Changes in ADL dependence and aspects of usability following housing adaptation--a longitudinal perspective.
OBJECTIVE
To investigate longitudinal changes in activities of daily living (ADL) dependence and aspects of usability in housing among clients receiving housing adaptation grants in Sweden.


METHODS
The ADL Staircase and the Usability in My Home instruments were used to collect data on three occasions: at baseline 1 month before housing adaptation, at follow-ups 2 to 3 months after housing adaptation completion, and after another 6 to 7 months. In all, 131 clients, living in ordinary housing 24 to 93 years of age were consecutively enrolled.


RESULTS
Overall ADL dependence did not change significantly whereas dependence in "Bathing" decreased over time. "Activity aspects" and "Personal and social aspects" of usability improved at different phases in the process.


CONCLUSIONS
This study delivers new insights about the complexity of longitudinal person-environment-activity transactions, specifically targeting activity and usability. The results are useful for developing efficient strategies for evaluating housing adaptations within occupational therapy practice and research.
Fänge
Agneta
A
Division of Occupational Therapy, Lund University, PO Box 157, S-221 00 Lund, Sweden. aaf@arb.lu.se
Iwarsson
Susanne
S
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005380:Financing, Government; D006798:Housing; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy; D013548:Sweden