title: Client-centred home modifications improve daily activity performance of older adults.
abstract: 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.
authors.affiliation: Washington University School of Medicine, St. Louis, MO 63108, USA. starks@wusm.wustl.edu
authors.forename: Susan
authors.initials: S
authors.lastname: Stark
authors.forename: Amanda
authors.initials: A
authors.lastname: Landsbaum
authors.forename: Janice L
authors.initials: JL
authors.lastname: Palmer
authors.forename: Emily K
authors.initials: EK
authors.lastname: Somerville
authors.forename: John C
authors.initials: JC
authors.lastname: Morris
mesh_terms: 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