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Staying safe at home. Home environmental audit recommendations and uptake in an older population at high risk of
Michelle L Currin1, Tracy A Comans, Kathy Heathcote
1Queensland Health, Community Rehabilitation Service, Primary and Community Health-Metro South HSD, Brisbane, Queensland, Australia. michelle_currin@health.qld.gov.au
Aim:
To identify the level of uptake of occupational therapists' home environmental audit recommendations by older community dwellers and the factors that contribute to adherence.
Design And Setting:
Cohort nested within an RCT that compared two models of care for fall prevention located in Brisbane, Australia.
Participants:
Community-dwelling older people >60 at risk of falls (n = 80).
Interventions:
An environmental audit and recommendations by an occupational therapist.
Results:
Of the recommendations made, 55% were completed by 6 months. Increasing number of comorbidities was a significant predictor of adherence with recommendations. Recommendations requiring external providers were more likely to be completed than those relying on the client or family member.
Conclusion:
Occupational therapists need to consider a wide range of intrinsic and extrinsic factors, which may contribute to adherence with home modifications.
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