title: Understanding home modifications impact on clients and their family's experience of home: A qualitative study.
abstract: OBJECTIVE
  Home modifications aim to enhance safety and occupational performance in the home. However, given the complexity and unique meaning of the home, they can impact aspects other than function. This qualitative descriptive study aimed to explore the impact of home modifications on clients and their family's experience of home.
  
  
  METHODS
  Home modification clients and their family and carers participated in 42 in-depth interviews which were analysed using a template analysis.
  
  
  RESULTS
  Home modifications impacted positively and negatively on five dimensions of the home environment, the personal, occupational, physical, temporal and social dimension. The outcomes of the modifications and the home modification process were influenced by three themes, workmanship, consultation or involvement in decision-making, and the societal dimension of the home environment.
  
  
  CONCLUSIONS
  The negative outcomes and poor consultation experiences suggest the need for occupational therapists to understand their client's personal experience of home and to comprehensively follow-up and evaluate these following home modifications.
authors.affiliation: Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia.
authors.forename: Tammy
authors.initials: T
authors.lastname: Aplin
authors.forename: Desleigh
authors.initials: D
authors.lastname: de Jonge
authors.forename: Louise
authors.initials: L
authors.lastname: Gustafsson
mesh_terms: D000203:Activities of Daily Living; D001107:Architectural Accessibility; D017028:Caregivers / Q000523:psychology; D006233:Persons with Disabilities / Q000523:psychology*; D004777:Environment; D005260:Female; D006798:Housing; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D036301:Qualitative Research
keywords: disability; home environment; home modifications; occupational therapy