Coping with activity limitations that occur in old age is an important issu
e in the context of increasing life expectancy and the, still, inevitable o
nset of chronic conditions in old age. Elderly households can be viewed as
coping with activity limitations by producing functionality with the use of
direct inputs that include home modifications. A model of the household pr
oduction of functionality is developed within the general framework of hous
ehold production function models of health. Hypotheses generated from this
model are tested using a logit model for data from the Survey of Asset and
Health Dynamics Among the Oldest Old (AHEAD). The main findings of the empi
rical analysis are that the demand for home modifications is fairly income-
inelastic, home modifications and personal care are substitutes to some deg
ree, the demand for home modifications increases with years of schooling, a
nd that particular health conditions and the use of other assistive devices
are important determinants of the demand for modifications.