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Published on: July 27, 2018
Clients' experiences of housing adaptations: a longitudinal mixed-methods study
Cecilia Pettersson1, Charlotte Löfqvist, Agneta Malmgren Fänge
1Department of Health Sciences, Health Sciences Center, Lund, Sweden. cecilia.pettersson@med.lu.se
Disability and Rehabilitation
|March 3, 2012
Summary
Housing adaptations (HAs) enable continued home living and societal participation despite functional decline. Clients navigate complex decisions regarding HAs, balancing benefits and drawbacks for autonomy.
Area of Science:
- Occupational therapy
- Environmental psychology
- Rehabilitation science
Background:
- Housing adaptations (HAs) are crucial for maintaining independence and quality of life for individuals with functional limitations.
- Understanding the long-term client experience of HAs is essential for optimizing their effectiveness.
Purpose of the Study:
- To explore clients' lived experiences of housing adaptations (HAs) over time.
- To examine the relationship between HAs, housing, and health outcomes.
Main Methods:
- A multiple longitudinal case study design was employed.
- Embedded mixed-methods approach combining semi-structured interviews and structured survey assessments.
- Four participants were included in the study.
Main Results:
- HAs facilitated the maintenance of valued roles, activities, and community participation.
- Participants sought autonomy and control, requiring support through HAs and mobility devices.
- HAs presented challenges to routines, habits, and aesthetic perceptions, necessitating ongoing negotiation of decisions.
Conclusions:
- Housing adaptations involve intricate person-environment-activity (P-E-A) transactions.
- HAs enhance client activity and independence, even with functional decline.
- Findings inform improvements in individual HA interventions and overall service efficiency.
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