Literature DB >> 33202798

Thermal Personalities of Older People in South Australia: A Personas-Based Approach to Develop Thermal Comfort Guidelines.

Helen Bennetts1, Larissa Arakawa Martins1, Joost van Hoof2,3, Veronica Soebarto1.   

Abstract

An important consideration for future age-friendly cities is that older people are able to live in housing appropriate for their needs. While thermal comfort in the home is vital for the health and well-being of older people, there are currently few guidelines about how to achieve this. This study is part of a research project that aims to improve the thermal environment of housing for older Australians by investigating the thermal comfort of older people living independently in South Australia and developing thermal comfort guidelines for people ageing-in-place. This paper describes the approach fundamental for developing the guidelines, using data from the study participants' and the concept of personas to develop a number of discrete "thermal personalities". Hierarchical Cluster Analysis (HCA) was implemented to analyse the features of research participants, resulting in six distinct clusters. Quantitative and qualitative data from earlier stages of the project were then used to develop the thermal personalities of each cluster. The thermal personalities represent different approaches to achieving thermal comfort, taking into account a wide range of factors including personal characteristics, ideas, beliefs and knowledge, house type, and location. Basing the guidelines on thermal personalities highlights the heterogeneity of older people and the context-dependent nature of thermal comfort in the home and will make the guidelines more user-friendly and useful.

Entities:  

Keywords:  cluster analysis; cooling; design guidelines; heating; housing; thermal comfort

Mesh:

Year:  2020        PMID: 33202798      PMCID: PMC7698095          DOI: 10.3390/ijerph17228402

Source DB:  PubMed          Journal:  Int J Environ Res Public Health        ISSN: 1660-4601            Impact factor:   3.390


1. Introduction

The ability to stay in one’s community and age-in-place is the preferred strategy for most people, including the majority of older Australians [1]. For some people, this may mean moving to a smaller or more manageable dwelling as they approach older age. For others, it may mean making adjustments to their existing homes. The World Health Organization’s (WHO, Geneva, Switzerland) Checklist of Essential features of Age-friendly Cities notes that appropriate accommodation is important for the independence and quality of life of older people and that the accommodation should be “appropriately equipped to meet the ambient environmental conditions” [2] (p. 31). This could refer to the design of the house itself and the way it can respond to the environment, or to the heating and cooling equipment installed to assist with the thermal comfort of the occupants. Either approach requires an understanding of local conditions: the climate, housing, and the thermal preferences and behaviours of older people in their homes. The majority of thermal comfort studies have been conducted with younger people and in non-residential settings such as offices or climate chambers [3]. Studies exploring whether the thermal comfort requirements of older people differ from those of younger people are inconclusive. One review of both climate chamber studies and field studies concluded that there were no significant differences between the comfort temperatures of young and older people once clothing, metabolic, and anthropometric differences were taken into account [4]. Other studies reported that older people preferred higher temperature [3,5,6], or lower [7,8], that their comfort range was narrower [9] or wider [10]. Despite differences in individual studies, both physiological changes (for example, changes to the metabolic rate and cardiovascular system) and behavioural changes (for example, decline in activity, more time spent at home) suggest older people have increased vulnerability to prolonged periods of both high and cold temperatures [11]. While there are a number of design guidelines that provide information about modifying an existing home or building a new one to suit ageing-in-place (for example, Livable Housing Australia [12]), thermal comfort is rarely referred to. The focus is mainly on improving accessibility, supporting self-care, and preventing falls and injury [13]. On the other hand, guidelines and standards for thermal comfort [14,15,16] rarely address older people or thermal comfort in the home. This is despite knowledge about the impact of ageing on people’s thermoregulation [17,18,19,20,21,22], about the connection between the thermal conditions in the home and older people’s health and well-being [23], as well as about the problems of rising energy prices and increasing energy poverty amongst older people [24]. It appears many older people themselves are not aware of these issues. In a recent survey of older people in South Australia, 85% said they had not heard, seen, or received information about how hot and cold weather could affect their health, while 90% said they had not heard, seen, or received information about how to improve their thermal comfort [25]. The research, Improving the thermal environment of housing for older Australians (ARC DP180102019), investigates the thermal comfort and thermal behaviours of people aged 65 and over who live independently in South Australia. Data have been collected via telephone survey of 250 respondents [25], focus group discussions with 49 participants about their heating and cooling behaviour [26], and indoor environmental monitoring and occupant surveys in 57 households involving 71 older occupants to capture their attitudes, behaviours, and approaches to achieving thermal comfort [27,28]. The previous stages of this research project revealed the inter-individual differences in the research participants as well as their housing conditions, thermal preferences, (environmental) attitudes and concerns, and heating and cooling practices. In total, 340 people, aged 65 or older who were living independently, participated in the project. The participants exhibited the diversity evident in older people in terms of demographics, with ages from 65 to over 93, and various levels of income, education, health, and well-being. Their thermal behaviours and thermal preferences varied greatly along with the location and thermal performance of their dwellings [29,30]. An important outcome of the project will be thermal comfort guidelines for older people who wish to age-in-place in South Australia. Based on the research data, the guidelines are intended to raise awareness of the links between older people’s well-being and thermal comfort in the home and to provide information about keeping cool in hot weather and warm in cold weather. Rather than focusing only on specifying a range of temperatures that are suitable for older people, the guidelines will describe a variety of strategies for achieving thermal comfort, taking into consideration people’s personal factors, housing conditions, and knowledge, as well as the actions that older people prefer to take. Focus groups with older people undertaken earlier in the research project revealed that the strategies employed by individuals to keep cool in hot weather and warm in cold weather were complex, inter-related, and influenced by a range of issues including personal factors and preferences, people’s beliefs and experiences, the design and location of the dwelling, the type of heating and cooling equipment, as well as their financial concerns [26]. Some people discussed that their thermal behaviours were mainly influenced by the cost of heating and cooling, while others indicated that they were affected by concern over the impact of the thermal environment on their health and well-being. Recognising these different motivations will be an important aspect of the design guidelines. Analysis of the data derived from focus group discussions identified four key concepts influencing thermal behaviour: personal factors, doing, knowing, and feeling [26]. The four key concepts highlight the importance of aspects of the housing and lead to important domains and subdomains (Figure 1).
Figure 1

Factors important for understanding heating and cooling behaviours. Adapted from van Hoof et al. [26].

This paper describes the method used to develop the organisation and content of the guidelines. Based on the concept of personas, a number of discrete “thermal personalities” were developed through cluster analysis of quantitative data (for example, personal factors, doing, and housing) from the survey and the monitoring questionnaires, supplemented with qualitative information (for example, about knowing and feeling) from the interviews with the participants of the monitoring and thermal comfort survey and from the focus group discussions. Personas are “fictitious, specific and concrete representations of target users” [31]. Originally proposed by software developer Alan Cooper [32] as a way to represent the goals and motivations of different types of prospective software users, personas are typically developed from both quantitative and qualitative data and are presented as fictional characters with a name, appropriate image, and a narrative. Personas can be used to summarise and communicate research about people [33], to link such research with design ideas [34], and can stimulate empathy or understanding of user perspectives, particularly where these perspectives are different from those of the designer’s [35]. The thermal personalities developed in this study reflect strategies that older people currently use to achieve thermal comfort in the South Australian context and highlight where additional information will be beneficial. Basing the design guidelines on a number of different thermal personalities derived from the experiences and opinions of the participants themselves highlights the different approaches that people have to thermal comfort.

2. Methodology

In order to develop the thermal personalities, cluster analysis was used to identify groups amongst the study participants. In cluster analysis, similar objects are grouped into clusters such that the clusters are distinct from each other, while the members within the cluster are broadly similar to each other [36]. The clustering was based on data from 250 participants of the telephone survey [25] and 71 participants of the indoor environmental monitoring/occupant survey [27,28,29,30]. Note that only a small number of the 49 participants of the focus group were included in the cluster analysis, as the rest did not participate in either the telephone survey or the monitoring, where the detailed questionnaire was administered. Further, a number of people participated in all three—the telephone survey, focus group discussions, and indoor monitoring—hence, they were only counted once. This resulted in 303 total participants for the clustering. After carefully going through all the questions used in the telephone survey and occupant survey, a set of 18 questions were identified as relevant features with which to judge the similarity between each participant in the clustering analysis. Some adjustments on how the data were analysed are explained below. As the data collection stages—i.e., the telephone survey and indoor environmental monitoring—covered different combinations of questionnaires, the first step of the process involved sorting and separating only the questions that were repeated in both stages and, where possible, combining questions. For example, people were asked to rate their concern about the cost of heating as well as their concern about the cost of cooling on a five-point scale from 1 = not at all concerned, 2 = somewhat concerned, 3 = concerned, 4 = very concerned, to 5 = extremely concerned. As more than 90% of people responded in the same way to both questions, the categories were combined to depict their Concern about the cost of heating and cooling. The scale was reduced to a three-point scale, i.e., 1 = not at all concerned, 2 = concerned (covering the previous votes 2 and 3), 3 = very concerned (corresponding to the previous votes 4 and 5). Where the original responses differed for heating and cooling, they were checked. In some cases, the respondent did not use either heating or cooling, so the response for the one they had was recorded to represent the concern over the cost of energy. Otherwise, any responses that included 4 or 5 in the old scale were recoded as 3 (very concerned) in the new scale. Other cases were recorded as the lower value. During the survey, many respondents had chosen “Declined to answer” when asked about the annual household income, although all had provided the source of income (i.e., either working full or part-time, part or full government-funded aged pension, or self-funded retiree). Note that a self-funded retiree is someone whose retirement income is derived from a contribution-based benefit known as superannuation in Australia or from other sources such as investments or savings. For cases where household income was not given, an amount was calculated based on the source of income that was provided with amounts based on the current means-tested aged pension in Australia for either a single person (AUD 24,000/year) or couple (AUD 36,000/year). Thus, the first category for Annual household income (AUD 50,000 applies for people who do not qualify for the pension as their income from other sources (for instance, superannuation or savings) is too high. The validity of this approach was checked against the cases where both household income and the source of income had been provided. Both the survey and monitoring questionnaire included separate questions about whether specific health symptoms had been diagnosed by a doctor in either hot or cold weather. While some symptoms were particular to either hot or cold weather (for instance, heat stroke, dehydration, pneumonia), most symptoms occurred in both hot and cold weather (for instance, asthma, bronchitis, renal or kidney condition, heart condition). Thus, these were only counted once per person but combined in the feature ‘Weather-affected health symptoms’. The EQ-5D-5L is a health-related quality of life questionnaire about mobility (the ability to walk about), self-care (washing and dressing oneself), usual activities (work, housework, family or leisure activities), pain or discomfort, and anxiety or depression [37]. Respondents were asked to rate their problems in each category on a scale from 1 (no problems) to 5 (extreme problems or unable to do). Both the survey and monitoring questionnaire included the question, “When it’s very hot, what is the first thing you do to cool down?”. Individual responses were grouped for the feature ‘First action to keep cool’ into personal (i.e., drink water, wear light clothes, reduce activities, stay inside, take cool showers, go for a swim); household (i.e., pull down blinds, shut curtains, keep windows and doors shut during the day or open them up when it cools down); and technology (i.e., turn on fan or air conditioning). Similarly, responses to ‘First action to keep warm’ were grouped as personal (i.e., hot drinks or hot food, wear warm clothes, keep active, stay in bed longer, use knee rugs, take hot showers); household (i.e., open curtains during day, close them at night, shut doors between rooms); and technology (i.e., turn on heater). Table 1 shows the 18 features, their data types, and the scales or categories used. The data included different data types: ordinal (such as age group) and nominal (such as sex and living arrangement).
Table 1

Features used for development of the thermal personalities.

FeatureScale or CategoriesData Type
Age group1 = 65–742 = 75–843 = 85+Ordinal
Sex0 = female1 = maleNominal
Living arrangement0 = alone1 = with partner/othersNominal
Annual household income1 = less than AUD 30,0002 = between AUD 30,000 and AUD 50,0003 = more than AUD 50,000Nominal
Concern re heating and cooling cost0 = not concerned1 = concerned2 = very concernedOrdinal
EQ-5D-5L dimensions health-related well-beingMobility1 = no problems with walking about2 = slight problems with walking about3 = moderate problems with walking about4 = severe problems with walking about5 = unable to walk aboutOrdinal
Self-care1 = no problems washing or dressing myself2 = slight problems washing or dressing myself3 = moderate problems washing or dressing myself4 = severe problems washing or dressing myself5 = unable to wash or dress myselfOrdinal
Usual activities1 = no problems doing my usual activities2 = slight problems doing my usual activities3 = moderate problems doing my usual activities4 = severe problems doing my usual activities5 = unable to doing my usual activitiesOrdinal
Pain/discomfort1 = no pain or discomfort2 = slight pain or discomfort3 = moderate pain or discomfort4 = severe pain or discomfort5 = extreme pain or discomfortOrdinal
Anxiety/depression1 = not anxious or depressed2 = slightly anxious or depressed3 = moderately anxious or depressed4 = severely anxious or depressed5 = extremely anxious or depressedOrdinal
Number of weather-affected health symptoms0 = none1 = 12 = 23 = 3Ordinal
First action to keep cool1 = personal, such as changing clothing level2 = household, such as close/open doors, windows, curtains, or blinds3 = technology, such as turning on cooling or fansNominal
First action to keep warm1 = personal such as changing clothing level2 = household such as close/open doors, windows, curtains, or blinds3 = technology such as turning on heatingNominal
Location1 = Iron Triangle—semi arid (Bsk)2 = Adelaide metropolitan area—warm temperate (Csa)3 = Fleurieu Peninsula or Adelaide Hills—mild temperate (Csb)Nominal
Age of house (years)1 = less than 10 years2 = 10–20 years3 = more than 20 yearsOrdinal
In a retirement village?0 = no1 = yesNominal
Type of cooler1 = none2 = ducted reverse cycle (RC) *3 = split system reverse cycle (RC)4 = ducted evaporative cooling5 = portable coolerNominal
Type of heater1 = none2 = ducted reverse cycle (RC)3 = split system reverse cycle (RC)4 = electric panel or portable heater5 = gas heater6 = combustion or open wood fire7 = underfloor heatingNominal

* RC—reverse cycle air conditioner. In some countries, this is called a heat pump.

The clustering algorithm used was an agglomerative (bottom up) hierarchical cluster analysis (HCA) performed using Anaconda v2019.3 [38], Python v3.7, NumPy, and SciPy libraries. HCA was chosen as there was initially a large number of variables and this approach is considered appropriate for high dimensional and low sample size (HDLSS) data. [39,40]. Additionally, unlike techniques such as k-means, it does not assume or determine the number of clusters (k) in advance but rather, produces a dendrogram diagram that represents the similarity or distance between clusters. As there were mixed data types used for the clustering analysis (i.e., nominal and ordinal data), each feature required a different distance measure to calculate the similarity between each person. The Gower dissimilarity measure [41] is able to deal with mixed type data types and, therefore, was chosen for this procedure. The HCA started with all 303 people as separate individual clusters and progressively merged them according to a pre-determined linkage criterion. This criterion determines which distance measure to use between data points. For this study, three linkage criteria, namely weighted, average, and complete [42], were tested in parallel to each other, in order to help choose the best performing cluster merging strategy. The silhouette score [43] was calculated for the different numbers of clusters ranging from 2 to 13. The silhouette score (from −1.0 to +1.0) shows how similar an object is to its designated cluster compared to all the other clusters, with +1.0 representing the best results and negative values representing bad clustering outputs. On consideration, the results for 4–7 clusters were examined in more detail as these appeared the most appropriate number of clusters for the guidelines, while providing enough variation to highlight the difference amongst the participants. For these, Pearson’s Chi-squared (Χ2) tests were performed to calculate the significance of the differences between clusters considering each feature. Once the cluster analysis was finalised, the thermal personalities were developed based on the salient features of each cluster. These were determined by examining the percentage breakdown in each category of each feature. Where the percentage was 75–99%, it was deemed that the category was “highly likely” for that cluster; between 51 and 74%, it was deemed “likely”. Where no category exceeded 50%, it was either deemed not salient for that feature or, if appropriate, categories were combined. The thermal personality narratives were further developed with quotes from the focus groups about qualitative aspects of thermal comfort. Information from the monitoring participants not included in the questionnaires (for example, about house design and construction and the way heaters and coolers are operated) was also used to enrich the narratives.

3. Results

3.1. Cluster Analysis Results

The cluster analysis identified that with six clusters, the silhouette score was greater than 0.0 (0.1), and the clusters were considered significantly different in all 18 features tested through Pearson’s Χ2 tests (p < 0.05) (Table 2).
Table 2

Results of Pearson’s Χ2 test for features used in cluster analysis.

FeaturePearson’s Χ2 Significance
Age0.000
Sex0.000
Living Arrangement0.000
Annual household income0.000
Concern re heating and cooling cost0.000
Mobility0.001
Self-care0.000
Usual Activities0.000
Pain/discomfort0.000
Anxiety/depression0.000
Number of weather-affected health symptoms0.046
First action to keep cool0.000
First action to keep warm0.000
Location0.000
Age of house0.014
In a retirement village?0.000
Type of cooler0.000
Type of heater0.000
Figure 2 shows the dendrogram that resulted from the clustering process, truncated to improve visualisation. The dashed horizontal line indicates the height at which the final six clusters, using all 18 features and complete linkage criteria, can be identified. The y-axis of this dendrogram reflects the distance between different clusters, from 0 to 1.0. The height (y) at which any two clusters are joined represents how similar they are. Two clusters that are joined at a low y-level are more similar to each other than the ones joined at higher levels.
Figure 2

Clustering dendrogram.

The results of the cluster analysis are shown in the Supplementary Materials and the description of the salient characteristics of the clusters is shown in Table 3.
Table 3

Salient characteristics of clusters.

Cluster 1Cluster 2Cluster 3Cluster 4Cluster 5Cluster 6
Age Highly likely ** aged 65–74*Highly likely aged 85+***
Sex Highly likely femaleHighly likely femaleHighly likely femaleLikely femaleHighly likely femaleHighly likely male
Live alone/with partner Lives aloneHighly likely lives aloneHighly likely lives aloneHighly likely lives with otherLikely lives with otherLikely lives with other
Annual household income Likely > AUD 50,000Likely < AUD 30,000Likely < AUD 30,000Likely > AUD 50,000*Likely AUD 30,000–50,000
Mobility Has problems with mobilityLikely has no problems with mobilityLikely has problems with mobilityLikely has no problems with mobility.Likely has no problems with mobility.Likely has no problems with mobility.
Self-care Highly likely has no problems with self-careHighly likely has no problems with self-careHighly likely has no problems with self-careHighly likely has no problems with self-careHighly likely has no problems with self-careHighly likely has no problems with self-care
Undertaking usual activities Highly likely has problems undertaking usual activitiesLikely has no problems undertaking usual activitiesLikely has problems undertaking usual activitiesLikely has no problems undertaking usual activitiesLikely has no problems undertaking usual activitiesLikely has no problems undertaking usual activities
Pain and discomfort Highly likely has moderate to severe pain or discomfortHighly likely has some pain or discomfortLikely has some pain or discomfortLikely has some pain or discomfortLikely has some pain or discomfortLikely has some pain or discomfort
Anxiety and depression Likely has some anxiety or depressionLikely has no anxiety and depressionLikely has no anxiety and depressionHighly likely has no anxiety or depressionLikely has some anxiety or depressionHighly likely has no anxiety or depression
Weather-affected health symptoms Likely has 1 or moreLikely has noneLikely has 1 or moreLikely has noneLikely has noneHighly likely has none
First thing to keep cool Highly likely use household strategies*Likely use technology*Likely use household strategiesLikely use technology
First thing to keep warm Likely use technologyLikely use personal strategiesLikely use personal strategiesLikely use personal strategiesLikely use personal strategiesLikely use technology
Concern about cost of heating and/or cooling Highly likely very concernedLikely concerned ***Likely not concernedHighly likely concernedHighly likely concernedLikely concerned
Location Likely lives in Iron Triangle or Adelaide metropolitan area.Live in all climate zones.Highly likely live in Adelaide metropolitan area.Highly likely live in Adelaide metropolitan area.Likely live in Adelaide Hills or Fleurieu PeninsulaLikely live in Adelaide Hills or Fleurieu Peninsula
Age of house Highly likely house > 20 years oldHighly likely house > 20 years oldLikely house > 20 years oldLikely house > 20 years oldLikely house > 20 years oldHighly likely house > 20 years old
Heating **Highly likely split system reverse cycleHighly likely ducted reverse cycleHighly likely split system reverse cycleHighly likely split system reverse cycle
Cooling Likely has ducted evaporative cooling.*Highly likely has split system reverse cycleHighly likely ducted reverse cycleHighly likely split system reverse cycleLikely split system reverse cycle
In retirement village? Does not live in a retirement villageHighly likely does not live in a retirement villageDoes live in a retirement villageHighly likely does not live in a retirement villageHighly likely does not live in a retirement villageHighly likely does not live in a retirement village

* No salience. ** Highly likely = 75–99% of participants in the cluster; Likely = 51–74%; No salience = Less than 50%. *** combines categories Concerned and Very concerned.

3.2. Thermal Personalities

Based on the salient characteristics of each cluster, the narratives for the thermal personalities were developed, as shown in Table 4. A name was assigned for each personality (not a real participant’s name) plus, where appropriate, other aspects of personal factors, doing, knowing, feeling, and housing were incorporated to emphasise the identity and indicate specific thermal behaviours. The transcripts of the focus group discussions and the audio recordings of the monitoring participants were examined for quotations to enrich the narratives, particularly in relation to the qualitative aspects of thermal behaviour. These appear in italics in the text of Table 4.
Table 4

Thermal personalities.

1. Tina, 66, lives alone in Whyalla and is about to renovate her existing house I was probably much more mobile, in fact I know I was a lot more mobile even a year ago, and I am conscious that I spend a lot of time just sitting now. 2. Liz has a low income, lives alone, and wants to reduce her heating and cooling costs Oh yes, I care about the bills, when you’re on a pension you have to. 3. Elsie, 86, lives alone in an independent living unit (ILU) of a retirement village and would like some ideas for improving her comfort I am conscious of the power bill because it is expensive and it’s scary, but I won’t freeze now, I won’t freeze with my health and age.
Personal factors Recently retired, Tina sometimes has problems walking and often has pain that restricts her activities. She feels that her health is worse in cold weather and often gets colds and flu. In summer, her main problem is that she finds it hard to sleep. She has income from her superannuation.Liz is often worried about money. She feels she is healthy but has occasional problems with pain in cold weather.Feeling very, very cold. My limbs aren’t as flexible; difficulty in walking; and difficulty in staying warm.Elsie receives a government pension. She has a number of ailments and has to use a walking frame. Her eyesight is poor and she also finds she is getting rather forgetful. Elsie has help with shopping and visits the community centre once a week.
Doing In cold weather, the first thing Tina does to keep warm is turn the heater on. She has electric portable heaters, which she uses in the living room and the bedroom. For cooling, Tina has ducted evaporative cooling. She uses this mostly at night, preferring to shut the house up on a hot day and stay inside.Although Liz has a split system reverse cycle air conditioner in the living room and a portable heater in the bedroom, she prefers to keep warm by dressing appropriately and working in the garden. Liz only uses cooling during prolonged hot spells.Elsie has a split system air conditioner in the living room. The first thing she does when she is feeling too warm, is to turn the air conditioner on. In cold weather, she prefers to wait until late afternoon before turning the heating on. She makes sure she is dressed warmly and will often use a knee rug when sitting.
Knowing Tina has lived in Whyalla for a long time and is familiar with the climate. She is very concerned that her declining health will make it harder to remain in her own home and wants to make adjustments to the house while she can.Liz is very concerned about the cost of heating and cooling and often finds it difficult to pay her electricity bills.You pay an electricity account but you go without something else.Elsie had the air conditioner installed a few years ago but no one explained how to use it.I’m never sure that I’ve got the thing set correctly, whether I’ve got the wrong instruction book. I always have difficulty, and I don’t really know where to go for assistance.
Feeling Tina finds her mood lightens on a sunny day. She particularly likes sitting in the sun on a cold day. For Tina, this is pure thermal delight.Liz prefers hot weather.I used to love the cold weather and not enjoy the heat so much but my bones love the heat, they don’t enjoy the cold.Elsie was born in England and she thinks this is why she has never liked the heat.I certainly get grumpier. It affects my mood and my attitude in the hot weather.
Housing Tina lives in a house that was built 30 years ago. It is cavity brick with concrete-slab-on-ground and a corrugated metal roof. Tina thinks it has insulation in the ceiling.Liz’s 100-year-old cottage has sandstone walls and timber floors. The kitchen and living area, added 20 years ago, has brick veneer walls with concrete slab on ground.Elsie lives in a semi-detached unit built in the 1970s with cavity brick walls, timber floors, and a tiled roof. She thinks there is insulation in the ceiling.
4. Sophia lives with her husband in Adelaide and is about to renovate her house I’d just like to be able to do something about it rather than just push a button when it’s going to get hot or cold. 5. Peggy and her partner are planning to downsize to a township in the Adelaide Hills and want information about sustainable heating and cooling If I had a wish in life it would be to live in a home that was environmentally really good, faced the sun and did everything. 6. Joe lives with his wife in a seaside town on the Fleurieu Peninsula and is interested in upgrading his air conditioning I would say that my heating and cooling is an absolute priority, I’d rather eat mince if you know what I mean and still be warm or cool.
Personal factors Sophia and her husband have income from investments and their superannuation. They are healthy and active, regularly going to the gym, travelling, and entertaining family and friends. Sophia has few weather-related illnesses beyond the occasional winter cold.Since retiring, Peggy has increased her involvement with community and environment groups. Although generally healthy and active, she feels she is slowing down and often becomes anxious both about her future and the state of the world.Joe is a retired engineer who keeps himself fit and healthy. He has a part-pension that supplements his income from other sources.
Doing Sophia’s house has ducted reverse cycle air conditioning, but Sophia and her husband prefer not to use this as a first response to hot and cold weather. Instead, they make sure they are dressed appropriately for the weather and that they keep active, particularly in cold weather.Go outside, do something outside. Come back inside and you’ll feel warm, work in the garden.Peggy has an old split system reverse cycle air conditioner in the living room but rarely uses it. She prefers to dress warmly and keep active in cold weather and to use blinds and curtains to keep the sun out in hot weather.I very rarely put on the air conditioner because I’m a terrible greenie, and I don’t like that air that blows on me.Joe’s first action if he feels too warm or cold is to turn the air conditioner on. He has one split system reverse cycle air conditioner in the living room and an old window unit in the bedroom but is considering upgrading these along with installing solar panels.As I get older I must admit... I just flick a switch and it sorts my problems.
Knowing Sophia is concerned that the cost of heating and cooling is increasing. She hopes to continue living in the family home but realises they need to make some changes. She is interested in passive design and would like to incorporate some of these principles when they renovate.Peggy is concerned about climate change and the links between energy use and global warming. While she is very concerned about the financial cost of heating and cooling, she is also concerned about the environmental cost.Joe is very comfortable with technology. He keeps his own records of the weather and also records his energy use. He likes the sense of control that this knowledge gives him.
Feeling Sophia likes the idea of having alternatives to the air conditioner to provide comfort.I’d just like to be able to do something about it rather than just push a button when it’s going to get hot or cold.Peggy feels much healthier when she is connected to natural elements such as the sun and the wind.Utilise nature, work with nature and appreciate nature.Joe loves living where he does because he finds the salty air healthy and he has a wonderful view of the ocean.
Housing Sophia and her husband have lived in their bungalow for more than 10 years. It has brick walls, timber floors, and a tiled roof. They are planning to upgrade their house.Peggy and her partner have lived in their current house for many years, but they are looking to move to a smaller house in an Adelaide Hills town.Joe’s house is elevated lightweight construction with timber floors.

3.3. Development of Thermal Comfort Guidelines

The narratives of each cluster were then used to identify the thermal comfort guidelines that could be relevant for that cluster. The design guidelines are intended to improve people’s knowledge (i.e., knowing), particularly about home modifications and technological solutions (i.e., doing), as well as aspects of housing that can affect thermal comfort and energy use. Table 5 presents the important points for the guidelines of each cluster. Note that the details of the actual guidelines are outside the scope of this paper and will be reported elsewhere.
Table 5

Important points to be addressed in the thermal comfort guidelines.

CLUSTER 1—Emphasis: Health and Well-Being CLUSTER 2—Emphasis: Cost CLUSTER 3—Emphasis: Comfort and Cost (Retirement Unit)
This cluster will benefit from guidelines consisting of information about:This cluster will benefit from guidelines consisting of information about:This cluster will benefit from guidelines consisting of information about:

How hot and cold weather can affect medical conditions in older people (K);

The benefits of simple modifications to the house, (D) for example:

improving ceiling insulation;

adding window and door seals;

Options for operable windows that are easy to operate (K);

Passive design principles to be incorporated in renovation, particularly to allow sun to come into the living area (K/D/F);

Energy-efficient heating and cooling systems and temperature set points that would be conducive to maintaining good health (D).

How hot and cold weather can affect medical conditions in older people (K);

Low cost household strategies to reduce the running cost of heating and cooling, (D), for example:

Installing reversible ceiling fans;

Using curtains or blinds to help reduce unwanted heat gain and heat loss;

Reducing the volume of rooms to be heated or cooled, for instance, by shutting doors or adding partitions;

Energy-efficient heating and cooling systems (D).

How hot and cold weather can affect medical conditions in older people (K);

Household strategies to improve comfort and reduce the need for heating and cooling (D), for example:

Using curtains or blinds to help reduce unwanted heat loss and heat gain;

Reducing draughts by improving the sealant around the windows and doors.

Personal heating and cooling devices such as electric rugs or personal fans (D);

How to operate a split system reverse cycle air conditioner efficiently, including thermostat settings, and when to turn it on and off (D);

Easy-to-use remote controls for the air-conditioning system (D).

CLUSTER 4—Emphasis: Comfort and Cost (Own House) CLUSTER 5—Emphasis: Cost and Environment CLUSTER 6—Emphasis: Comfort and Technology
This cluster will benefit from guidelines consisting of information about:This cluster will benefit from guidelines consisting of information about:This cluster will benefit from guidelines consisting of information about:

How hot and cold weather can affect medical conditions in older people (K);

Passive design principles for house renovation (K).

Household modifications suitable for an old house (D), for example:

Summer shading including using deciduous plants;

Improving/adding sealant around the windows and doors;

Replacing existing glass in windows with better performance glazing, and/or;

Replacing existing fixed windows with operable ones;

Adding roof vents to the roof space;

Checking the insulation on the ceiling and, if needed, replacing/adding new insulation.

Alternatives to the ducted system reverse-cycle air-conditioner for heating and cooling (K/D), for example:

Individual/split system so they only need to run the system in the room they occupy;

Solar panels: size, type, payback (K).

How hot and cold weather can affect medical conditions in older people (K);

Passive design principles for building or buying a new house (K), for example:

Living areas that face the sun (F);

Walls and ceiling are well-insulated;

Windows can be opened easily but safely (D/F);

Window, door frames, all cracks and joints are well-sealed;

Roof eaves and other shading that will block direct sun in summer but allow it to enter the spaces in winter;

Large spaces can be divided into small spaces to reduce heating and cooling (D);

Using natural materials for building construction, as much as possible, to minimise environmental impact and provide “warm” feeling (F);

Solar panels: size, type, payback (K).

How hot and cold weather can affect medical conditions in older people (K);

Benefits of using energy-efficient heating and cooling systems (i.e., replacing the old window unit) (K/D);

Solar photovoltaic panels, size, cost, and payback (K);

Smart air-conditioning control and application (K/D);

Smart metering system (K);

Benefits of insulation to be installed under the elevated timber floors to reduce heat loss, thus reducing the need for heating (K).

K = Knowing; D = Doing; F = Feeling.

4. Discussion

Based on the concept of personas, this study has identified thermal personalities of older people living independently in South Australia as a basis for producing thermal comfort guidelines for people ageing-in-place in this region. Personas have been used widely in software development, marketing, and product design [44]. In recent decades, the rise of person-centred policies along with an increasing computerisation of information has seen the use of personas spreading. For example, in the health sector, personas have been used when developing public health messages and eHealth platforms for patients [45,46,47], during the design of medical equipment [48,49,50], and when developing health policy [51]. Personas of older people have been incorporated in health informatics [52,53,54]. A project in Europe has developed 30 basic senior personas as a tool for software developers using data derived from the longitudinal survey SHARE (Survey of Health Ageing and Retirement in Europe) [55]. Taşoz and Afacan developed three personas of older people that were used to explore simulated ageing and the effect on basic activities of daily life [56]. In the area of building design and thermal comfort, Jais et al. [57] and McCracken et al. [58] developed personas of people living with dementia to inform architects and designers. Goldstein et al. [59] used inferred and invented personas to develop occupant behaviour models for thermal simulation, while Haines and Mitchell [60] drew on evidence collected from a 4-year study of energy-saving technologies for owner-occupiers to develop personas of different approaches to domestic energy retrofitting. A similar approach was adopted by Ortiz and Bluyssen, who developed five archetypes of residential energy users and suggested that the archetypes will be useful for refining building simulation models and also for building designers wishing to develop building features for specific energy-using archetypes [61]. For this study, the thermal personalities were developed by analysing the characteristics of 303 research participants, and their responses to a range of questions related to how they deal with the weather and how they operate their homes. These characteristics and responses are referred to as features. Using cluster analysis, participants with similar features were grouped together. Whilst the analysis resulted in six distinct clusters, there were a number of challenges in the process. First, data were imbalanced. For example, initially, the participants were grouped into five age groups (65–69, 70–74, 75–79, 80–84, and 85 and over) but upon looking into the data more closely, there were very few participants aged 65–69; thus, a decision was made to reduce the age groups to three (65–74, 75–84, 85 and over). Reducing to three age groups also provided clearer distinctions in terms of age-related thermal behaviour, housing decisions, and health and well-being. The second challenge was about the number of features included in the cluster analysis. Initially, more than 30 features were considered for the analysis. Many were rejected as the data were incomplete or were consistently evenly distributed (for instance, preference for either hot or cold weather did not show any difference). Indeed, many of the participants had similar characteristics. For example, in line with the general Australian population, the vast majority lived in a separate house built of brick veneer. While using fewer features resulted in a higher silhouette score, indicating that the clusters were distinctive from each other, the results were not comprehensive enough to be useful as a basis for the design guidelines. The process of identifying the features involved constant trying out, considering the outcome. After a number of iterations, using the 18 features resulted in six distinctive clusters. These features are related to thermal comfort in complex and inter-related ways. For example, thermal comfort requirements and actions are likely to be different for the different age groups. People in the age group 85 years and over are likely to have lower income, more health and well-being issues, and are more likely to live alone than those aged 65–74 [62]. Some chronic health conditions that are common in the older population can be affected by either hot or cold weather. This may cause discomfort or changes to daily routines at one level but, in extreme cases, may lead to hospitalisation or mortality during heat waves or prolonged cold [63,64,65,66]. In addition, there may be age-related changes to housing. The majority of people downsizing and moving to a retirement home in South Australia are in the age group of 65–74 [67]. Age may also affect decisions about modifications to the house. During the focus group discussions, it emerged that a person’s age was one consideration they took into account when assessing whether it was “worth” doing something, such as installing solar panels to reduce energy costs in light of “how much time is left” (to live). Similarly, the type of housing may determine what modifications are possible. Compared to an owner-occupied home, in a retirement home, the ability to make changes to the fabric of the house (such as adding external shading) is severely constrained. Along with age, numerous studies have identified living arrangement as a risk factor for heat-related morbidity and mortality, with older people who live alone particularly vulnerable during heat waves [68,69]. In terms of thermal comfort, households with more than one person may have occupants with different thermal requirements (for example, for medical reasons) or different thermal preferences. On the other hand, a household with more than one person is likely to have financial advantages with a higher household income plus a lower energy use and cost per person. The household income may constrain what is possible in terms of capital changes to a house, the sort of heating and cooling technology that is affordable, and the attitudes to energy usage for heating and cooling. The level of concern that people have about heating and cooling costs is likely to be a driver of thermal comfort behaviour. The costs may not be simply financial costs. A few people indicated that they were “not concerned” about the cost of heating or cooling because they felt the financial cost was less important than the potential cost to their health of being too hot or too cold, while some people were “very concerned” about the environmental cost of heating and cooling energy use rather than the financial cost. The approach described in this paper of using different thermal personalities as the basis for the guidelines evolved in response to the previous stages of the research, where it became apparent that older people had a range of approaches to thermal comfort depending on their particular circumstances. Complex issues are at play, including the local context (climate, house type, heating and cooling equipment) and the individual’s personal situation, habits, beliefs, and preferences. One person may eschew air-conditioning for cooling because of their environmental beliefs, while another may use energy-intensive whole-house heating for many months of the year finding it alleviates their arthritis. In both cases, appropriate (but different) information may help them reduce energy costs and improve their health and well-being. These design guidelines will differ from existing guidelines and traditional thermal comfort standards, such as ASHRAE Standard 55 [14], ISO 7730 [15], and ISO/TS 14415 [16]. Thermal comfort research has been dominated by building science and quantitative analysis, often with a view to defining or developing standards of optimal environmental conditions. For example, the WHO recommends temperatures between 18 and 24 °C to be the “safe” temperature range where “there is no demonstrable risk to human health of healthy sedentary people” [70]. However, the WHO recommends a minimum temperature higher than 18 °C for older people. On the other extreme, temperature between 25 and 32 °C is recommended by WHO as acceptable maximum temperatures [71]. While recent studies conducted both in environmental chambers [6,72,73] and in dwellings [9,74] have started to make distinctions between thermal comfort for younger and older people, most did not consider people’s behaviour in their own home and solely focussed on one’s thermal responses. Adopting both quantitative and qualitative approaches, this study, on the other hand, has considered the older people in the true context of their home. This includes their personal factors (i.e., age, sex, living arrangement, financial situation, and health and well-being status), their knowledge, belief, and attitudes, their feeling and sensation about their surroundings, their behaviours and adaptive practices, as well as the interactions with their home environment. It is expected that the guidelines that will be developed from this approach will be more useful in addressing the heterogeneity of older people. The study, however, has a number of limitations. Firstly, people volunteered to take part in the study and this introduced a bias in terms of people who were interested in research and willing to commit for a long time-frame study. Most were in (relatively) good health. Thus, although the study participants were still heterogeneous, there were some groups who were under-represented in the study including those in poor health, renters, people from non-English speaking backgrounds, and people living in different house types. Secondly, while the focus group discussions [26] provided qualitative information useful to enrich the understanding from the results of the initial survey [25], the questions posed to the participants during the focus group discussions were not all the same as those used in the survey due to the flow of the discussions at the time. There could have been greater standardisation of questions asked at the different stages of the research and better integration of the non-quantitative aspects. Thirdly, as there are only three climate zones in South Australia (BSk, Csa, and Csb climate zones according to the Köppen–Geiger climate classification [75]), the results of the study are particularly relevant only to these climates. Similar research in other climate zones is likely to reveal different thermal behaviours and this, in turn, may lead to the identification of different thermal personalities. For instance, someone in northwest Europe living in a Cfb climate may not have to consider the extreme heat that sometimes occurs in South Australia but would have to deal with much lower temperatures. In other words, the thermal behaviours and thermal comfort requirements seen in the participants of this study may be quite different from those living in climates other than the BSk, Csa, and Csb climate zones. Along with the climate, there are many aspects of thermal comfort that are particular to the local context such as housing tenure and construction methods, heating and cooling equipment, and energy costs. Nevertheless, while the focus of this study is on older people in the particular context of South Australia, the approach can be adopted in other contexts and for other groups in society. One approach could be to conduct a process that is close to the cross-cultural validation of instruments and scales [76]. Such a validation would account for cultural differences, for instance, for older people who arrived in Australia as migrants, or for older people in other countries, or when accounting for existing forms of social inequality and deprivation [77]. This applies not only to ethnic or cultural diversity, but also to other factors such as sex, age, socioeconomic position, or health status, which influence what people consider important when it comes to the age-friendliness of their living environment [78], including the thermal environment of their houses. In addition, for older people in different climate zones, a “cross-climatic validation” could also be conducted, as different climatic conditions may impact behaviours, practices, and beliefs [79]. The circumstances in which societies adapt their cultural values and practices to cold, temperate, and hot climates include the availability of money to cope with the climate [79]. Countries like Australia, which cover various climate zones, could be compared to countries which are located in just one climate zone, such as the United Kingdom, or countries which have a similar diversity in climates (such as the United States of America), and which hold similar cultural practices and share a common language. Conducting a similar study in a climatically and culturally diverse country as India, where many people also speak English, could yield different outcomes in thermal personalities.

5. Conclusions

The research, Improving the thermal environment of housing for older Australians (ARC DP180102019), investigates the thermal comfort and thermal behaviours of people aged 65 and over who wish to age-in-place. It adds to our knowledge about the variety of strategies taken by older South Australians to achieve thermal comfort. This paper describes one aspect of the method used to translate the research into information about thermal comfort that is approachable and relevant for a wide audience. The concept of personas was used to develop thermal personalities that reflect personal factors, housing conditions, and knowledge as well as the actions that older people prefer to take to keep warm in cold weather and cool in hot weather. The current study has identified six thermal personalities, which will be developed in more depth for the actual guidelines. Aspects particular to the personality (for instance, preferred strategy for keeping warm or cool, house type, and location) will be incorporated in building simulations to assess the impact on comfort, cost, or energy use of design strategies for each thermal personality. This novel approach to thermal comfort research—based on personas—in turn, will lead to personalised guidelines to achieve thermal comfort in housing for older people.
  25 in total

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Authors:  L Schellen; W D van Marken Lichtenbelt; M G L C Loomans; J Toftum; M H de Wit
Journal:  Indoor Air       Date:  2010-04-16       Impact factor: 5.770

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Authors:  R-L Hwang; C-P Chen
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Authors:  Valmi D Sousa; Wilaiporn Rojjanasrirat
Journal:  J Eval Clin Pract       Date:  2010-09-28       Impact factor: 2.431

4.  August 2003 heat wave in France: risk factors for death of elderly people living at home.

Authors:  S Vandentorren; P Bretin; A Zeghnoun; L Mandereau-Bruno; A Croisier; C Cochet; J Ribéron; I Siberan; B Declercq; M Ledrans
Journal:  Eur J Public Health       Date:  2006-10-06       Impact factor: 3.367

5.  Behavioral thermoregulation in older adults with cardiovascular co-morbidities.

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Journal:  Temperature (Austin)       Date:  2017-11-10

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Journal:  Int J Med Inform       Date:  2019-01-15       Impact factor: 4.046

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Journal:  J Biomed Inform       Date:  2016-08-26       Impact factor: 6.317

8.  Using personas to tailor educational messages to the preferences of coronary heart disease patients.

Authors:  S Vosbergen; J M R Mulder-Wiggers; J P Lacroix; H M C Kemps; R A Kraaijenhagen; M W M Jaspers; N Peek
Journal:  J Biomed Inform       Date:  2014-09-17       Impact factor: 6.317

9.  The Living Environment and Thermal Behaviours of Older South Australians: A Multi-Focus Group Study.

Authors:  Joost van Hoof; Helen Bennetts; Alana Hansen; Jan K Kazak; Veronica Soebarto
Journal:  Int J Environ Res Public Health       Date:  2019-03-15       Impact factor: 3.390

10.  How Older People Experience the Age-Friendliness of Their City: Development of the Age-Friendly Cities and Communities Questionnaire.

Authors:  Jeroen Dikken; Rudy F M van den Hoven; Willeke H van Staalduinen; Loes M T Hulsebosch-Janssen; Joost van Hoof
Journal:  Int J Environ Res Public Health       Date:  2020-09-20       Impact factor: 3.390

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