Evaluation of housing adaptation interventions: integrating the economic perspective into occupational therapy practice

Chiatti, Carlos; Iwarsson, Susanne

doi:10.3109/11038128.2014.900109

Cited by 22 publications

(22 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since functional decline and activity limitations often come with age [8], with an ageing population [3] there is a risk for a situation with increasing accessibility problems for senior citizens living in ordinary housing [9,10,11]. Given the rapid demographic change towards increasing proportions of older people and people ageing with disabilities [3], society should place accessibility high on the housing provision agenda not only when planning for new housing but also for the existing stock of ordinary housing (i.e., dwellings on the public or private housing market, not including special housing, residential care facilities, etc.…”

Section: Introductionmentioning

confidence: 99%

Housing accessibility for senior citizens in Sweden: Estimation of the effects of targeted elimination of environmental barriers

Pettersson

Slaug

Granbom

et al. 2017

Scandinavian Journal of Occupational Therapy

Self Cite

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Housing accessibility for senior citizens in Sweden: Estimation of the effects of targeted elimination of environmental barriers

Pettersson

Slaug

Granbom

et al. 2017

Scandinavian Journal of Occupational Therapy

Self Cite

View full text Add to dashboard Cite

“…Systematic and evidence based assessment of the needs among applicants and how their needs change over time is a prerequisite for effective follow-ups. Initiatives towards careful and systematic housing adaptation process, have been proposed [ 7 , 60 ] and the clusters identified in this study could be useful in this respect. Moreover, the financial burden posed by the increasing need for care of the aging populations will continue to contribute significantly to dramatic increases in health-care spending [ 61 , 62 ], stressing the need for targeted interventions that facilitate participation and health.…”

Section: Discussionmentioning

confidence: 99%

Heterogeneity of Characteristics among Housing Adaptation Clients in Sweden—Relationship to Participation and Self-Rated Health

Thordardottir

Chiatti

Ekstam

2015

IJERPH

Self Cite

View full text Add to dashboard Cite

The aim of the paper was to explore the heterogeneity among housing adaptation clients. Cluster analysis was performed using baseline data from applicants in three Swedish municipalities. The analysis identified six main groups: “adults at risk of disability”, “young old with disabilities”, “well-functioning older adults”, “frail older adults”, “frail older with moderate cognitive impairments” and “resilient oldest old”. The clusters differed significantly in terms of participation frequency and satisfaction in and outside the home as well as in terms of self-rated health. The identification of clusters in a heterogeneous sample served the purpose of finding groups with different characteristics, including participation and self-rated health which could be used to facilitate targeted home-based interventions. The findings indicate that housing adaptions should take person/environment/activity specific characteristics into consideration so that they may fully serve the purpose of facilitating independent living, as well as enhancing participation and health.

show abstract

“…The intervention in this study has been developed and tested through many years of research and in discussion with practitioners. This process has included methodological development and testing see, e.g., [ 29 , 58 , 59 ], research aimed at identifying the most important outcomes see, e.g., [ 6 – 8 , 18 , 46 , 57 ] and research targeting current HA case-management procedures in Swedish municipalities [ 20 ]. Since complex interventions comprise multiple components that are interrelated or interdependent they can be challenging to develop, document, evaluate, and report.…”

Section: Discussionmentioning

confidence: 99%

“…The interventions compared comprised not only HAs but also a number of other activities. In addition, these findings could have limited generalizability in the Scandinavian context given the differences in costs and funding structures between different countries [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

A research-based strategy for managing housing adaptations: study protocol for a quasi-experimental trial

Ekstam

Carlsson

Chiatti

et al. 2014

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

BackgroundThe primary aim of this paper is to describe the design of a project evaluating the effects of using a research-based strategy for managing housing adaptations (HAs). The evaluation targets clients’ perspectives in terms of activity, participation, usability, fear of falling, fall incidence, use of mobility devices, and health-related quality of life, and determines the societal effects of HAs in terms of costs. Additional aims of the project are to explore and describe this strategy in relation to experiences and expectations (a) among clients and cohabitants and (b) occupational therapists in ordinary practice.Methods/designThis study is a quasi-experimental trial applying a multiphase design, combining quantitative and qualitative data. At the experimental sites, the occupational therapists (OTs) apply the intervention, i.e. a standardized research-based strategy for HA case management. At the control site, the occupational therapists are following their regular routine in relation to HA. Three municipalities in south Sweden will be included based on their population, their geographical dispersion, and their similar organizational structures for HA administration. Identical data on outcomes is being collected at all the sites at the same four time points: before the HA and then 3, 6, and 12 months after the HA. The data-collection methods are semi-structured qualitative interviews, observations, clinical assessments, and certificates related to each client’s HA.Primary outcomes are the usability of the home and the client’s independence in daily activities (ADL). Cross-sectional and longitudinal data analyses will be conducted as well as statistical analyses, health-economic analyses, and qualitative analyses. Qualitative and quantitative data will be sequentially analyzed, and case studies will be developed.DiscussionThe intervention in this study has been developed and tested through many years of research and in collaboration with practitioners. This process includes methodological development and testing research aimed at identifying the most important outcomes and research targeting current HA case-management procedures in Swedish municipalities. When the study is completed, the results will be used for further optimization of the practice strategy for HA, in close collaboration with the data-collecting OTs.Trial registrationNo: NCT01960582.

show abstract

Evaluation of housing adaptation interventions: integrating the economic perspective into occupational therapy practice

Cited by 22 publications

References 30 publications

Housing accessibility for senior citizens in Sweden: Estimation of the effects of targeted elimination of environmental barriers

Housing accessibility for senior citizens in Sweden: Estimation of the effects of targeted elimination of environmental barriers

Heterogeneity of Characteristics among Housing Adaptation Clients in Sweden—Relationship to Participation and Self-Rated Health

A research-based strategy for managing housing adaptations: study protocol for a quasi-experimental trial

Contact Info

Product

Resources

About