title: Impact of environmental factors in home rehabilitation--a qualitative study from the perspective of older persons using the International Classification of Functioning, Disability and Health to describe facilitators and barriers.
abstract: OBJECTIVE
  The aim of this study was to explore older people's experience of environmental factors that impact on their activity and participation in home rehabilitation.
  
  
  METHODS
  Older people aged between 68 and 93 years and receiving home rehabilitation were interviewed. A qualitative content analysis was performed on the interview text using the predetermined structure of the International Classification of Functioning, Disability and Health (ICF) environmental domain. The text was linked to the closest ICF category.
  
  
  RESULTS
  The results identified environmental facilitators and barriers that influenced activity and participation among older people receiving home rehabilitation. Approaches that provided a facilitative environment were access to assistive products and technologies, alterations to the physical environment, social support and relationships, and adjusted health and social care services.
  
  
  CONCLUSIONS
  A qualitative study using ICF-listed environmental factors contributed a holistic view of facilitators and barriers in home rehabilitation for older people. Awareness of the importance of the impact of the social environment on activities and participation could improve home rehabilitation services for older people. The study represents an important step towards a holistic approach using the ICF, which aims to enable all health care professionals to describe, plan and evaluate rehabilitation services together with older people across the health and social care sectors.
authors: Department of Health Sciences, Mid Sweden University, Östersund, Sweden. kerstin.bjorkman-randstrom@miun.se
authors: Kerstin Björkman
authors: KB
authors: Randström
authors: Kenneth
authors: K
authors: Asplund
authors: Marianne
authors: M
authors: Svedlund
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation*; D004777:Environment; D005260:Female; D006297:Health Services Accessibility; D006299:Health Services for the Aged; D006701:Home Nursing; D006801:Humans; D038801:International Classification of Diseases; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D036301:Qualitative Research; D012931:Social Environment; D012944:Social Support; D013548:Sweden