Client-centred home modifications improve daily activity performance of older adults.
BACKGROUND
Remaining at home is a high priority for many older adults, but the capacity to "age in place" often is threatened by environmental barriers.


OBJECTIVE
To describe a client-centred occupational therapy home modification intervention program and examine the impact of the intervention on daily activity performance over time.


METHODS
Using a competence-environmental press framework, a client-centred home modification program for older adults was implemented. In this quasiexperimental, single group prospective study, participants'subjective ratings of daily activity performance were evaluated before and after the intervention (baseline/post/post).


RESULTS
After home modification, participants'perception of their daily activity performance at home improved significantly and was maintained 2 years post-modification.


CONCLUSIONS
Home modification may benefit older adults attempting to age in place.
Stark
Susan
S
Washington University School of Medicine, St. Louis, MO 63108, USA. starks@wusm.wustl.edu
Landsbaum
Amanda
A
Palmer
Janice L
JL
Somerville
Emily K
EK
Morris
John C
JC
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D004779:Environment Design; D005260:Female; D006801:Humans; D008297:Male; D020380:Needs Assessment; D009788:Occupational Therapy / Q000379:methods*; D009983:Orthopedic Equipment / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000379:methods*; D011446:Prospective Studies