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

IF 1.9 4区医学 Q2 REHABILITATION

Scandinavian Journal of Occupational Therapy Pub Date : 2023-07-01 DOI:10.1080/11038128.2021.2007998

Nilla Andersson, Björn Slaug, Maria H Nilsson, Susanne Iwarsson

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引用次数: 1

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 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.

查看原文本刊更多论文

帕金森病患者的环境障碍和住房可及性问题:三年展望。

背景:虽然住房可及性与其他人群的重要健康结果相关，但很少有研究在帕金森病人群中解决这一问题。目的:确定住房可及性问题方面最严重的环境障碍，以及这些障碍在帕金森病患者中如何在3年内演变。材料和方法:纳入138名受试者(男性= 67%;平均年龄= 68岁)。最严重的环境障碍由住房使能器确定，并按降序排列。配对t检验用于分析无障碍问题随时间的变化。结果:前10大障碍在3年内基本保持不变，但排序和大小变化明显。“卫生区没有扶手”和“只有楼梯的路线”在基线时产生的无障碍问题排名最高，但显著下降(p = 0.041;P = 0.002)。“到达垃圾箱的困难”在随访中排名第一，显著增加(p)结论和意义:关于无障碍问题如何随着时间的推移而演变的新知识可以被职业治疗师用来推荐更有效的住房适应，考虑到帕金森病的进行性。在社会层面上，研究结果可用于系统地解决无障碍问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scandinavian Journal of Occupational Therapy REHABILITATION-

CiteScore

3.40

自引率

15.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.