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Occasional Research Papers

HMinfo Occasional Research Papers are individually commissioned research papers on existing or emerging issues in home design and home modifications for older people, for people with disability, or for carers. Read more

Occasional Research Paper Search


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

Authors: Bridge, C., Fishpool, J.
Published: 30th April 2012
Audience: Government/NGOs/Peaks, Industry, Librarians/Researchers/Students
ISBN: 978-0-7334-30



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


  • 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.


  • 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


  • 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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