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

Research output: Contribution to journalArticle

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 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.

Details

Authors
Organisations
External organisations
  • Dalarna University
  • Karolinska Institutet
  • Karolinska University Hospital
  • Skåne University Hospital
  • Chalmers University of Technology
  • Catholic University of Leuven
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Care Service and Management, Health Policy and Services and Health Economy

Keywords

  • housing, mixed-methods design, person-centred care, person–environment fit, rehabilitation
Original languageEnglish
Article number2409
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number13
Publication statusPublished - 2019 Jul 6
Publication categoryResearch
Peer-reviewedYes