title: Clients' experiences of housing adaptations: a longitudinal mixed-methods study.
abstract: OBJECTIVE
  To explore clients' experience of the housing adaptations (HAs) over time in relation to housing and health.
  
  
  METHODS
  A multiple longitudinal case study, employing an embedded mixed-method design was used. Four participants were included and data from semi-structured interviews were combined with data from structured survey assessments.
  
  
  RESULTS
  HA made it possible to maintain valuable roles and activities, to continue to live in the participants' own homes and to take part in the society. The participants strived for autonomy and control, and in order to do so they needed different kinds of support, in terms of HA and mobility devices as well as support from professionals. HA also challenged the participants' routines and habits, as well as their perception about how an appealing HA aesthetically. Thus, the decision to apply for a HA was not always straightforward. Instead, the participants were constantly engaged in negotiations with themselves, concerning benefits and drawbacks of different decisions.
  
  
  CONCLUSIONS
  HAs involve complex person-environment-activity (P-E-A) transactions, and enhance clients' activity and independence in spite of functional decline. The knowledge generated is important in order to improve individual HA, as well as improving the efficiency and effectiveness of the intervention.
authors.affiliation: Department of Health Sciences, Health Sciences Center, Lund, Sweden. cecilia.pettersson@med.lu.se
authors.forename: Cecilia
authors.initials: C
authors.lastname: Pettersson
authors.forename: Charlotte
authors.initials: C
authors.lastname: Löfqvist
authors.forename: Agneta Malmgren
authors.initials: AM
authors.lastname: Fänge
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001107:Architectural Accessibility; D004779:Environment Design; D005260:Female; D006798:Housing; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010358:Patient Participation