A Research-based Strategy for Managing Housing Adaptations: Study Protocol for a Quasi-experimental Trial

Overview

Journal BMC Health Serv Res

Publisher Biomed Central

Specialty Health Services

Date 2014 Nov 30

PMID 25432718

Citations 5

Authors

Lisa Ekstam

Gunilla Carlsson

Carlos Chiatti

Maria H Nilsson

Agneta Malmgren Fange

Affiliations

Soon will be listed here.

Abstract

Background: The primary aim of this paper is to describe the design of a project evaluating the effects of using a research-based strategy for managing housing adaptations (HAs). The evaluation targets clients' perspectives in terms of activity, participation, usability, fear of falling, fall incidence, use of mobility devices, and health-related quality of life, and determines the societal effects of HAs in terms of costs. Additional aims of the project are to explore and describe this strategy in relation to experiences and expectations (a) among clients and cohabitants and (b) occupational therapists in ordinary practice.

Methods/design: This study is a quasi-experimental trial applying a multiphase design, combining quantitative and qualitative data. At the experimental sites, the occupational therapists (OTs) apply the intervention, i.e. a standardized research-based strategy for HA case management. At the control site, the occupational therapists are following their regular routine in relation to HA. Three municipalities in south Sweden will be included based on their population, their geographical dispersion, and their similar organizational structures for HA administration. Identical data on outcomes is being collected at all the sites at the same four time points: before the HA and then 3, 6, and 12 months after the HA. The data-collection methods are semi-structured qualitative interviews, observations, clinical assessments, and certificates related to each client's HA.

Discussion: The intervention in this study has been developed and tested through many years of research and in collaboration with practitioners. This process includes methodological development and testing research aimed at identifying the most important outcomes and research targeting current HA case-management procedures in Swedish municipalities. When the study is completed, the results will be used for further optimization of the practice strategy for HA, in close collaboration with the data-collecting OTs.

Trial Registration: No: NCT01960582.

Citing Articles

One-Year Changes in Activities of Daily Living, Usability, Falls and Concerns about Falling, and Self-Rated Health for Different Housing Adaptation Client Profiles.

Malmgren Fange A, Chiatti C, Axmon A Int J Environ Res Public Health. 2021; 18(18).

PMID: 34574626 PMC: 8468842. DOI: 10.3390/ijerph18189704.

Effects of applying a standardized assessment and evaluation protocol in housing adaptation implementation - results from a quasi-experimental study.

Malmgren Fange A, Carlsson G, Axmon A, Thordardottir B, Chiatti C, Nilsson M BMC Public Health. 2019; 19(1):1446.

PMID: 31684916 PMC: 6829845. DOI: 10.1186/s12889-019-7815-9.

Bostrom L, Chiatti C, Thordardottir B, Ekstam L, Malmgren Fange A Int J Environ Res Public Health. 2018; 15(10).

PMID: 30262784 PMC: 6211042. DOI: 10.3390/ijerph15102130.

Falls and Fear of Falling among Persons Who Receive Housing Adaptations-Results from a Quasi-Experimental Study in Sweden.

Carlsson G, Nilsson M, Ekstam L, Chiatti C, Malmgren Fange A Healthcare (Basel). 2017; 5(4).

PMID: 28961158 PMC: 5746700. DOI: 10.3390/healthcare5040066.

Heterogeneity of Characteristics among Housing Adaptation Clients in Sweden--Relationship to Participation and Self-Rated Health.

Thordardottir B, Chiatti C, Ekstam L, Malmgren Fange A Int J Environ Res Public Health. 2016; 13(1).

PMID: 26729145 PMC: 4730482. DOI: 10.3390/ijerph13010091.

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