Understanding the dimensions of home that impact on home modification decision making

Aplin, Tammy; Jonge, Desleigh de; Gustafsson, Louise

doi:10.1111/1440-1630.12022

Cited by 51 publications

(73 citation statements)

References 25 publications

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“…However, this repurposing of existing domestic space for rehabilitation activities did not necessarily lead to the medicalisation of home (Aplin et al 2013;Tamm 1999;Moore et al 2010). Rather, the separation of the rehabilitation room from the rest of the home space was fluid and, at times, blurry -in the 'rehab' room, a basket of unfolded laundry awaited folding, and memorabilia injected a sense of self-expression, collective identity, and biographical history (Tanner et al 2008).…”

Section: Methodsmentioning

confidence: 99%

“…Yet, while these ideas emphasise the stability of home, these are places that are dynamic, negotiated, and contested. Experiences of home may change from therapeutic to nontherapeutic -even detrimental -for an individual during illness or upon the onset of a chronic condition that leads to bodily limitations , for their informal carers (Donovan and Williams 2007), and for those who must adapt to home modifications (Aplin et al 2013;Tanner et al 2008).…”

Section: Therapeutic Landscapes and Homementioning

confidence: 99%

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Orchestrating home

Karasaki¹,

Warren²,

Manderson³

2017

MAT

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The private space of the home is an important site of health care in most industrialised countries, and rehabilitation following intensive in-hospital treatment largely takes place in domestic settings. Home in this context is implicitly understood by individuals affected by illness (people with illness, family members, friends, carers), health care providers, and policy makers as an a priori entity that naturally provides continuity and stability. This takes for granted that family carers will maintain both therapeutic activities and the sense of 'being at home' -and all of the accompanying emotional dimensions -within the home environment. Drawing on ethnographic research with relatively young spousal carers in Victoria, Australia, we explore how the reconstruction of home as a site for post-stroke recovery changed the experiences and meanings given to the idea of home. Home as a therapeutic place depended on constant orchestrating work that reconfigured the physical, symbolic, and practical elements of home. This was not a straightforward or singular process, as tensions arose in trying to integrate the new, post-stroke therapeutic landscape and pre-stroke conceptualisations and lived realities of home life.

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Section: Methodsmentioning

confidence: 99%

Section: Therapeutic Landscapes and Homementioning

confidence: 99%

Orchestrating home

Karasaki¹,

Warren²,

Manderson³

2017

MAT

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“…Boyle et al (2014) thus concluded that occupational therapists participating in the study felt that grants officers found it difficult to accept autistic children have problems which could lead to a need for an adaptation. a specific concern highlighted by families is the lack of provision for change (aplin, de Jonge, and Gustafsson 2013;Heywood 2004;Roy et al 2008), which is particularly pertinent in relation to growing children and the length of time adaptations often take to be put in place. Heywood's (2004) research took a retrospective look at disabled adaptations and her findings led her to conclude that some adaptations were not always appropriate for the long-term needs of the child, because the needs of the child changed over time.…”

Section: Service User Perspectives Of Home Adaptationsmentioning

confidence: 99%

The effects of adapting their home on the meaning of home for families with a disabled child

Morgan

Reagon

Boniface

2016

Disability & Society

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This article describes part of a mixed-method study investigating family and professional perspectives on home adaptations for disabled children. The methods were an online survey of staff involved in adaptations processes (n =39), semi-structured interviews with families with disabled children (n = 48) and an online survey for families (n = 16). One of the wider study's recommendations was that families need to be enabled to engage with processes proactively. This article focuses on families' experiences of the meaning attributed to adapting the home and highlights that, although satisfied with the completed adaptation, families were dissatisfied with the process they had been through. Thus, despite the need for the meaning of home being central to the adaptation process, families felt excluded from the process as it progressed. This had a negative impact on the continuing use of the adaptation and affected the meaning of home for families with a disabled child.

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“…To be able to remain living at home despite disabilities and being in need of care, changes to the built home environment might be necessary. When people consider altering their homes, studies have indicated that the aesthetics of the adaptation, costs associated with the installation, available space in the home and considerations about the future (such as health changes and the resale value) all affect the decision to have the house adapted [6]. When altering the home, the meaning of the home can change and it might be necessary to change habits and learn new routines for daily activities [7].…”

Section: Introductionmentioning

confidence: 99%

“…While some studies have explored the applicants' experiences of HAs [19] and home modifications [6,20], studies with an explicit focus on the cohabitants´ or caregivers´ expectations and experiences of sharing home where HAs have been made are lacking. Considering that the informal caregiver is, to a large extent, the spouse of the person in need of care, this knowledge is important when designing a person-centred HA intervention which also might facilitate caregiving tasks.…”

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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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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Understanding the dimensions of home that impact on home modification decision making

Abstract: An understanding of the dimensions of home that impact decision making provides occupational therapists with a greater appreciation of the experience of home and allows them to enhance the effectiveness and acceptance of home modifications.

Cited by 51 publications

References 25 publications

Orchestrating home

Orchestrating home

The effects of adapting their home on the meaning of home for families with a disabled child

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

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