Aplin Tammy, de Jonge Desleigh, Gustafsson Louise
Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia.
Aust Occup Ther J. 2015 Apr;62(2):123-31. doi: 10.1111/1440-1630.12156. Epub 2014 Oct 28.
BACKGROUND/AIM: Home modifications aim to enhance safety and occupational performance in the home. However, given the complexity and unique meaning of the home, they can impact aspects other than function. This qualitative descriptive study aimed to explore the impact of home modifications on clients and their family's experience of home.
Home modification clients and their family and carers participated in 42 in-depth interviews which were analysed using a template analysis.
Home modifications impacted positively and negatively on five dimensions of the home environment, the personal, occupational, physical, temporal and social dimension. The outcomes of the modifications and the home modification process were influenced by three themes, workmanship, consultation or involvement in decision-making, and the societal dimension of the home environment.
The negative outcomes and poor consultation experiences suggest the need for occupational therapists to understand their client's personal experience of home and to comprehensively follow-up and evaluate these following home modifications.
背景/目的:家庭改造旨在提高家庭中的安全性和职业表现。然而,鉴于家庭的复杂性和独特意义,它们可能会影响功能以外的其他方面。这项定性描述性研究旨在探讨家庭改造对客户及其家庭的居家体验的影响。
家庭改造客户及其家人和照顾者参与了42次深入访谈,并使用模板分析法进行分析。
家庭改造对家庭环境的五个维度产生了积极和消极的影响,即个人、职业、身体、时间和社会维度。改造的结果和家庭改造过程受到三个主题的影响,即工艺、咨询或参与决策以及家庭环境的社会维度。
负面结果和糟糕的咨询体验表明,职业治疗师需要了解客户对家的个人体验,并在家庭改造后进行全面的跟进和评估。