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Library

Here you can find up-to-date information on all your health, home modification and consumer needs. The library is continually growing so be sure to visit often for updates and new articles.

    A Research-Based Strategy for Managing Housing Adaptations:
    Study Protocol for a Quasi-Experimental Trial (2014)

    This paper describes the design of a project evaluating the effects of using a research-based strategy for managing housing adaptations (HAs); the evaluation targets clients’ perspectives in terms of activity, participation, usability, fear of falling, fall incidence, use of mobility devices, and health-related quality of life, and determines the societal effects of HAs in terms of costs.

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    A Review of Assessment Tools

    A review of assessment tools for the home environment by the University of Southern California and the National Council on Aging

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    Accessibility Requirements for Covered Multifamily Dwellings Under the Fair Housing Act:

    This 2013 document of the Department of Justice and the Department of Housing and Urban Development provides guidelines regarding the persons and structures that are covered by the accessible design and construction requirements of the Fair Housing Act.

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    ADA Standards for Accessible Design:

    These 2010 Standards were set for newly designed and constructed facilities that fall under the purview of the ADA to be accessible and usable by persons with disabilities.

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    Aging in Place at Home: The Definitive Guide Part 1

    This guide is a comprehensive, one-stop encyclopedia of products and solutions that make homes safer and more livable for Seniors. Those who can benefit most from this resource include healthcare professionals, social workers, caregivers, family members and, most importantly, those who intend to age in place.

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    Aging-Accessible Homes Infographic. (US Census: 2017) *** Gov Doc

    Aging and Accessible Homes Infographic includes statistics showing that 79% of adults above the age of 65 have difficulty using the bathroom when reported living in a home without accessible bathroom features, only 2% of the 21.5 million homes with an adult age 65 and over have accessible ramps and that 1 in every 3 adults age 65 and over have trouble using some feature of their home.

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    CAPABLE Trial: A Randomized Controlled Trial of Nurse, Occupational Therapist and Handyman to Reduce Disability Among Older Adults: Rationale and Design (2014)

    This paper presents the rationale and design for a clinical trial of a new interdisciplinary program aimed to reduce disability among low income older adults; the outcomes included decreased disability in self-care (ADL), improvement in instrumental ADLS, strength, balance, walking speed, and health care utilization.

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    Check for Safety: A Home Fall Prevention Checklist for Older Adults

    The Central Role of The Occupational Therapist In Facilitating Housing Adaptations/Home Modifications For Disabled Children. (Boniface and Morgan, 2017)

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    Clinical reasoning guideline for home modification interventions. (Stark, S. L., Somerville, E., Keglovits, M., Smason, A., & Bigham, K. : 2015)

    This article targets occupational therapists and discusses a useful clinical reasoning tool for them to deliver complex interventions.

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    Community Aging In Place, Advancing Better Living For Elders: A Bio-Behavioral-Environmental Intervention To Improve Function And Health-Related Quality Of Life In Disabled Older Adults (2011)

    This paper determines the effect size and acceptability of a multicomponent behavior and home repair intervention for low-income disabled older adults. The results found that the CAPABLE intervention was acceptable to participants and feasible to provide and showed promising results.

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    Complex environmental modifications. (Renda, Marnie, MEd, OTR/L,C.A.P.S., E.C.H.M., Shamberg, Shoshana, MS,O.T.R./L., F.A.O.T.A., & Young, Debra, MEd, OTR/L, SCEM,A.T.P., C.A.P.S. : 2015 ) 

    This document provides a description of complex environmental modifications (CEMs) and highlights the role of occupational therapy practitioners as providers of service within this area

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    Comprehensive Assessment and Solution Process for Aging Residents (CASPAR)

    EHLS recieved two Small Business Innovation Grants from the National Institute on Aging to develop the Comprehensive Assessment and Solution Process for Aging Residents (CASPAR). CASPAR enables practitioners to identify a client’s aging in place needs by collecting information that can be used by building professionals and occupational therapists to specify the right modifications. This assessment considers the home environment, the resident’s abilities and preferences, and the interaction between the two, combining the specific concerns of consumers, building professionals, and occupational therapists in performing home modifications assessments.

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    Cost Benefit Considerations Of Preventing Elderly Falls Through Environmental Modifications To Homes in Hana, Maui(2008)

    This paper estimates the cost benefit of the modifications from construction costs and published reports of effectiveness and cost of treating falls in Hawaii. The average cost of home modifications was $800 and the average annual averted medical cost of falling was $1728.

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    Cost-Benefit Analysis of Fall Injuries Prevented by a Programme of Home Modifications: A Cluster Randomised Controlled Trial (2015)

    This document presents the cost effectiveness of Advancing Better Living for Elders (ABLE), which involves occupational and physical therapy sessions and home modifications to address client-identified functional difficulties, performance goals, and home safety.

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    Effectiveness of Assistive Technology and Environmental Interventions in Maintaining Independence and Reducing Home Care Costs for the Frail Elderly. Mann, et al, 1999)

    Effectiveness of Assistive Technology and Environmental Interventions in Maintaining Independence and Reducing Home Care Costs for the Frail Elderly. Mann, et al, 1999)

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    Effects of a Multifactorial Fall Prevention Program on Fall Incidence and Physical Function in Community-Dwelling Older Adults With Risk of Falls; (Lee, et al, 2012)

    A multifactorial fall prevention program with exercise intervention may reduce the risk of falls in the short-term but not necessarily in the long-term. Awareness is key to reduce falls.

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    Environmental and Behavioral Circumstances and Consequences of Falls in a Senior Living Development(Daejin Kim, Sherry Ahrentzen, 2017)

    Falls occurring in the bathroom can cause severe damage; three types of activities and five behavioral factors related to falls are identified.

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    Environmental Assessment And Modification To Prevent Falls In Older People (2011)

    This paper assesses the effectiveness of an environmental falls prevention intervention delivered by qualified occupational therapists or unqualified trained assessors. The study found that an environmental assessment prescribed by an occupational therapist significantly reduced the number of falls in high-risk individuals whereas that prescribed by a trained assessor did not.

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    Evidence-based guidelines for the secondary prevention of falls in older adults. Gerontology; Moreland, J., Richardson, J., Chan, D. H., O’Neill, J, 2003:

    This article aims to provide reliable and consistent practice guidelines to help prevent secondary falls in elderly adults. The guidelines include home and institutional assessment guidelines as well as recommended interventions.

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    Evidence-Based Programs and Best Practices in Home Assessment and Modification

    The University of Southern California Leonard Davis School of Gerontology/homemods.org partnered with the National Council on Aging (NCOA) to compile and feature home modification and home safety programs falling in the categories of evidence-based, best practices, and innovative. Over 150 organizations from the aging, disability, housing, and health care sectors nationwide contributed to this inventory of home modification programs and practices

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    Falls prevention: Investigating best practice for community occupational therapists. Occupational Therapy Now; Anna Tzingounakis, 2012

    This study focuses on the best practices and tools used by Occupational Therapists on Prince Edward Island, Canada to develop an interdisciplinary, multifactorial falls prevention program.

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    Home Falls and Accidents Screening Tool (Home FAST) and Non-OT Home Falls and Accidents Screening Tool (Home FAST)

    Home FAST is a home assessment tool designed to identify older people at risk of falling because of hazards within their home environment. The tool consists of 25 items that include a range of indoor and outdoor environmental and functional concerns. A dichotomous assessment, the user marks whether or not a hazard is present. A higher score indicates a higher risk of falling.

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    Home Fit Guide

    This AARP Guidebook has questions and solutions for consumers to determine design features and products to make a supportive home.

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    Home Modification Discussion Archives

    Hosted by the University of Buffalo, this site features archives of monthly online discussion on various aspects of home modifications.

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    Home Modification Funding Sources

    The University of Southern California Leonard Davis School of Gerontolog/homemods.org partnered with the National Council on Aging to review and compile this extensive inventory of home modification funding sources

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    Home Modifications to Reduce Injuries from Falls in the Home Injury Prevention Intervention (HIPI) Study: A Cluster-Randomised Controlled Trial (2015)

    This study tested the safety benefits of home modifications such as handrails, grab rails, outside lighting, edging and more. The findings suggest that low-cost home modifications and repairs can be a means to reduce injury in the general population.

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    Home Modifications: Use, Cost, and Interactions with Functioning Among Near-Elderly and Older Adults

    This 2008 report from the US Department of Health and Human Services outlines the use of home modifications by older adults.

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    Home Safety Assessment and Modification to Reduce Injurious Falls in Community Dwelling Older Adults: Cost-Utility and Equity Analysis (2016)

    This article determines the health gain, cost-utility and health equity impacts from home safety assessment and modification (HSAM) for reducing falls in older people. Findings include: the provision of a HSAM intervention produces considerable health gain, is highly cost-effective, and provides a promising initial approach among older people.

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    Home Safety Self Assessement Tool (HSSAT)

    With the aim of reducing falls among older adults, this self-assessment consists of a home safety assesment checklist and solutions, illustrations of common fall hazards and solutions in ten indoor and outdoor areas of the home, assistive devices and other recommended products to prevent falls, and “how to” home improvement instructions. In addition to assessing for risk factors, the HSSAT aims to raise awareness. For example, some users may not be aware that clutter is a fall risk until they see it on the list. By reviewing each risk item, users may be able to match the risks listed with identified risks in their own home environment. The HSSAT has been translated into several languages.

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    Home Visits By An Occupational Therapist For Assessment And Modification Of Environmental Hazards: A Randomized Trial Of Falls Prevention (Cumming et al, 1999)

    This evidence based study illustrates the effect of home visits by Occupational Therapists on the prevention of falls. It shows that home modification and behavioral changes involving OTs can improve safety in the living environments by reducing the risk of falls.

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    Housing America’s Seniors

    This report focuses on the housing needs of the elderly population. Most seniors wish to age in place but have to face the consequences of aging, and thus are restricted in their housing choices. The report examines the housing needs of America’s senior population, and urges the housing industry and public policy makers to respond with home modifications, supportive services, and housing alternatives. It also projects the demographic and economic profiles of the next generation of seniors and examines their likely housing choices, labor force participation, and lifestyles.

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    Housing in America – The Baby Boomers Turn 65

    This 2012 report from the Urban Land Institute examines the housing market changes impacted by the baby boom generation and older as they make housing choices.

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    Improving America’s Housing 2015: Emerging Trends in the Remodeling Market:

    This document, created by the Joint Center for Housing Studies at Harvard, features recent remodeling trends and includes discussions and data about the potential for growth in the accessibility remodeling market for older persons and persons with disabilities.

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    In Home Occupational Performance Evaluation (I-HOPE) and I-HOPE Assist

    The In-Home Occupational Performance Evaluation (I-HOPE) targets activities performed in the home that are essential for aging in place. The purpose is to measure the effects of an incompatibility between a person’s abilities and the environment or the “person-environment misfit” of older adults and their homes. The I-HOPE helps therapists measure clients’ in‐home activity performance and observe changes in person‐environment fit before and after home modification interventions. It considers the client’s perspective and satisfaction while recognizing the role of the environment on performance. It is a multistep assessment that is conducted in the home of an individual. It takes approximately 60 minutes to conduct. A kit includes all necessary materials to conduct the assessment’s three steps: 1) An assessment of current in-home activities is conducted using a set of 44 cards of images depicting older adults participating in daily activities. An overall score for activity performance is then calculated; 2) Priority activities are identified for intervention and given a subjective performance and satisfaction score; 3) Performance-based rating of barriers’ influence on performance. The I-HOPE yields four sub-scores that can be used individually or as a profile of performance (activitiy, performance, satisfaction, total barrier severity).

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    Interventions For Preventing Falls In Older People Living In The Community (2012):

    This paper assesses the effects of interventions designed to reduce the incidence of falls in older people living in the community and finds hat group and home-based exercise programs as well as home safety interventions (and more) reduce rate of falls and risk of falling.

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    Keall, M. D., Pierse, N., Howden-Chapman, P., Guria, J., Cunningham, C. W., & Baker, M. G. (2016).

    Cost – benefit analysis of fall injuries prevented by a programme of home modifications: a cluster randomised controlled trial.Injury prevention, injuryprev-2015.

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    Lighting the Way: A Key to Independence

    A series of booklets on lighting written in collaboration between AARP and the Lighting Research Center at Rensselaer Polytechnic Institute.

    The LRC developed three guidelines that address the needs of health care professionals, designers and builders, and the general public, including older adults and their families.

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    Longitudinal Changes In Everyday Life After Home Modifications For People Aging With Disabilities (2009)

    This paper investigates the longitudinal impacts of home modifications on the difficulty of performing everyday life tasks for people aging with disabilities, and whether other factors had any additional impacts. The results found that home modifications are effective in decreasing difficulty in performing everyday life tasks up to six months after the installation and to be effective they need to be installed in a timely fashion.

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    Making Life More Livable: Simple Adaptations for Living at Home After Vision Loss

    This newly updated and revised guide offers practical tips and useful illustration to help persons with vision impairment live independently.

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    Meucci, M. R., Gozalo, P., Dosa, D., & Allen, S. M. (2016).

    Variation in the presence of simple home modifications of older Americans: findings from the National Health and Aging Trends Study. Journal of the American Geriatrics Society.

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    New CDC Publication Demonstrates Impact of Evidence-Based Fall Prevention Programs

    The new CDC publication, “The Potential to Reduce Falls and Avert Costs by Clinically Managing Fall Risk”, in the American Journal of Preventive Medicine is the first to show that evidence-based fall prevention interventions delivered by U.S. healthcare providers have the ability to prevent thousands of falls, thereby improving the health and well-being of older Americans.

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    Petersson, I., Lilja, M., Hammel, J., & Kottorp, A. (2008)

    Impact of home modification services on ability in everyday life for people ageing with disabilities. Journal of Rehabilitation Medicine, 40(4), 253-260. doi:10.2340/16501977-0160

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    Preventing falls in community-dwelling frail older people using a home intervention team (HIT): Results from the randomized falls-HIT trial; (Nikolaus T., Bach M., 2003);

    Home interventions, such as assessing environmental hazards and suggesting potential modifications, alongside technical trainings were found to be effective in reducing the risk of falls among seniors with a fall history.

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    Prevention of Falls in Community-Dwelling Older Adults: U.S. Preventive Services Task Force Recommendation Statement; (Moyer, 2012)

    Exercise or physical therapy and vitamin D supplementation are suggested by the USPSTF to reduce falls for seniors who live in community settings

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    Prevention of falls in the elderly – a review(M. K. Karlsson, H. Magnusson, T. von Schewelov, B. E. Rosengren, 2013)

    Shows data from Community Aging in place, Advancing Better Living for Elders (CAPABLE), a model designed to overcome the functional and home environmental barriers of older adults. Initial findings demonstrated that daily living limitations improved in 79% of the first 100 people who completed the intervention.

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    Randomised Factorial Trial Of Falls Prevention Among Older People Living In Their Own Homes (Lesley, et al, 2002)

    This study explores the effectiveness of three interventions (group based exercise, home hazard management, and vision improvement) on decreasing the risk of falls in older adults living at home.

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