Evaluation of Housing Adaptations and Mobility Devices (FORMASEvid)
Housing Adaptations and Mobility Devices - Evaluation of a New Practice Strategy
The rationale underlying this project is the fact that HA is a very common compensatory interven¬tion within municipality health care, undertaken to support an independent living in the own home. In addition, MD are frequently prescribed and used among HA clients in order to compensate for declined body functions. In spite of this, knowledge of their effects for the individual and the society is still scarce. In particular, systematic, evidence-based strategies based on clear-cut conceptual definitions and descriptions of procedures are lacking. Such strategies are crucial in order to evaluate the effects of HA and MD. In addition, longterm cost-effectiveness evaluations are crucial for policy implementation.
The overarching aim is to investigate outcomes of HA on aspects of home and health for sub-groups of persons with disabilities.
The specific aims are to:
- Investigate the effects of HA on home and health related outcomes, i.e. usability, fear of falling, activity/participation and health-related quality of life for different subgroups of persons, e.g. MD users and non MD-users
- Investigate the use of a new practice strategy for HA on home and health related outcomes for subgroups of persons with disabilities in terms of differences between municipalities
- Investigate societal level outcomes of HA and MD, i.e. costs and quality adjusted life years
- Gain a deeper understanding of the processes behind changes in outcomes We hypothesise that using a structure strategy for housing adaptation and mobility devices case management in ordinary practice in Swedish municipalities increase activity, participation, the usability of the home, and reduces societal costs.
調査の概要
詳細な説明
The ultimate goal of the project is to improve the housing situation of older people and people with disabilities, by determining the long term effects of housing adaptations (HA) for clients and society, and transferring this knowledge into guidelines for practitioners in the housing and building planning sector.
Specific research questions are:
RQ1. What are the long-term effects of HA for clients (individual goals achievement, activity, participation, health-related quality of life, usability, falls, functional capacity and use of mobility devices (MD), mortality, health care and social services consumption, and relocation)? RQ2. What are the long-term effects of HA for society (costs and cost- effectiveness)? RQ3. What are the barriers and facilitators to knowledge transfer in the area of HA? RQ4. How can evidence based knowledge be transferred into practical guidelines for housing and building planning in Sweden?
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究場所
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Lund、スウェーデン、221 00
- Department of Health Sciences, Lund University
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Persons receiving housing adaptation
- Above 20 years
Exclusion Criteria:
- Persons with language deficits and/or cognitive decline
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：New Practice Strategy
Structured strategy for assessment and evaluation before and after intervention
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Application of a structured case management strategy on housing adaptation cases
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介入なし：Ordinary practice
Ordinary practice, not structured
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
ADL Staircase
時間枠：Differences in changes between intervention and control sites at baseline and 3, 6,12, 24 and 36 months after
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The ADL Staircase measures dependence on other persons in daily activities.
Combined interview and observation
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Differences in changes between intervention and control sites at baseline and 3, 6,12, 24 and 36 months after
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Falls Efficacy Scale- FES-I
時間枠：Differences in changes between intervention and control sites at baseline and 3, 6, 12, 24 and 36 months after
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FES-I measures perceived fear of falling
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Differences in changes between intervention and control sites at baseline and 3, 6, 12, 24 and 36 months after
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Usability of the home, UIMH
時間枠：Differences in changes between intervention and control sites between baseline and 3, 6,12,24 and 36 months after
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Self-rated assessment measuring the extent to which the person can perform Daily activities in the housing
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Differences in changes between intervention and control sites between baseline and 3, 6,12,24 and 36 months after
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Costs of housing adaptations
時間枠：3,6, 12, 24 and 36 months after, for the whole sample
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The actual costs for the housing adaptation, including costs for travel, work hours, and material will be calculated based on invoices benefit
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3,6, 12, 24 and 36 months after, for the whole sample
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Cost-benefit for client and society
時間枠：At 24 and 36 months after the housing adaptation, for the whole sample
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The cost-benefit of the housing adaptation will be calculated based on health economic models utilising data from EQ-5D instrument
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At 24 and 36 months after the housing adaptation, for the whole sample
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Agneta M Fänge, PhD、Lund University
出版物と役立つリンク
一般刊行物
- Malmgren Fange A, Carlsson G, Axmon A, Thordardottir B, Chiatti C, Nilsson MH, Ekstam L. Effects of applying a standardized assessment and evaluation protocol in housing adaptation implementation - results from a quasi-experimental study. BMC Public Health. 2019 Nov 4;19(1):1446. doi: 10.1186/s12889-019-7815-9.
- Ekstam L, Carlsson G, Chiatti C, Nilsson MH, Malmgren Fange A. A research-based strategy for managing housing adaptations: study protocol for a quasi-experimental trial. BMC Health Serv Res. 2014 Nov 29;14:602. doi: 10.1186/s12913-014-0602-5.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- FORMAS 2011-907
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