Thordardottir Björg, Ekstam Lisa, Chiatti Carlos, Fänge Agneta Malmgren
a Department of Health Sciences, Faculty of Medicine , Lund University , Sweden ;
b Scientific Direction , Italian National Research Centre on Ageing (INRCA) , Italy.
Scand J Occup Ther. 2016 Sep;23(5):347-56. doi: 10.3109/11038128.2016.1139622. Epub 2016 Feb 8.
People applying for a housing adaptation (HA) grant are at great risk of participation restrictions due to declining capacity and environmental barriers.
To investigate the association of person-, environment-, and activity-related factors with participation frequency and satisfaction among people applying for a housing adaptation grant.
Baseline cross-sectional data were collected during home visits (n = 128). The association between person-, environment-, and activity-related factors and participation frequency and satisfaction was analysed using logistic regressions.
The main result is that frequency of participation outside the home is strongly associated with dependence in activities of daily living (ADL) and cognitive impairments, while satisfaction with participation outside the home is strongly associated with self-reported health. Moreover, aspects of usability in the home were associated with frequency of participation outside the home and satisfaction with participation in the home and outside the home alone.
Dependence in ADL, cognitive impairments, self-rated health, and aspects of usability are important factors contributing to participation frequency and satisfaction among people applying for a housing adaptation grant, particularly outside the home.
Our findings indicate that more attention should be directed towards activity-related factors to facilitate participation among HA applicants, inside and outside the home.
申请住房改造(HA)补助金的人群因能力下降和环境障碍而面临参与受限的巨大风险。
调查申请住房改造补助金的人群中,与个人、环境和活动相关的因素与参与频率及满意度之间的关联。
在家庭访视期间收集基线横断面数据(n = 128)。使用逻辑回归分析个人、环境和活动相关因素与参与频率及满意度之间的关联。
主要结果是,外出参与频率与日常生活活动(ADL)依赖性及认知障碍密切相关,而对外出参与的满意度与自我报告的健康状况密切相关。此外,家庭可用性方面与外出参与频率以及仅对在家和外出参与的满意度相关。
ADL依赖性、认知障碍、自我评定健康状况和可用性方面是影响申请住房改造补助金人群参与频率和满意度的重要因素,尤其是外出方面。
我们的研究结果表明,应更多关注与活动相关的因素,以促进HA申请人在家内外的参与。