Abstract
Housing adaptation (or home modification) has been an important and common intervention in occupational therapy practice worldwide, based on the notion that occupational performance is the outcome of person–environment–occupation (P-E-O) transactions. Housing adaptation is applicable with all kinds of clients with occupational performance problems in the home setting, since most clients are older people (Iwarsson, 2005). Measures such as removal of thresholds, installation of shower stalls instead of bathtubs, and installation of handrails and grab bars are among the most common. However, based on considerable differences across countries, the possibility of providing such solutions as well as the role of the occupational therapist in the processes of performing housing adaptation vary considerably. A growing body of scientific evidence has the potential to strengthen this part of occupational therapy practice, with the ultimate goal of creating home environments supporting occupational performance.
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References
Boverket. (2005). Housing Adaptation Grants 2004. Karlskrona, Sweden: Boverket.
Christiansen, C., and Baum, C. (1997). Person-environment occupational performance. A conceptual model for practice. In: Christiansen, B.C., ed. Occupational Therapy. Enabling Function and Well-Being, 2nd ed. Thorofare, NJ: Slack.
Cumming, R.G., Thomas, M., Szonyi, G., Salkeld, G., O’Neill, E., and Westbury, C. (1999). Home visits by occupational therapists for assessment and modification of environmental hazards: a randomized trial of falls prevention. J Am Geriatr Soc, 47, 1397–1402.
Fänge, A. (2004). Strategies for Evaluation of Housing Adaptations—Accessibility, Usability and ADL Dependence. Doctoral dissertation, Faculty of Medicine, Lund University, Sweden.
Fänge, A., and Iwarsson, S. (2005). Changes in ADL dependence and aspects of usability following housing adaptation—a longitudinal perspective. Am J Occup Ther, 59, 296–304.
Fänge, A., and Iwarsson, S. (2007). Challenges in the development of strategies for housing adaptation evaluations. Scand J Occup Ther, 14(3), 140–149.
Gillespie, L.D., Gillespie, W.J., Robertsson, M.C., Lamb, S.E., Cumming, R.G.,Rowe, B.H. (2003). Interventions for preventing falls in elderly people. Cochrane Database of Systematic Reviews, 4, CD000340.
Gitlin, L.N. (1998). Testing home modification interventions: Issues of theory, measurement, design, and implementation. Ann Rev Gerontol Geriatr, 18, 190–246.
Gitlin, L.N., Corcoran, M., Winter, L., Boyce, A., and Hauck, W.W. (2001). A randomized, controlled trial of a home environmental intervention: effect on efficacy and upset in caregivers and on daily function of persons with dementia. Gerontologist, 41, 4–14.
Heywood, F. (2004). The health outcomes of housing adaptations. Disabil Soc, 19, 129–143.
Iwarsson, S. (2005). A long-term perspective on person-environment fit and ADL dependence among older Swedish adults. Gerontologist, 45(3), 327–336.
Iwarsson, S., and Ståhl, A. (2003). Accessibility, usability, and universal design—positioning and definition of concepts describing person-environment relationships. Disabil Rehabil, 25, 57–66.
Lyons, R.A., et al. (2003). Modification of the home environment for the reduction of injuries. Cochrane Database of Systematic Reviews, 4, CD003600.
Mann, W., Ottenbacher, K.J., Fraas, L., Tomita, M., and Granger, C.V. (1999). Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly. A randomized controlled trial. Arch Fam Med, 8, 210–217.
Stark, S. (2004). Removing environmental barriers in the homes of older adults with disabilities improves occupational performance. Occup Participation Health, 24, 32–39.
Steinfeld, E., and Tauke, B. (2002). Universal designing. In: Christophersen, J., ed. Universal Design. 17 Ways of Thinking and Teaching. Oslo, Norway: Husbanken.
Wahl, H.W., Fange, A., Oswald, F., Gitlin, L.N., and Iwarsson, S. (in press). The home environment and disability-related outcomes in aging individuals: What is the empirical evidence? The Gerontologist.
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Iwarsson, S. (2009). Housing Adaptations: Current Practices FutureChallenges. In: Söderback, I. (eds) International Handbook of Occupational Therapy Interventions. Springer, New York, NY. https://doi.org/10.1007/978-0-387-75424-6_5
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DOI: https://doi.org/10.1007/978-0-387-75424-6_5
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