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

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

Objectives

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

1^st 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

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.

Figures

• 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

Tables

• 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