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Environmental barriers and housing accessibility problems for people with Parkinson’s disease : A three-year perspective

Andersson, Nilla LU orcid ; Slaug, Björn LU orcid ; Nilsson, Maria H. LU orcid and Iwarsson, Susanne LU (2023) In Scandinavian Journal of Occupational Therapy 30(5). p.661-672
Abstract

Background: Although housing accessibility is associated with important health outcomes in other populations, few studies have addressed this in a Parkinson’s disease population. Aim: To determine the most severe environmental barriers in terms of housing accessibility problems and how these evolved over 3 years among people with Parkinson’s disease. Material and Methods: 138 participants were included (men = 67%; mean age = 68 years). The most severe environmental barrier were identified by the Housing Enabler instrument and ranked in descending order. The paired t-test was used to analyse changes in accessibility problems over time. Results: The top 10 barriers remained largely unchanged over 3 years, but with notable changes in order... (More)

Background: Although housing accessibility is associated with important health outcomes in other populations, few studies have addressed this in a Parkinson’s disease population. Aim: To determine the most severe environmental barriers in terms of housing accessibility problems and how these evolved over 3 years among people with Parkinson’s disease. Material and Methods: 138 participants were included (men = 67%; mean age = 68 years). The most severe environmental barrier were identified by the Housing Enabler instrument and ranked in descending order. The paired t-test was used to analyse changes in accessibility problems over time. Results: The top 10 barriers remained largely unchanged over 3 years, but with notable changes in order and magnitude. ‘No grab bar in hygiene area’ and ‘Stairs only route’ were top-ranked in generating accessibility problems at baseline but decreased significantly (p = 0.041; p = 0.002) at follow-up. ‘Difficulties to reach refuse bin’ was top-ranked at follow-up, with a significant increase (p < 0.001) of related accessibility problems. Conclusions and Significance: The new knowledge about how accessibility problems evolve over time could be used by occupational therapists to recommend more effective housing adaptations taking the progressive nature of Parkinson’s disease into account. On societal level, the results could be used to address accessibility problems systematically.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Home modification, occupational therapy, P-E fit, public health perspective
in
Scandinavian Journal of Occupational Therapy
volume
30
issue
5
pages
661 - 672
publisher
Taylor & Francis
external identifiers
  • pmid:34871133
  • scopus:85121298025
ISSN
1103-8128
DOI
10.1080/11038128.2021.2007998
project
Home, Health and Disability along the Process of Ageing
Home and health in people ageing with Parkinson's disease
Perceived housing, accessibility and health among people ageing with Parkinson´s disease
language
English
LU publication?
yes
id
dead9568-20d8-41b7-a418-90be65da85b2
date added to LUP
2022-01-31 14:35:45
date last changed
2024-12-15 20:24:59
@article{dead9568-20d8-41b7-a418-90be65da85b2,
  abstract     = {{<p>Background: Although housing accessibility is associated with important health outcomes in other populations, few studies have addressed this in a Parkinson’s disease population. Aim: To determine the most severe environmental barriers in terms of housing accessibility problems and how these evolved over 3 years among people with Parkinson’s disease. Material and Methods: 138 participants were included (men = 67%; mean age = 68 years). The most severe environmental barrier were identified by the Housing Enabler instrument and ranked in descending order. The paired t-test was used to analyse changes in accessibility problems over time. Results: The top 10 barriers remained largely unchanged over 3 years, but with notable changes in order and magnitude. ‘No grab bar in hygiene area’ and ‘Stairs only route’ were top-ranked in generating accessibility problems at baseline but decreased significantly (p = 0.041; p = 0.002) at follow-up. ‘Difficulties to reach refuse bin’ was top-ranked at follow-up, with a significant increase (p &lt; 0.001) of related accessibility problems. Conclusions and Significance: The new knowledge about how accessibility problems evolve over time could be used by occupational therapists to recommend more effective housing adaptations taking the progressive nature of Parkinson’s disease into account. On societal level, the results could be used to address accessibility problems systematically.</p>}},
  author       = {{Andersson, Nilla and Slaug, Björn and Nilsson, Maria H. and Iwarsson, Susanne}},
  issn         = {{1103-8128}},
  keywords     = {{Home modification; occupational therapy; P-E fit; public health perspective}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{661--672}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Occupational Therapy}},
  title        = {{Environmental barriers and housing accessibility problems for people with Parkinson’s disease : A three-year perspective}},
  url          = {{http://dx.doi.org/10.1080/11038128.2021.2007998}},
  doi          = {{10.1080/11038128.2021.2007998}},
  volume       = {{30}},
  year         = {{2023}},
}