Active and Assisted Living, a Practice for the Ageing Population and People with Cognitive Disabilities: An Architectural Perspective

Int J Environ Res Public Health. 2023 May 19;20(10):5886. doi: 10.3390/ijerph20105886.

Abstract

The current digital revolution is causing a paradigm shift encompassing all environments in which human beings conduct their daily activities. Technology is starting to govern the world, gradually modifying not only individual and social behaviour, but also ways of living. The necessary adaptation to new information and communication technologies forces societies to rethink both public and private spaces, in which evolution is slower than rapid social transformation. As part of this change, the concept of Active Assisted Living (AAL) has developed. Assisted spaces can be designed to provide older adults, carers, or people who have cognitive disabilities, such as Alzheimer's disease or other dementias, with a healthier, safer, and more comfortable life, while also affording them greater personal autonomy. AAL aims to improve people's quality of life and allow them to remain in their own homes for as long as possible, not in residences. This study conducted a critical review about AAL from an architectural point of view. The research adopted a qualitative approach in which we collected the studies during the last twenty years, then used descriptive, narrative and critical analysis methods. Based on these, this paper aims to explain this new technological paradigm, its characteristics, its main development trends, and its implementation limitations. The results obtained show how the development of AAL will be in the next ten years, and how this concept, and its application, can influence architecture and provide the bases for further research into the design of buildings and cities.

Keywords: Active Assisted Living; Ambient Assisted Living; ageing; ambient adapted to Alzheimer’s outpatients; ambient intelligence; cognitive architectural design; health humanities; healthy architecture.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aging
  • Alzheimer Disease*
  • Cognition
  • Health Status
  • Humans
  • Quality of Life*

Grants and funding

This research was funded by the European Regional Development Fund (ERDF-FEDER); the Council of Economic Transformation, Industry, Knowledge, and Universities of the Andalusian Government (Consejería de Transformación Económica, Industria, Conocimiento y Universidades, Junta de Andalucía) within the ERDF-FEDER 2014–2020 Operational Program; and the University of Seville, with the Research, Development, and Innovation Project.