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Related Experiment Video

Updated: May 21, 2025

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
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Inclusive Practices for Aging in Place: Environmental and Home Modifications for Older Adults.

Selena E Washington1, Emma Edwards2, Abby Fink3

  • 1Selena E. Washington, PhD, MSPH, OTR/L, is Associate Professor, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO; selena.washington@health.slu.edu.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|March 18, 2025
PubMed
Summary

The Older Adult Home Modification Program (OAHMP) improved home safety and independence in daily activities for low-income older adults. This cost-effective program supports aging in place through interprofessional collaboration and tailored home modifications.

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Area of Science:

  • Gerontology
  • Public Health
  • Occupational Therapy

Background:

  • The aging population is expanding, increasing the need for effective home modification programs for low-income older adults.
  • Supporting older adults to age in place is crucial for their well-being and reduces healthcare costs.

Purpose of the Study:

  • To evaluate the implementation of the Older Adult Home Modification Program (OAHMP) in an urban setting.
  • To assess how the program integrated functional interventions and home modifications to meet the needs of older adults in low-income households.

Main Methods:

  • Program evaluation study using descriptive analysis of sociodemographic characteristics and pre- and postimplementation data.
  • Intervention involved three in-home visits by an occupational therapist, home modification team, and social worker.
  • Paired-samples t tests and Pearson's r correlation analysis were used to compare functional scores and assess relationships.

Main Results:

  • Significant improvements were observed in self-care activities of daily living (ADLs) and home safety post-OAHMP implementation.
  • Positive relationships were found between health status and improved independence in ADLs and instrumental ADLs.
  • 91% of personal goals were met or partially met, with an average modification cost lower than national averages.

Conclusions:

  • The OAHMP effectively enhances ADL independence and home safety for diverse, low-income older adults, supporting aging in place.
  • Client-centered modifications and interprofessional collaboration address environmental barriers, fostering autonomy and occupational engagement.
  • The program's cost-effectiveness and focus on health equity highlight occupational therapy's vital role in community living.