title: The Environmental Impact on Occupational Therapy Interventions.
abstract: The purpose of this study was to investigate how the environment influenced the intervention choices occupational therapists made for patients recovering from a stroke in an inpatient rehabilitation hospital. Three occupational therapists were observed providing intervention for six patients over a 16-month period. Treatment spaces included a therapy gym, gym with kitchen combination, and a home-like space. Furniture was added to the therapy gym to be more home-like midway through the study. Observations included therapist selection of treatment location and interventions, and observational data of the environment and interactions among therapists and patients. This study found that inpatient rehabilitation environments did influence interventions. The occupational therapists provided therapy in the standard therapy gym environment most often, whether it was enhanced to be more home-like or not, and predominately used preparatory methods.
authors.affiliation: a Occupational Therapy , Eastern Kentucky University , Richmond , Kentucky , USA.
authors.forename: Camille Louise
authors.initials: CL
authors.lastname: Skubik-Peplaski
authors.affiliation: a Occupational Therapy , Eastern Kentucky University , Richmond , Kentucky , USA.
authors.forename: Dana
authors.initials: D
authors.lastname: Howell
authors.affiliation: b Center for Gerontology , University of Kentucky College of Public Health , Lexington , Kentucky , USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Hunter
mesh_terms: D001108:Architecture; D000072038:Cardiac Rehabilitation; D002755:Choice Behavior; D004779:Environment Design; D005260:Female; D006761:Hospitals; D006801:Humans; D007374:Interior Design and Furnishings; D008297:Male; D008875:Middle Aged; D000072087:Occupational Therapists; D009788:Occupational Therapy; D011369:Professional-Patient Relations; D012047:Rehabilitation Centers; D020521:Stroke / Q000628:therapy*
keywords: Environment; Intervention; Occupation; Rehabilitation; Stroke