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The Importance of the Built Environment in Person-Centred Rehabilitation at Home : Study Protocol

Kylén, Maya LU orcid ; Von Koch, Lena ; Pessah-Rasmussen, Hélène LU ; Marcheschi, Elizabeth LU ; Ytterberg, Charlotte ; Heylighen, Ann and Elf, Marie (2019) In International Journal of Environmental Research and Public Health 16(13).
Abstract

Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This-along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred-will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient's recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment... (More)

Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This-along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred-will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient's recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. The project uses a convergent parallel mixed-methods design, with ICF (International Classification of Functioning, Disability and Health) and person-environment theories as conceptual frameworks. Data will be collected during home visits 3 months after stroke onset. Medical records, questionnaires, interviews and observations will be used. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Data will be used to synthesise the contexts, mechanisms and outcomes that are important to support the rehabilitation process at home.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
housing, mixed-methods design, person-centred care, person–environment fit, rehabilitation
in
International Journal of Environmental Research and Public Health
volume
16
issue
13
article number
2409
publisher
MDPI AG
external identifiers
  • pmid:31284620
  • scopus:85069290932
ISSN
1660-4601
DOI
10.3390/ijerph16132409
language
English
LU publication?
yes
id
bfa6f35a-9d71-4f16-91ec-37f5d0599752
date added to LUP
2019-07-29 10:36:53
date last changed
2024-04-16 16:58:36
@article{bfa6f35a-9d71-4f16-91ec-37f5d0599752,
  abstract     = {{<p>Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This-along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred-will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient's recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. The project uses a convergent parallel mixed-methods design, with ICF (International Classification of Functioning, Disability and Health) and person-environment theories as conceptual frameworks. Data will be collected during home visits 3 months after stroke onset. Medical records, questionnaires, interviews and observations will be used. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Data will be used to synthesise the contexts, mechanisms and outcomes that are important to support the rehabilitation process at home.</p>}},
  author       = {{Kylén, Maya and Von Koch, Lena and Pessah-Rasmussen, Hélène and Marcheschi, Elizabeth and Ytterberg, Charlotte and Heylighen, Ann and Elf, Marie}},
  issn         = {{1660-4601}},
  keywords     = {{housing; mixed-methods design; person-centred care; person–environment fit; rehabilitation}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{13}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{The Importance of the Built Environment in Person-Centred Rehabilitation at Home : Study Protocol}},
  url          = {{http://dx.doi.org/10.3390/ijerph16132409}},
  doi          = {{10.3390/ijerph16132409}},
  volume       = {{16}},
  year         = {{2019}},
}