Fänge Agneta, Iwarsson Susanne
Department of Health Sciences, Lund University, Sweden.
Scand J Occup Ther. 2007 Sep;14(3):140-9. doi: 10.1080/11038120600840150.
Founded on recent empirical experiences and results from a Housing Adaptation Project accomplished in a Swedish municipality, this paper aims to elucidate and problematize challenges inherent in the process of developing research-based strategies for housing adaptation (HA) evaluations feasible for municipality contexts. In this paper, theory and conceptual definitions of client-level outcomes related to Swedish HA legislation - i.e. accessibility, usability, and activity - are presented. In order to lay the ground for the presentation and discussion on challenges, the Housing Adaptation Project is described with regard to design sampling and data collection, client-level outcomes and assessment instruments used, as well as longitudinal results. The challenges faced during the project were related to the assessment of outcomes, the logistic flow of the data-collection process, client availability for follow-up assessments as well as interpretation of changes in accessibility. Some challenges were due to the organizational HA framework in the municipalities, while others were related to the methodology used for outcomes assessment. Based on our experiences with this project, a set of evaluation recommendations for practice and research is provided.
基于瑞典一个自治市实施的住房适应性项目的近期实证经验和成果,本文旨在阐明并质疑在制定适用于自治市环境的基于研究的住房适应性(HA)评估策略过程中所固有的挑战。本文介绍了与瑞典住房适应性立法相关的客户层面成果的理论和概念定义,即无障碍性、可用性和活动能力。为了为呈现和讨论挑战奠定基础,本文描述了住房适应性项目的设计抽样、数据收集、所使用的客户层面成果及评估工具,以及纵向结果。该项目期间面临的挑战涉及成果评估、数据收集过程的物流流程、客户参与后续评估的可及性以及无障碍性变化的解读。一些挑战归因于自治市的组织性住房适应性框架,而其他挑战则与用于成果评估的方法有关。基于我们在该项目中的经验,提供了一套针对实践和研究的评估建议。