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Translating high quality research specific to better design and building practice
Translating high quality research specific to better design and building practice

Follow-up efficacy post environmental modifications; a guide for clinical practice.

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Authors Bridge, C., Fishpool, J.
Published
Audience Government/NGOs/Peaks, Industry, Librarians/Researchers/Students
ISBN 978-0-7334-30

Objectives

This report will provide a summation of current evidence of home modification follow-up and clear guidelines for occupational therapists to utilise to guide home modification follow-up practice.

Research Method

A systematic review has been utilised to ascertain current evidence of home modification follow-up practice. Findings were categorised against a matrix of factors. Given the lack of published comprehensive research available in the area of occupational therapy home assessment visits, there are many potential areas to be researched including: level of adherence to recommendations made during occupational therapy home visits; the usefulness of the implemented recommendations; and the costs associated with those recommendations (Harris, James, & Snow, 2008). In addition, the mechanisms for obtaining and financing home modification services remains fragmented and difficult to access or navigate, while practice lacks standards and guidelines (Gitlin, Mann, Tomit, & Marcus, 2001).

Purpose of report

This review of home modification follow-up aims to source research, to provide an evidence-based guideline to the occupational therapy profession in regards to the follow-up of environmental modifications.

Publication History

1st edition Follow-up efficacy post environmental modifications; a guide for clinical practice by Jenny Fishpool and Catherine Bridge, April 2012. Reprinted July 2014


Table of Contents

Contents

  • Introduction
    • Objectives
    • Research Method
    • Purpose of report
  • Methodology
    • Systematic Review
    • Matrix development
  • Results
    • Results of Systematic Review
  • Discussion
    • Timeframe
    • Tool Type
      • Installation
      • Use
      • Function
      • Safety
    • Profession completing follow up
    • Disability
    • Carers
    • Mode of Service Delivery
    • Urban or rural setting
    • Cost
  • Conclusion
  • References
    • Appendix 1
      • HMinfo Home Modification Follow-Up Tool
      • Instructions for use
    • HMinfo Home Modification Follow-Up Tool
      • Demographic Data
      • Example of HMinfo Home Modification Follow-Up Tool
    • Appendix 2
      • Tool development
      • Validity and reliability
    • Appendix 3
      • Evidence of clinical need for follow-up post environmental modification and factors impacting on follow-up.
    • Appendix 4
      • Evidence of design and use of a tool for follow-up post environmental modifications.

Figures

  • Figure 1. Flow chart of literature review (Reviewed using attached matrix N= 18)
  • Figure 2. Geographical source of literature
  • Figure 3. The relationship of assessment, intervention and follow-up
  • Figure 4. Key follow-up factors

Tables

  • Table 1. Search Terms (continued over page)
  • Table 2. Sources consulted during systematic search phase
  • Table 3. Matrix of evidence findings
  • Table 4. Summary of home environmental follow-up tools (continued over page)
  • Table 5. Summary of evidence for follow-up practice post modification

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