Longitudinal changes in everyday life after home modifications for people aging with disabilities

Petersson, Ingela; Kottorp, Anders; Bergström, Jakob; Lilja, Margareta

doi:10.1080/11038120802409747

Cited by 69 publications

(68 citation statements)

References 18 publications

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“…The longitudinal findings of this study show that in a relatively short period of time the health and caring situation can change, also putting the HA into another light, thus the HA was seen as a piece of the puzzle. Encouraging people with disabilities to apply earlier in the process and also to reduce the time between application and installation [17] would possibly make it easier for people to make use of the HA and actually reach the goals of independence and safety [30].…”

Section: Housing Decisionsmentioning

confidence: 99%

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Cohabitants’ perspective on housing adaptations: a piece of the puzzle

Granbom

Taei

Ekstam

2017

Scandinavian Caring Sciences

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As part of the Swedish state-funded healthcare system, housing adaptations are used to promote safe and independent living for disabled people in ordinary housing, through the elimination of physical environmental barriers in the home. The aim of this study was to describe the cohabitants´ expectations and experiences of how a housing adaptation, intended for the partner, would impact on their everyday life. In-depth interviews were conducted with cohabitants of nine people applying for a housing adaptation, firstly at the time of the application and then again three months after the housing adaptation was installed. A longitudinal analysis was performed including analysis procedures from Grounded Theory. The findings revealed the expectations and experiences in four categories: Partners´ activities and independence; Cohabitants´ everyday activities and caregiving; Couples´ shared recreational/leisure activities and Housing decisions, with a core category putting the intervention into perspective: Housing adaptations -A piece of the puzzle. With the cohabitants' perspective new insights on housing adaptations emerged, which are important to consider when planning and carrying out successful housing adaptations.

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Section: Housing Decisionsmentioning

confidence: 99%

“…Several positive outcomes of home modifications and HAs for the client have been demonstrated, e.g. in relation to falls [12][13][14], usability [15,16] and activity [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Cohabitants’ perspective on housing adaptations: a piece of the puzzle

Granbom

Taei

Ekstam

2017

Scandinavian Caring Sciences

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“…In a systematic overview of studies targeting outcomes of housing adaptations (6), substantial evidence of reduced disability, for example dependence in ADL and IADL, was found in some studies, (3,5,(7)(8)(9)(10)(11)(12) but other studies (13)(14)(15) indicated that the intervention had no such effects. Instead, multidimensional interventions comprising a variety of strategies, e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Housing adaptation is a common compensatory intervention used by occupational therapists to enhance independent living (1)(2)(3)(4)(5), to increase usability in the home and to support activity and participation. In a housing adaptation, the physical home environment is altered, and the intervention is individually tailored in order to meet the specific needs of the person in the home.…”

Section: Introductionmentioning

confidence: 99%

Housing adaptations from the perspectives of Swedish occupational therapists

Fänge

Lindberg

Iwarsson

2012

Scandinavian Journal of Occupational Therapy

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The aim of this study was to investigate how occupational therapists in Sweden administer housing adaptation cases, how they perceive the housing adaptation process, and which improvements they consider necessary. A total of 1,679 occupational therapists employed by county councils or local authorities (and are involved in housing adaptations) participated in a web-based survey. The survey targeted issues related to referral and needs identification, assessment, certification, case progress feedback and evaluation. Less than half of the occupational therapists systematized the assessment prior to intervention and very few conducted any evaluation afterwards. Feedback from workmen or grant managers to the occupational therapists on each case's adaptation progress was rare but asked for. The majority of the participants were satisfied with the housing adaptation process in general, while at the same time they indicated a need for further improvements of the process.Differences between occupational therapists related to employer and year of graduation were found on the majority of the targeted issues. To conclude, a very large extent of housing adaptations seem to be based on non-standardized procedures for assessment, and only few of them are evaluated systematically.Keywords: web-based survey, case management, evidence-based practice, home modification. Housing adaptations from the perspectives of Swedish occupational therapistsAbstract: The aim of this study was to investigate how occupational therapists in Sweden administer housing adaptation cases, how they perceive the housing adaptation process, and which improvements they consider necessary. A total of 1,679 occupational therapists employed by the county councils' or the local authorities (and are involved in housing adaptations) participated in a web-based survey. The survey targeted issues related to referral and needs identification, assessment, certification, case progress feedback and evaluation. Less than half of the occupational therapists systematized the assessment prior to intervention and very few conducted any evaluation afterwards.Feedback from workmen or grant managers to the occupational therapists on each case's adaptation progress was often asked for but rarely given. The majority of the participants were satisfied with the housing adaptation process in general, while at the same time they indicated a need for further improvements of the process. Differences between occupational therapists related to employer and year of graduation were found on the majority of the targeted issues. To conclude, to a very large extent of housing adaptations seem to be based on non-standardized procedures for assessment, and only few of them are evaluated systematically.2

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“…shower chair, movement sensors) (Pynoos et al 2003;Sanford 2012); others explained it as an alternation to the physical environment (e.g. replacement of a bath, installation of a ramp) that enables an individual with a functional limitation to perform everyday activities at home (Johansson et al 2007;Petersson et al 2009). In this study, housing adaptation refers to modifications of permanent physical features in the indoor and immediate outdoor environment to reduce environmental barriers and restore independent living.…”

Section: Introductionmentioning

confidence: 99%

Service planning and delivery outcomes of home adaptations for ageing in the UK

Zhou

Oyegoke

Sun

2017

J Hous and the Built Environ

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In response to the impact of demographic change on the healthcare system, 'ageing in place' was introduced as a national policy to support elderly people living independently in their homes. Housing adaptation is essential for successful independent living and has been given increased political priority. However, adaptation policies and practice vary regionally, reflecting statutory limits, policy choices and local planning. This study investigated the current status of adaptation provision in different regions in the UK and assessed the effectiveness of local service planning and management. A mixedmethods sequential explanatory research strategy was employed. In the first quantitative phase, a questionnaire survey was carried out involving all 378 local authorities in England, Scotland and Wales. This was followed by a second qualitative phase involving individual interviews with five professionals and two clients and a focus group meeting with six key stakeholders. The study found that the current number of adaptations was relatively small compared with potential demands in most local areas, as was funding for adaptations. On the operational side, the adaptation process was fragmented, involving different service groups in many local authorities. There were disconnections between these groups, which often caused inefficiencies and poor effectiveness. Moving forward, local authorities need to have a clear vision of the overall need for adaptations and allocate sufficient resources. Practical guidelines are also needed for better integrated working and performance management.

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Longitudinal changes in everyday life after home modifications for people aging with disabilities

Cited by 69 publications

References 18 publications

Cohabitants’ perspective on housing adaptations: a piece of the puzzle

Cohabitants’ perspective on housing adaptations: a piece of the puzzle

Housing adaptations from the perspectives of Swedish occupational therapists

Service planning and delivery outcomes of home adaptations for ageing in the UK

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