ArticleInnovation in aging2026
Assessing home environmental hazards for older adults receiving in-home supportive services: the healthy homes assessment tool.
Article in Innovation in aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
Background and Objectives: Home- and community-based services (HCBS) assessments often fail to include environmental health hazards that can be a barrier to aging in place. This study describes the development of a tool assessing two categories of environmental health hazards found in older homes-poor chemical and physical indoor air quality (IAQ) and moisture-related mold conditions-and the evaluation of the feasibility of integrating it into HCBS assessment workflows. Research Design and Methods: The Healthy Home Assessment Tool (H-HAT) includes resident reports and HCBS care coordinator observations/reports of indoor air quality (IAQ) and moisture-related mold conditions, conducted in partnership with an area agency on aging. For preliminary pilot validation, H-HAT ratings were assessed relative to consumer-grade IAQ monitoring and mold analysis. Results: The sample included 41 low-income older adult households (median resident age: 76; 78% female; 31.7% African American). Care coordinators successfully fielded the tool, sharing results via standardized reports and proposing remediation strategies with residents. Mold odor was noted in 23% of residences, and water damage in 48.7%. Relative to current EPA standards, 61.0% had fine particulate matter (PM Discussion and Implications: H-HAT is feasible to deliver in partnership with care management agencies. Poor IAQ and moisture/mold conditions are common and may be relevant in designing care plans and improving health outcomes.
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