Journal articles: 'Home modification'

1

Kato, Yuki, Ken Muramatsu, Yoshinori Yamamoto, Yoshie Suzuki, and Ryo Momosaki. "Strategies for Effective Home Modification in Older Adults." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110207. http://dx.doi.org/10.1177/21514593211020704.

Full text

Abstract:

There are various barriers to home modifications to prevent falls among the older population. Several strategies may be necessary to overcome these barriers and implement effective home modifications. The need for home modification should be assessed, which requires a home evaluation by a specialist. In Japan, welfare housing environment coordinators have been trained to provide advice on home modifications suitable for people with disabilities. In addition, in Japan, home assessment and advice on home modification before discharge from acute care hospitals for older people is allowed as a medical reimbursement, and a system for effective home modification is well established. Human resource training and medical policy arrangements on home modifications could improve the cost-effectiveness. In Japan, a system has been established to support the costs of home modification and environmental maintenance. Financial support has reduced the barrier to home modification. Fixed grab bars or shower chairs can be rented, which may be more cost-effective than purchasing them and may shorten the time required for installation. There may be psychological barriers to home modification for older population. Since many older people do not recognize the importance of home modification, promotion to convey the value of home modification may be necessary. Training of staff to engage in home modification, public financial support for modification, and ideas for reducing psychological hesitation may help to reduce the barriers for home modification and to enable effective home modification.

APA, Harvard, Vancouver, ISO, and other styles

2

McCullagh, Marjorie Cook. "Home Modification." AJN, American Journal of Nursing 106, no. 10 (October 2006): 54–63. http://dx.doi.org/10.1097/00000446-200610000-00033.

Full text

APA, Harvard, Vancouver, ISO, and other styles

3

&NA;. "Home Modification." AJN, American Journal of Nursing 106, no. 10 (October 2006): 64. http://dx.doi.org/10.1097/00000446-200610000-00034.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Nishino, Akiko, Yoritaka Harazono, Moeko Tanaka, Kazunori Yoshida, Toko Funaki, Ryosuke Takada, Takenori NASU, and Taketo TOBIMATSU. "Role of Home-Modification Training for Care Managers." Innovation in Aging 5, Supplement_1 (December 1, 2021): 777–78. http://dx.doi.org/10.1093/geroni/igab046.2875.

Full text

Abstract:

Abstract With the aging of society, the long-term care insurance system -which includes home modifications to continue living at home- was established in 2000. However, the quality of home modifications has been persistent issue, and effective training is expected to conclusively solve this problem. To this end, the purpose of this study is to clarify the rational for training care managers who plan home modifications. A survey comprising two sets of questionnaires was conducted; one set encompassed is all 62municipalities in Tokyo, whereas the other involved care manager who participated in training program. The results of the first questionnaire showed that, out of 62 municipalities, 9 (14.5%) provided training on home modification, of which 8 (88.9%) provided training on administrative procedures. In one municipality that provided training on practical aspects of home modification, we provide questionnaires to 59 care managers participating in the training. -Lectures on administrative procedures, physical conditions of invalids, and reading drawings were conducted by administrative staff, occupational therapists, and architects, respectively. Afterwards, the participants attended a planning workshop. According to the questionnaire conducted after the workshop, 80.4% of the participants could understand home modifications in the system, 85.5% understood how to modify homes based on the occupants’ symptoms and physical conditions, 81.6% could interpret drawings, 90.2% could plan modifications, and 81.6% found the training useful. These findings indicate that the training of care managers has indeed been effective in actual practice. Improving the quality of home modifications through multidisciplinary cooperation is significant in maintaining home life.

APA, Harvard, Vancouver, ISO, and other styles

5

Kim, Jiseob. "HOW LOAN MODIFICATIONS INFLUENCE THE PREVALENCE OF MORTGAGE DEFAULTS." Macroeconomic Dynamics 21, no. 1 (June 20, 2016): 55–105. http://dx.doi.org/10.1017/s1365100515000395.

Full text

Abstract:

How much can government-driven mortgage modification programs reduce the mortgage default rate? I compare an economy without a modification option to one with easy modifications, and evaluate the impact of these loan modifications on the foreclosure rate. Through loan modification, mortgage servicers can mitigate their losses and households can improve their financial positions without having to walk away from their homes. When modifying loan contracts is prohibitively costly, the default rate increases 1.5 percentage points in response to a 2007-style unexpected drop in housing prices of 30%. I calibrate the cost of modification after the financial crisis to match the Home Affordable Modification Program (HAMP) modification rate of 0.68%. My quantitative exercises show that current government efforts to promote mortgage modifications reduce the mortgage default rate by 0.63 percentage points.

APA, Harvard, Vancouver, ISO, and other styles

6

Chen, Jian, Jin Xiang, and Tyler Yang. "International Real Estate Review." International Real Estate Review 21, no. 1 (March 31, 2018): 1–40. http://dx.doi.org/10.53383/100253.

Full text

Abstract:

During the recent housing recession and financial crisis, mortgage modification has been heavily promoted by the U.S. government as a way to stabilize the housing and the national banking systems. Numerous programs, such as the Home Owners Preserving Equity (HOPE), Home Affordability Modification Program (HAMP), and Home Affordability Refinance Program (HARP), were introduced or enhanced to allow more aggressive modifications than traditionally observed prior to the crisis. Loan modification is believed to be a way to avoid foreclosure and to help borrowers keep their homes. However, the effectiveness of loan modification in preventing eventual foreclosure has not been quantified. In this paper, we use Federal Housing Administration (FHA) modified loans to analyze their re-default risk. We use loan-level data to trace the performance of loans with heavy modifications. We have three major empirical findings. First, the empirical model shows that modified loans tend to have much higher re-default risk than otherwise identical never-defaulted loans. Second, the re-default model shows that re-default hazard is less sensitive to traditional risk drivers, compared with non-modified loans. Third, the re-default risk declines initially with the magnitude of the payment reduction associated with the modification received. However, as the payment reduction becomes substantial, the probability of re-default increases. Our empirical results suggest payment reduction is most effective around the 10% to 30% level, in order to reduce re-default risk. The effect is relatively flat between the 30% to 40% level. Payment reduction beyond the 40% level increases re-default risk, controlling for all observable variables. These findings have profound implications in how lenders should design optimal modification policies.

APA, Harvard, Vancouver, ISO, and other styles

7

DeLaTorre, Alan, Ivis García, Julianne Reno, Ja Young Kim, and Keith Diaz Moore. "LIFE SPACE MOBILITY AND NEIGHBORHOODS: HOW HOME MODIFICATIONS IMPACT AGING IN PLACE." Innovation in Aging 3, Supplement_1 (November 2019): S249. http://dx.doi.org/10.1093/geroni/igz038.935.

Full text

Abstract:

Abstract This presentation details a mixed methods study funded by the National Institute for Transportation and Communities that was conducted with 50 older adults aged 65 and older who lived in Portland, Oregon (n=25) and Salt Lake County, Utah (n=25). The purpose of the study was to improve understanding of how home modifications affect older adults’ mobility in different life-spaces (e.g., one’s bedroom, neighborhood), their understanding of aging in place and neighborhood, and their ability to age in place. During each home visit, a series of research protocols (i.e., surveys, interviews, mapping exercises) were carried out with each participant. The study found that home modifications (e.g., grab bars, replacing showers with bathtubs, and adding raised toilets) were reported to increase in-home mobility and, for some, their independence; however, for certain participants, those same modifications were less useful, especially to those with the need for caregiver supports. Life-space mobility outside the home was impacted by home modification such as ramps and railings on stairs; for some, those modifications bolstered social connections and access to services. Overall, home modification were seen as enabling both mobility and aging in place. Furthermore, respondents’ understanding and description of their neighborhoods varied greatly and were influenced by mobility barriers (e.g., presence of sidewalks and crosswalks) and available amenities.

APA, Harvard, Vancouver, ISO, and other styles

8

Gell, Nancy M., Harrison Brown, Lee Karlsson, Denise M. Peters, and Tracy M. Mroz. "Bathroom Modifications, Clutter, and Tripping Hazards: Prevalence and Changes after Incident Falls in Community-Dwelling Older Adults." Journal of Aging and Health 32, no. 10 (August 10, 2020): 1636–44. http://dx.doi.org/10.1177/0898264320949773.

Full text

Abstract:

Objectives: To describe the prevalence of bathroom modifications, clutter, and tripping hazards in the homes of US older adults and to examine changes after an incident fall. Methods: We used data from the 2015–2017 National Health and Aging Trends Study ( n = 7499). Outcomes were the prevalence of bathroom modifications, clutter, and tripping hazards and changes after incident fall. Results: In 2015, 26.5% of community-dwelling older adults had clutter or tripping hazards in the home, and 69.3% had at least one bathroom modification. Compared to nonfallers, older adults with multiple falls were significantly more likely to modify the bathroom. The magnitude of hazard reduction was similar after multiple falls but was not statistically significant. Discussion: Bathroom modifications are common and increase after multiple falls. A single incident fall does not appear to lead to home environment changes to reduce fall risk. Targeting home hazards may be an opportunity to reduce fall risk.

APA, Harvard, Vancouver, ISO, and other styles

9

Overton, Julie. "Resources for Home-Modification/Repair Programs." Technology and Disability 2, no. 4 (December 1, 1993): 80–88. http://dx.doi.org/10.3233/tad-1993-2411.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Pynoos, Jon, Christy Nishita, and Lena Perelma. "Advancements in the Home Modification Field." Journal of Housing For the Elderly 17, no. 1-2 (January 21, 2003): 105–16. http://dx.doi.org/10.1300/j081v17n01_08.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Aplin, Tammy, Melanie Hoyle, Emma Fiechtner, Adelle Bailey, and Elizabeth Ainsworth. "Home Modification Service Delivery in Australia." Journal of Aging and Environment 34, no. 2 (April 2, 2020): 190–209. http://dx.doi.org/10.1080/26892618.2020.1743512.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Thein, Chan Myae, John D. Gilbert, Calle Winskog, and Roger W. Byard. "Lethal consequences of home cot modification." Australian Journal of Forensic Sciences 48, no. 1 (April 8, 2015): 50–53. http://dx.doi.org/10.1080/00450618.2015.1025841.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Li, Sabrina, and Kenneth Ka Yu Au Yeung. "Home modification programme for elderly home owners in Hong Kong." World Federation of Occupational Therapists Bulletin 72, no. 1 (January 2, 2016): 54–57. http://dx.doi.org/10.1080/14473828.2016.1144318.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Yoshida, Kazunori, Yoritaka Harazono, Toko Funaki, and Akiko Nishino. "Care Managers Have Few Options for Home Modification Because They Are Not Specified in Architecture." Innovation in Aging 4, Supplement_1 (December 1, 2020): 198. http://dx.doi.org/10.1093/geroni/igaa057.641.

Full text

Abstract:

Abstract In this paper, we aim to clarify the cause of the difficulty in home modification. The aging society becomes larger where older people have difficulty in living home because of weakened body functions. To maintain quality of life, it is important to modify houses. In Japan, home modification is conducted by care managers, who are originally from nurses, helpers, and so on. However, to modify houses, we hypothesized that it is needed to have knowledge about not only body function but also architecture. Because of this, home modification should be difficult for care managers. For this problem, we aim to clarify the difficulty in home modification. In November 2018, we took part in the teaching course for care managers about home modification and asked care managers the number of home modification they conducted and what they have difficulty in. As a result, we asked for 57 care managers, who have experience as care managers for 39 months in average. Home modification was mainly conducted for setting handrails (four for a care manager in average). It was also revealed that experience of modification for handrails and doors are larger when the experience of care manager becomes longer, but other modification is not the case. The care managers told us that they cannot understand architecture. This result indicates that care managers cannot think of many options for modification because of their little knowledge about architecture. Therefore, it should be needed to combine the architects and care managers for appropriate home modification.

APA, Harvard, Vancouver, ISO, and other styles

15

Yan, Mengzhao, Emily Nabors, and Jon Pynoos. "PROGRAMS, POLICIES, AND SERVICES TO FACILITATE AGING IN PLACE." Innovation in Aging 6, Supplement_1 (November 1, 2022): 279. http://dx.doi.org/10.1093/geroni/igac059.1110.

Full text

Abstract:

Abstract Rooted in the person-environment-fit theory, home modification has been tested as an intervention to support older adults to age safely at home by improving functioning and reducing fall risks. Home modification is often a complex process, involving multiple steps and various stakeholders. As such, proper implementation is important to its effectiveness. However, limited research has focused on how to implement home modification from a comprehensive perspective. To advance the implementation science of home modification for older adults and achieve a better understanding of promising practices, we conducted a scoping analysis of review articles, referred to as umbrella review, to identify strategies that have been found effective in implementing home modification. Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P), after performing a thorough literature search from six electronic databases, including MEDLINE, PubMed, Embase, CINAHL, Web of Science, and Cochrane Review, we identified 16 highly relevant review articles from 1,310 articles retrieved. From these, we derived a set of practical strategies for service delivery professionals and developed an implementation matrix with the strategies clustered under two dimensions: (1) types of home modification based on demands of effort and level of evidence, including evidence-based practices, best practices, emerging practices; and (2) the critical stages of home modification, including preparation, home assessment, installation, follow-up visit. Our findings highlight the importance of maintaining cohesion between different stages of home modification and sustaining consensus among service delivery professionals and residents when implementing home modification for older adults.

APA, Harvard, Vancouver, ISO, and other styles

16

Moller, Schneider, and Steel. "Spotlight on Siblings: Considering Social Context in Home Modification Practice." Societies 9, no. 2 (April 24, 2019): 30. http://dx.doi.org/10.3390/soc9020030.

Full text

Abstract:

The United Nations Convention on the Rights of Persons with Disabilities (CRPD) recognizes the role of Assistive Technologies (AT) in enabling independent living and inclusion of people with disabilities. Research into the provision of AT and disability services in general has highlighted the importance of social context and its influence on individual outcomes. However, there is little recognition of sibling roles, relationships and rights in the guidance available for practitioners. This paper explores the socio-technical context of home modification practice and the importance of involving siblings. The international context and concepts behind AT provision, including home modifications, and issues emerging from practice in Australia’s new National Disability Insurance Scheme (NDIS) are discussed. Based on extensive practical experience and peer review, the “5 S’s for Siblings” is presented as a practice approach for involving siblings in the home modification process. Policy and practice implications are presented, including communication strategies for working in partnership with individuals and their families, and alignment with national standards and human rights principles. Involving siblings in the home modification process recognizes the important role they play in the lives of people with disabilities, both now and in the future.

APA, Harvard, Vancouver, ISO, and other styles

17

Nabors, Emily, Mindy Renfro, Jon Pynoos, Sarah L. Szanton, Jon Sanford, and Susan Stark. "INNOVATIONS IN HOME MODIFICATION RESEARCH: THE STATE OF THE ART." Innovation in Aging 3, Supplement_1 (November 2019): S635. http://dx.doi.org/10.1093/geroni/igz038.2365.

Full text

Abstract:

Abstract The overwhelming preference of older adults is to stay in their homes for as long as possible (AARP). However, most housing lacks supportive features and presents barriers that jeopardize residents’ ability to successfully age in place. Only 1% of houses have five key features to ensure accessibility: no-step entry, single-floor living, lever door handles, accessible electrical controls, and extra-wide doors and hallways (Harvard Joint Center for Housing Studies), making the vast majority unsuitable for persons who use wheelchairs and problematic for the growing number of people with activity limitations. Persons least likely to have such features in their homes need them the most: old-old, low income, frail, and residents in older housing stock. Although home modification can support people as their needs change and preclude the need to move, often to institutional settings, the majority of older adults lack these supports. Recent studies have demonstrated the role of home modification in health, safety, and cost effectiveness. This symposium will convene a panel of researchers to share evidence-base in home modification, recent cost-saving innovations including the CAPABLE Program, and policy change to improve service delivery.

APA, Harvard, Vancouver, ISO, and other styles

18

Russell, Rachel, Marcus Ormerod, and Rita Newton. "The Development of a Design and Construction Process Protocol to Support the Home Modification Process Delivered by Occupational Therapists." Journal of Aging Research 2018 (2018): 1–13. http://dx.doi.org/10.1155/2018/4904379.

Full text

Abstract:

Modifying the home environments of older people as they age in place is a well-established health and social care intervention. Using design and construction methods to redress any imbalance caused by the ageing process or disability within the home environment, occupational therapists are seen as the experts in this field of practice. However, the process used by occupational therapists when modifying home environments has been criticised for being disorganised and not founded on theoretical principles and concepts underpinning the profession. To address this issue, research was conducted to develop a design and construction process protocol specifically for home modifications. A three-stage approach was taken for the analysis of qualitative data generated from an online survey, completed by 135 occupational therapists in the UK. Using both the existing occupational therapy intervention process model and the design and construction process protocol as the theoretical frameworks, a 4-phase, 9-subphase design and construction process protocol for home modifications was developed. Overall, the study is innovative in developing the first process protocol for home modifications, potentially providing occupational therapists with a systematic and effective approach to the design and delivery of home modification services for older and disabled people.

APA, Harvard, Vancouver, ISO, and other styles

19

Narukawa, Rie, Shota Suzumura, Kei Ito, Tomomi Ueda, and Izumi Kondo. "Investigating home modification areas and falls in post‐discharge home assessments." Geriatrics & Gerontology International 22, no. 1 (November 25, 2021): 86–87. http://dx.doi.org/10.1111/ggi.14317.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Renda, Marnie, and Jennifer E. Lape. "Feasibility and Effectiveness of Telehealth Occupational Therapy Home Modification Interventions." International Journal of Telerehabilitation 10, no. 1 (August 3, 2018): 3–14. http://dx.doi.org/10.5195/ijt.2018.6244.

Full text

Abstract:

Despite the effectiveness of occupational therapy home modification interventions, persons with disabilities may not receive them due to service delivery costs, limited number of therapists, and expansive geographic service areas. The need for occupational therapy home modification interventions will increase with the rising U.S. aging population, incidence of chronic illness, and shift toward community-based care. This study examined the feasibility of telehealth occupational therapy home modification interventions using participant owned smart phones, tablets, or computers. A pretest posttest design (n=4) demonstrated improvement in home safety and perception of performance of daily activities. Participants reported satisfaction with the mode of intervention citing ease of use and reduction in client and caregiver burden. Two key implementation challenges were (1) inconsistent quality of synchronous audio and video and (2) limited funding for home modification interventions. A large-scale telehealth occupational therapy home modification interventions pilot study is warranted.

APA, Harvard, Vancouver, ISO, and other styles

21

Yeni, Cansu, and Medine Yilmaz. "Nurse-led home modification interventions for community-dwelling older adults with dementia and their impact on falls prevention." British Journal of Healthcare Assistants 16, no. 5 (May 2, 2022): 242–51. http://dx.doi.org/10.12968/bjha.2022.16.5.242.

Full text

Abstract:

This quasi-experimental study aimed to investigate the effects of nurse-led home modification interventions on the family members of home-dwelling older adults with dementia. The sample consisted of 42 older adults diagnosed with dementia and their family members. A number of validated tools were used. Three home visits were undertaken, a training package with family members was instigated, and the patients were followed up for a 6-month period. It was determined that there was a decrease in falls in the first 3-month period (p=0.002). The number of falls in the second 3-month period was lower in the older adults who had their homes modified (p=0.000). Family-centred, nurse-led home-modification interventions can be effective in the prevention and reducing of falls in older adults with dementia.

APA, Harvard, Vancouver, ISO, and other styles

22

Yeni, Cansu, and Medine Yilmaz. "Nurse-led home modification interventions for community-dwelling older adults with dementia and their impact on falls prevention." British Journal of Community Nursing 27, no. 2 (February 2, 2022): 78–88. http://dx.doi.org/10.12968/bjcn.2022.27.2.78.

Full text

Abstract:

This quasi-experimental study aimed to investigate the effects of nurse-led home modification interventions on the family members of home-dwelling older adults with dementia. The sample consisted of 42 older adults diagnosed with dementia and their family members. A number of validated tools were used. Three home visits were undertaken, a training package with family members was instigated, and the patients were followed up for a 6-month period. It was determined that there was a decrease in falls in the first 3-month period (p=0.002). The number of falls in the second 3-month period was lower in the older adults who had their homes modified (p=0.000). Family-centred, nurse-led home-modification interventions can be effective in the prevention and reducing of falls in older adults with dementia.

APA, Harvard, Vancouver, ISO, and other styles

23

Stark, Susan L., Emily Somerville, Marian Keglovits, Aliza Smason, and Kelsey Bigham. "Clinical Reasoning Guideline for Home Modification Interventions." American Journal of Occupational Therapy 69, no. 2 (February 3, 2015): 6902290030p1. http://dx.doi.org/10.5014/ajot.2015.014266.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Somerville, Emily, Stacy Smallfield, Susan Stark, Carol Seibert, Marian Arbesman, and Deborah Lieberman. "Occupational Therapy Home Modification Assessment and Intervention." American Journal of Occupational Therapy 70, no. 5 (July 28, 2016): 7005395010p1. http://dx.doi.org/10.5014/ajot.2016.705002.

Full text

APA, Harvard, Vancouver, ISO, and other styles

25

Pynoos, Jon. "Toward a National Policy on Home Modification." Technology and Disability 2, no. 4 (December 1, 1993): 1–8. http://dx.doi.org/10.3233/tad-1993-2403.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

Sanford, Jon A., Michael Jones, Pat Daviou, Kevin Grogg, and Tina Butterfield. "Using Telerehabilitation to Identify Home Modification Needs." Assistive Technology 16, no. 1 (June 30, 2004): 43–53. http://dx.doi.org/10.1080/10400435.2004.10132073.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

JOHANSSON, KARIN, STAFFAN JOSEPHSSON, and MARGARETA LILJA. "Creating possibilities for action in the presence of environmental barriers in the process of ‘ageing in place’." Ageing and Society 29, no. 1 (December 10, 2008): 49–70. http://dx.doi.org/10.1017/s0144686x08007538.

Full text

Abstract:

ABSTRACTThe need for an understanding of ‘ageing in place’ as a progressive process has emerged among researchers in the field of environmental gerontology. The aim of this study was to explore this process, in relation to home modification services. Four older adults who had applied for home modification services in one Swedish municipality were included. Data were collected by open interviews with the participants in their homes on subsequent occasions, from before the modification had been installed until recognised stability in the situation relating to the home modification. In the analysis, the concept of place integration was used as a tool to explore the active relations that connect people and context over time. The main findings show that the participants used creativity and initiative to direct future situations towards increased possibilities for action. This indicates that services aiming to support people ‘ageing in place’ should be directed towards increasing possibilities for action rather than only facilitating activity performance. Furthermore, it can be concluded that if the service-users' creativity and efforts are recognised as resources in design and provision of services, services that aim to support individuals who are ageing in place have the potential to be empowering.

APA, Harvard, Vancouver, ISO, and other styles

28

Reisinger, Michaela R., Johann Schrammel, Stefan Suette, and Peter Fröhlich. "Home Smart Home: Approachable Interfaces for Intelligibility, Modification, and End-User Programming." Interaction Design and Architecture(s), no. 45 (August 20, 2020): 226–45. http://dx.doi.org/10.55612/s-5002-045-010.

Full text

Abstract:

End-user programming concepts are increasingly employed in smart home research to address the growing complexity of controlling smart home environments. Different approaches and visual styles of end-user programming have been proposed and implemented within this context. Smart home control does however not only necessitate end-user programming but also understanding and modifying existing program structures. In this study, we compare three different approaches regarding their suitability for this application context with a specific focus on intelligibility and modification performance. We conducted an empirical study with 39 users performing three types of tasks (understanding, configuring, and programming), using three different approaches for end-user programming (form-filling, data-flow, and grid-canvas). The results of our study found no significant differences regarding the intelligibility of the three different implementations but clear differences in the subjective preference of users as well as configuration and programming performance.

APA, Harvard, Vancouver, ISO, and other styles

29

Aplin, Tammy, Desleigh de Jonge, and Louise Gustafsson. "Understanding the dimensions of home that impact on home modification decision making." Australian Occupational Therapy Journal 60, no. 2 (January 10, 2013): 101–9. http://dx.doi.org/10.1111/1440-1630.12022.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

Yan, Mengzhao, Kathleen Wilber, and Jon Pynoos. "Understanding Multidisciplinary-team Practice in Developing Home Assessment Tools: A Systematic Review." Innovation in Aging 5, Supplement_1 (December 1, 2021): 621. http://dx.doi.org/10.1093/geroni/igab046.2372.

Full text

Abstract:

Abstract As widely used instruments to identify risk factors and lay out preliminary plans of how to improve the built environment, home assessment tools play an important role in the process of modifying homes for older adults. Developed by a variety of disciplines and tailored to meet various needs, home assessment tools focus on features in homes and how they meet or hinder an older person’s ability to accomplish tasks — in other words, person-environment fit. Based on a comprehensive review of ten evidence-based home assessment tools identified by researchers at the USC Leonard Davis School of Gerontology and the National Council on Aging, we found that a common assessment strategy is the use of multidisciplinary teams (MDTs) in developing and testing the assessment tools to ensure the reliability vs validity of different home modification programs. To understand the nature of MDT practice and derive a set of generalizable protocols for developing person-centered home assessment tools, we conducted a systematic analysis of the ten evidence-based home assessment tools and 41 peer-reviewed journal papers about how the tools were developed, used, and modified. In addition, we applied the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) to examine the use of MDTs in developing the tools and carrying out the programs. Based on our analysis, we propose a set of preliminary protocols for developing home assessment tools and a logic model for conducting person-centered home modification programs.

APA, Harvard, Vancouver, ISO, and other styles

31

Nabors, Emily, Catia Garell, and Jon Pynoos. "CONNECTING RURAL OLDER ADULTS WITH DISABILITIES TO HOME MODIFICATIONS WITH A REMOTE HOME ASSESSMENT." Innovation in Aging 6, Supplement_1 (November 1, 2022): 521–22. http://dx.doi.org/10.1093/geroni/igac059.1991.

Full text

Abstract:

Abstract Older adults living in rural areas have particular challenges to accessing critical supportive services such as home modifications to promote functioning and safety. Conducting remote home assessments through telehealth has the potential to reduce time spent and overall cost that occur in conducting in-person assessments. During the pandemic, providers turned to telehealth to preserve continuity of assessment services with few research-based practices to guide them. With support from a NIDLRR SBIR grant, Thrive for Life LLC in partnership with the USC Leonard Davis School of Gerontology conducted research to develop a remote home assessment that aims to connect health and home modification providers with rural older adults (65+) with disabilities, a population that may not receive home modifications otherwise. Research included a literature review, key informant interviews with five experts in the field, and individual phone interviews with 30 rural older adults who have disabilities. The literature was analyzed and used to inform the interview questions. Key informant interview responses were analyzed for models, potential challenges, lessons learned, and opportunities to impact priority needs. Consumer interview responses were analyzed for needs, preferences, concerns, and challenges related to technology use. Findings demonstrate common barriers such as lack of access to broadband and smart technology; circumstances in which remote assessments are, and are not, likely to be successful; and the potential value of conducting remote home assessments in rural areas to ensure equity of access to home modifications for older adults with disabilities during the pandemic and beyond.

APA, Harvard, Vancouver, ISO, and other styles

32

PETERSSON, INGELA, MARGARETA LILJA, and LENA BORELL. "To feel safe in everyday life at home – a study of older adults after home modifications." Ageing and Society 32, no. 5 (June 20, 2011): 791–811. http://dx.doi.org/10.1017/s0144686x11000614.

Full text

Abstract:

ABSTRACTThe aim of this study was to explore aspects contributing to experiences of safety in everyday life for older adults who have received modification services. Qualitative interviews were conducted with eight people. Data were analysed using a comparative approach. Three main categories emanated in the analysis: prerequisites that enable a feeling of safety, strategies that enable safety in everyday life, and use of and reliance on technology impacts on safety. The findings revealed that to feel safe in everyday life was based on three prerequisites: feeling healthy, having someone to rely on and feeling at home. The fulfilment of these prerequisites further impacted on the participants' strategies for handling problems in everyday life but also on the ability to use and benefit from technology such as home modifications. In conclusion, the findings indicated that interventions provided to increase safety for older adults should primarily be focused on the presence and fulfilment of prerequisites and later on other interventions such as technology. Technology such as home modifications and assistive devices was not found in this study to facilitate the feeling of safety unless supported by the fulfilled prerequisites. Implications of these findings for clinical practice are discussed.

APA, Harvard, Vancouver, ISO, and other styles

33

Fisher, Grace S., Erin Bradley, Diane Costulas, Laura L. Kintner, Jodi Kozlevcar, Karla M. Mahonski, Keira McMenamin, Amanda Rompilla, Jillian Woods, and Jay Stine. "Home Modification Outcomes in the Residences of Older People as a Result of Cougar Home Safety Assessment (Version 4.0) Recommendations." Californian Journal of Health Promotion 6, no. 1 (September 1, 2008): 87–110. http://dx.doi.org/10.32398/cjhp.v6i1.1295.

Full text

Abstract:

The purpose of this study was to determine if recommendations made as a result of the administration of the Cougar Home Safety Assessment Version 4.0 (CHSA 4.0) were effective in causing older residents to make environmental safety modifications in their homes. Initial data were collected during the administration of the CHSA 4.0 in the homes of 40 older people in four northeastern states. After completing the initial assessments, the researchers provided the participants with recommendations for improving the environmental safety of their homes. Approximately one month later, each home was reassessed with the CHSA 4.0. Overall, improvement in environmental safety was demonstrated in the homes with the greatest increases being in fire safety, emergency phone number placement, and bathroom safety. A t-test demonstrated a significant gain in compliance (t = 7.8, p < .001) by comparing the difference between the mean initial and reassessment home safety scores. A very large effect size (Cohen’s d = 1.7) was also found, indicating a high magnitude of difference between initial and reassessment safety ratings. The assessment proved to be beneficial in increasing the environmental safety of homes.

APA, Harvard, Vancouver, ISO, and other styles

34

Weeks, Ashley Lynn, Beth Ahlquist Lamb, and Noralyn Davel Pickens. "Home Modification Assessments: Clinical Utility and Treatment Context." Physical & Occupational Therapy In Geriatrics 28, no. 4 (September 14, 2010): 396–409. http://dx.doi.org/10.3109/02703180903528405.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Haynes, David A. "An Occupational Therapist's Guide to Home Modification Practice." Occupational Therapy In Health Care 26, no. 2-3 (January 4, 2012): 207–8. http://dx.doi.org/10.3109/07380577.2011.644258.

Full text

APA, Harvard, Vancouver, ISO, and other styles

36

Makigami, Kuniko, and Jon Pynoos. "The evolution of home modification programs in Japan." Ageing International 27, no. 3 (June 2002): 95–112. http://dx.doi.org/10.1007/s12126-003-1004-x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Webster, Cara, Monica Devine, Caoimhe O'Connor, Emma O'Brien, Edel O'Grady, Joanne Murphy, Claire O'Brien, and Eleanore O'Gorman. "30 Occupational Therapists Delivering Patient and Caregiver Home Safety Education in a Rehabilitation Setting." Age and Ageing 48, Supplement_3 (September 2019): iii1—iii16. http://dx.doi.org/10.1093/ageing/afz102.04.

Full text

Abstract:

Abstract Background The patient profile in a 160-bed rehabilitation hospital is evolving with increasing numbers of older adults admitted with falls and frailty. In 2018 a snapshot audit revealed over 60% of patients obtained scores indicative of cognitive impairment. Traditional falls prevention education delivered in a group format relies on attendees having an adequate level of sensory registration and cognitive abilities to comprehend and recall information given. The Occupational Therapists (OTs) proposed greater benefits from caregiver inclusion in such education to enhance understanding for both patients and caregivers on falls prevention and home environment modifications to facilitate safer home discharges. Methods A mixed-methods design was used. Quantitative data was gathered using a pre and post education 10-point Likert scale to assess attendees’ perceived knowledge in four domains: (1) Falls risk factors(2) Modifiable environmental factors(3) Managing falls(4) Accessing support/information to reduce risk of falls Qualitative data was gathered through written feedback. Referrals were generated by OTs. Evening sessions facilitated increased caregiver attendance. OTs delivered a 45 minute PowerPoint presentation, demonstrated adaptive equipment and engaged in discussion with attendees. Information packs were provided to caregivers including a Home Safety Assessment Tool to aid with home environment modification. Results Data from April 2018-2019 was analysed using Microsoft Excel. 21 groups were facilitated with 385 attendees overall. Average percentage increase in knowledge in each of the four domains was 30%. Overall knowledge increased by 32%. Conclusion Increased knowledge of modifiable falls risk factors and supporting persons at risk of falls in the home was demonstrated. OTs reported reduced caregiver concerns regarding home environment modification. Home assessments completed after group attendance found caregivers had implemented recommendations made in the presentation. Further data could be collected to measure the degree of environmental modification completed prior to OT home assessments. Additional qualitative data is required to fully assess benefits to both patients and caregivers.

APA, Harvard, Vancouver, ISO, and other styles

38

Wiseman, Jessica M., David S. Stamper, Elizabeth Sheridan, Jeffrey M. Caterino, Catherine C. Quatman-Yates, and Carmen E. Quatman. "Barriers to the Initiation of Home Modifications for Older Adults for Fall Prevention." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110021. http://dx.doi.org/10.1177/21514593211002161.

Full text

Abstract:

Introduction: Home modifications are associated with decreased risk for falls and facilitate safe aging in place. The purpose of this study was to identify barriers to procurement of home modifications for older adults. Materials and Methods: Cross-sectional interviews by 2 separate (1 male and 1 female) researchers in a Midwestern city of home repair (“handyman”) and construction businesses within 15 miles of the areas of interest (neighborhood with a high socioeconomic status and neighborhood with low socioeconomic status) with a publicly listed phone number (n = 98). Estimated cost, earliest date of installation, and duration for a home modification project (installation of 3 grab bars) were collected. Results: At least 1 response was attained only 43% of the time (n = 42), and residential grab bar installations were not provided by most businesses (n = 24). The average quote for materials and labor was $394.31 (range $125-$1300). Five of the 7 businesses that responded to both researchers with the same representative differed in cost estimates, generally offering a reduced quote for the low socioeconomic status neighborhood by as much as $300. Quotes provided to the female researcher were also higher than those obtained by the male researcher by about $30 regardless of socioeconomic status. The average wait for home modifications was 23 days and the average anticipated duration of the project was 2.6 hours. Discussion: There are financial and procedural barriers to accessing home modifications for older adults who independently attempt to acquire them. There is a need for pathways in clinical and community settings to reduce barriers to home modifications to reduce the risk of falls. Conclusion: Home modifications are a promising tool to reduce falls and fall-related injuries in older adults. However, further work to identify cost-effective and timely options to reduce acquisition barriers is necessary to leverage the preventive power of home modifications.

APA, Harvard, Vancouver, ISO, and other styles

39

Yan, Mengzhao. "BARRIERS AND FUTURE DIRECTIONS FOR SUFFICIENT ACADEMIC RESEARCH ON HOME MODIFICATION FOR OLDER ADULTS IN CHINA." Innovation in Aging 3, Supplement_1 (November 2019): S249—S250. http://dx.doi.org/10.1093/geroni/igz038.936.

Full text

Abstract:

Abstract Home modification has been perceived as an effective method to make current dwelling units more age-friendly and improve the well-being of older adults. In China, a country with an increasing number of older adults, home modification research is still in its infancy. By typing “适老化改造” (home modification for older adults) as a keyword for the theme of articles in China National Knowledge Infrastructure (CNKI), the most authoritative and comprehensive database for academic publication in China, only 158 related papers are found to be published until the end of 2017, among which the first was published in 2009. With an aim to determine the current state of home modification research in older adults and to determine what could be done to facilitate sufficient research on this topic, the present study conducted a systematical review of the 158 papers about home modification for older adults published in China between 2009 and 2017. Based on the systematical review, the present paper identifies four barriers to conducting this line of research and puts forward six practical suggestions for future research studies in this area so as to contribute to building age-friendly dwellings and promoting age-friendly China.

APA, Harvard, Vancouver, ISO, and other styles

40

Park, Sangmi, Ji-Hyuk Park, and Min-Ye Jung. "Trend Analysis of Domestic Studies on Home Modification for Older Adults: Home Modification as a Way of Supporting Aging in Place." Journal of Korean Society of Occupational Therapy 28, no. 1 (March 31, 2020): 1–14. http://dx.doi.org/10.14519/kjot.2020.28.1.01.

Full text

APA, Harvard, Vancouver, ISO, and other styles

41

Wallace, Sarah E., Elena V. Donoso Brown, Anna Saylor, Erica Lapp, and Joanna Eskander. "Designing Occupational Therapy Home Programs for People With Aphasia: Aphasia-Friendly Modifications." Perspectives of the ASHA Special Interest Groups 5, no. 2 (April 24, 2020): 425–34. http://dx.doi.org/10.1044/2019_persp-19-00001.

Full text

Abstract:

Purpose The purpose of this article is to describe aphasia-friendly modification for occupational therapy assessments and home programs aimed at addressing upper extremity impairments for people post stroke. Method This article examines a case study example from a larger study (Wallace, Donoso Brown, Saylor, & Lapp, 2018 ) that implemented aphasia-friendly material modifications into an occupational therapy home program. The participant was a 74-year-old man who survived a left hemisphere cerebrovascular attack 6 years prior to the study. The participant experienced upper extremity hemiparesis and aphasia post stroke and was appropriate for an occupational therapy home exercise program with aphasia-friendly modifications to facilitate comprehension of the home program. Aphasia-friendly modifications (e.g., gestures and visual aids) were made to assessments to support comprehension and participation. To support reading comprehension deficits during completion of the home program, the program materials had aphasia-friendly modifications, such as modified text, supportive images, and reduced cognitive load of exercises. Finally, research team members used supported conversational techniques during all study procedures. Results At the end of the home program, an interview with the participant revealed several outcomes regarding the home program and the aphasia-friendly modifications. The participant reported pictures and reduced text to be beneficial in understanding the instructions. He also indicated that he enjoyed completing the exercises independently (i.e., outside of a therapy office). The participant's motor function demonstrated changes in a positive direction, although not greater than the minimally detectable change for performance-based measures. Conclusions Aphasia-friendly modifications (e.g., modifying text, adding supportive images, and using gestures) were found to be supportive of participation in assessments for and creation of an upper extremity home program. Speech-language pathologists can support the participation of people with aphasia through interprofessional collaboration and consideration of environmental adaptations.

APA, Harvard, Vancouver, ISO, and other styles

42

Hwang, Na-Kyoung, and Sun-Hwa Shim. "Use of Virtual Reality Technology to Support the Home Modification Process: A Scoping Review." International Journal of Environmental Research and Public Health 18, no. 21 (October 21, 2021): 11096. http://dx.doi.org/10.3390/ijerph182111096.

Full text

Abstract:

Healthcare is a field in which the benefits of virtual reality (VR), such as risk-taking without consequences, direct experience, and service outcome prediction, can be utilized. VR technology has been used to help clients face environmental barriers by implementing a home environment in virtual reality without a home visit by an expert. This scoping review was conducted to identify the areas and implementation methods of the home modification process supported by VR technology. Twelve studies met the research criteria. The following three types of tools supported by VR technology for the home modification process were identified: educational tools for clients or specialists, home environment measurement tools, and intermediaries for decision making and collaboration between clients and specialists. Most of the studies reported positive results regarding the usability and acceptability of the technology, but barriers have also been reported, such as technical problems, inappropriate population groups for technical use, cost-related issues, the need for training, and fear that the technology could replace home visits. Thus, VR technology has potential value in the home modification process. However, for future clinical applications, additional studies to maximize the benefits of these VR technologies and address the identified problems are required.

APA, Harvard, Vancouver, ISO, and other styles

43

NISHINO, Akiko, Kazunori TSUKUDA, Kazuhiko OKAMOTO, and Kazuhiko NISHIDE. "A STUDY ON THE HOME MODIFICATION REQUIRED FOR DISCHARGED PATIENTS FROM HOSPITAL TO HOME." Journal of Architecture and Planning (Transactions of AIJ) 79, no. 700 (2014): 1283–92. http://dx.doi.org/10.3130/aija.79.1283.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Burns, Suzanne Perea, Noralyn Davel Pickens, and Roger O. Smith. "Interprofessional Client-Centered Reasoning Processes in Home Modification Practice." Journal of Housing For the Elderly 31, no. 3 (March 2, 2017): 213–28. http://dx.doi.org/10.1080/02763893.2017.1280579.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Riazi, Abbas, Mei Ying Boon, Catherine Bridge, and Stephen J. Dain. "Home modification guidelines as recommended by visually impaired people." Journal of Assistive Technologies 6, no. 4 (November 30, 2012): 270–84. http://dx.doi.org/10.1108/17549451211285762.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

Kim, Heejung, Yong Han Ahn, Andreanna Steinhoff, and Kang Hee Lee. "Home modification by older adults and their informal caregivers." Archives of Gerontology and Geriatrics 59, no. 3 (November 2014): 648–56. http://dx.doi.org/10.1016/j.archger.2014.07.012.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Messecar, Deborah C., Patricia G. Archbold, Barbara J. Stewart, and Jane Kirschling. "Home environmental modification strategies used by caregivers of elders." Research in Nursing & Health 25, no. 5 (September 9, 2002): 357–70. http://dx.doi.org/10.1002/nur.10048.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Gerson, Lowell W., Carlos A. Camargo, and Scott T. Wilber. "Home modification to prevent falls by older ED patients." American Journal of Emergency Medicine 23, no. 3 (May 2005): 295–98. http://dx.doi.org/10.1016/j.ajem.2005.02.035.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Zhang, Xiao Fei, Zhi Jun Liu, Xiao Ming Qian, and Zhi Wei Xu. "Study on Modification of Basalt Fibers." Advanced Materials Research 332-334 (September 2011): 2028–31. http://dx.doi.org/10.4028/www.scientific.net/amr.332-334.2028.

Full text

Abstract:

Relative to the other fibers, basalt fibers has excellent properties in many ways. The paper points out the shortcomings and advantages of basalt fibers, and the methods and the development of modification of basalt fibers at present at home and abroad.

APA, Harvard, Vancouver, ISO, and other styles

50

Keall, Michael, Hope Tupara, Nevil Pierse, Marg Wilkie, Michael Baker, Philippa Howden-Chapman, and Chris Cunningham. "Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants." Methods and Protocols 3, no. 4 (October 23, 2020): 71. http://dx.doi.org/10.3390/mps3040071.

Full text

Abstract:

Worldwide, injuries due to falls in the home impose a substantial burden and merit considerable effort to find effective prevention measures. The current study is one of very few randomized controlled trials that assess the effectiveness of home modification for preventing falls. It is the first carried out with a minority or indigenous community and focused on reducing inequities. Just over 250 households in Aotearoa, New Zealand, with Māori occupants were recruited in two strata, 150 from the Wellington region and 100 from the Taranaki region. These were randomly allocated to equally sized treatment and control groups within the respective regions, the treatment group receiving a package of home modifications designed to prevent falls at the start of the study, and the control group receiving the package at the end of the study. Injury data came from the Accident Compensation Corporation, a state-owned no-fault injury insurer. This provided coverage of virtually all unintentional injuries requiring medical treatment. Matched injury claims were made available for analysis once all identifying fields had been removed. These data will be pooled with data for Māori households from the already-conducted Home Injury Prevention Intervention (HIPI) study, which tested an identical intervention on the general population. In the analysis, the primary outcome measure will be fall injury rates over time, comparing treatment and control households, adjusting for the stratum and prior falls in the household. A secondary measure will be the rates of specific injuries, which are most likely to be prevented by the package of modifications tested. We anticipate that the findings will provide robust evidence for effective injury prevention measures that can reduce an important contributor to health inequities for indigenous populations such as the Māori.

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Home modification'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles