Article

Staying safe at home. Home environmental audit recommendations and uptake in an older population at high risk of falling.

Queensland Health, Community Rehabilitation Service, Primary and Community Health-Metro South HSD, Brisbane, Queensland, Australia.
Australasian Journal on Ageing (impact factor: 0.9). 06/2012; 31(2):90-5. DOI:10.1111/j.1741-6612.2011.00545.x pp.90-5
Source: PubMed

ABSTRACT To identify the level of uptake of occupational therapists' home environmental audit recommendations by older community dwellers and the factors that contribute to adherence.

Cohort nested within an RCT that compared two models of care for fall prevention located in Brisbane, Australia.
Community-dwelling older people >60 at risk of falls (n = 80).
An environmental audit and recommendations by an occupational therapist.
Of the recommendations made, 55% were completed by 6 months. Increasing number of comorbidities was a significant predictor of adherence with recommendations. Recommendations requiring external providers were more likely to be completed than those relying on the client or family member.
Occupational therapists need to consider a wide range of intrinsic and extrinsic factors, which may contribute to adherence with home modifications.

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Keywords

6 months
 
Cohort nested
 
Community-dwelling older people >60
 
compared two models
 
environmental audit
 
external providers
 
family member
 
home modifications
 
Increasing number
 
intrinsic
 
occupational therapist
 
Occupational therapists
 
occupational therapists' home environmental audit recommendations
 
older community dwellers
 
Recommendations
 
significant predictor
 
wide range