
37.
Ulrich RS, Simons RF, Losito BD, Fiorito E, Miles MA, Zelson M: Stress recovery during exposure to natural and urban environments. J Environ Psychol 1991; 11: 201–230.
38.
Ulrich RS: View through a window may influence recovery from surgery. Science 1984; 224: 420–421.
39.
Takano T, Nakamura K, Watanabe M: Urban residential environments and senior citizens’ longevity in megacity areas: the importance of walkable green spaces. J Epidemiol Community Health 2002; 56: 913–918.
40.
de Vries S, Verheij RA, Groenewegen PP, Spreeuwenberg P: Natural environments – healthy environments? Environ Plann 2003; 35: 1717–1731.
41.
Maas J, Verheij RA, Groenewegen PP, de Vries S, Spreeuwenberg P: Green space, urbanity, and health: How strong is the relation? J Epidemiol Community Health 2006; 60: 587–592.
42.
Whitehouse S, et al: Evaluating a children’s hospital garden environment: utilization and consumer satisfaction. J Environ Psychol 2001; 21: 301–314.
43.
Kopec D: Designs that Protect: Culturally Sensitive Designs for Long Term Care Facilities. Washington, National Council for Interior Design Qualification monograph series, 2007.
44.
Information and Technical Assistance on the Americans with Disabilities Act, United States Department of Justice and Civil Rights Division: Introduction to ADA. http://www.ada.gov/ada_intro.htm.
45.
Sanford JA, Hernandez SC: Universal design, design for aging in place, and habilitative design in residential environments; in Kopec D (ed): Health and Well-Being for Interior Architecture. New York, Routledge, 2017, pp 137–147.
46.
Mace R, Hardie G, Place J: Accessible environments: toward universal design; in White ET (ed): Innovation by Design. New York, Van Nostrand Reinhold Publishers, 1991, pp 155–175.
47.
Imrie R: From universal to inclusive design in the built environment; in Swain J, French S, Barnes C, Thomas CC (eds): Disabling Barriers – Enabling Environments. London, Sage Publications, 2004, pp 279–284.
48.
Ding D, Cooper RA, Pasquina PF, Fici-Pasquina L: Sensor technology for smart homes. Maturitas 2011; 69: 131–136.
49.
Armstrong DG, Najafi B, Shahinpoor M: Potential applications of smart multifunctional wearable materials to gerontology. Gerontology 2017; 63: 287–298.
50.
Basatneh R, Najafi B, Armstrong DG: Health sensors, smart home devices, and the internet of medical things: an opportunity for dramatic improvement in care for the lower extremity complications of diabetes. J Diabetes Sci Technol 2018; 12: 577–586.
51.
Wild K, Boise L, Lundell J, Foucek A: Unobtrusive in-home monitoring of cognitive and physical health: reactions and perceptions of older adults. J Appl Gerontol 2008; 27: 181–200.
52.
van Hoof J, Kort HS, van Waarde H, Blom MM: Environmental interventions and the design of homes for older adults with dementia: an overview. Am J Alzheimers Dis Other Demen 2010; 25: 202–232.
53.
Rogers WA, Meyer B, Walker N, Fisk AD: Functional limitations to daily living tasks in the aged: a focus group analysis. Human Factors 1998; 40: 111–125.
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