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

Area of Science:

• Occupational therapy
• Health services research
• Rehabilitation engineering

Background:

• Housing adaptations (HAs) aim to improve clients' independence and safety.
• Current HA management strategies may not fully capture client perspectives or societal costs.
• A research-based strategy for HA management requires evaluation.

Purpose of the Study:

• To design and evaluate a research-based strategy for housing adaptation (HA) case management.
• To assess the impact of HAs on clients' activity, participation, usability, and quality of life.
• To determine the societal costs associated with HAs and explore stakeholder experiences.

Main Methods:

• Quasi-experimental trial with a multiphase, mixed-methods design.
• Comparison of a standardized, research-based HA strategy against regular practice.
• Data collection at three Swedish municipalities over 12 months post-adaptation, using interviews, observations, and clinical assessments.

Main Results:

• The study is designed to collect comprehensive data on client outcomes and societal costs.
• Quantitative and qualitative data will provide insights into the effectiveness and user experience of the HA strategy.
• Analysis will focus on changes in activity, participation, usability, fear of falling, and health-related quality of life.

Conclusions:

• The evaluated HA strategy is built upon extensive research and practitioner collaboration.
• Findings will inform the optimization of HA case-management practices in Swedish municipalities.
• The study aims to enhance the effectiveness and efficiency of housing adaptations.