Factors associated with participation frequency and satisfaction among people applying for a housing adaptation grant

Scand J Occup Ther. 2016 Sep;23(5):347-56. doi: 10.3109/11038128.2016.1139622. Epub 2016 Feb 8.

Abstract

Background: People applying for a housing adaptation (HA) grant are at great risk of participation restrictions due to declining capacity and environmental barriers.

Aim: To investigate the association of person-, environment-, and activity-related factors with participation frequency and satisfaction among people applying for a housing adaptation grant.

Material and methods: Baseline cross-sectional data were collected during home visits (n = 128). The association between person-, environment-, and activity-related factors and participation frequency and satisfaction was analysed using logistic regressions.

Results: The main result is that frequency of participation outside the home is strongly associated with dependence in activities of daily living (ADL) and cognitive impairments, while satisfaction with participation outside the home is strongly associated with self-reported health. Moreover, aspects of usability in the home were associated with frequency of participation outside the home and satisfaction with participation in the home and outside the home alone.

Conclusion: Dependence in ADL, cognitive impairments, self-rated health, and aspects of usability are important factors contributing to participation frequency and satisfaction among people applying for a housing adaptation grant, particularly outside the home.

Significance: Our findings indicate that more attention should be directed towards activity-related factors to facilitate participation among HA applicants, inside and outside the home.

Keywords: Activities of daily living; community-living adults; disability; usability.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Architectural Accessibility* / economics
  • Cross-Sectional Studies
  • Female
  • Financing, Organized*
  • Housing* / economics
  • Humans
  • Independent Living
  • Male
  • Personal Satisfaction*
  • Quality of Life*
  • Social Participation*