Functional training integrated into ADL |
Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Blain et al. (2019)Blain, H., Dabas, F., Mekhinini, S., Picot, M. C., Miot, S., Bousquet, J., Boubakri, C., Jaussent, A., & Bernard, P. L. (2019). Effectiveness of a programme delivered in a falls clinic in preventing serious injuries in high-risk older adults: A pre- and post-intervention study. Maturitas, 122, 80-86.
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Intervene through functional exercise training to prevent falls, reduce fear if falling and maintain performance in ADL |
Müller et al. (2021aMüller, C., Lautenschläger, S., Dörge, C., & Voigt-Radloff, S. (2021a). Development of a lifestyle-integrated physical exercise training and home modification intervention for older people living in a community with a risk of falling (Part 1): the FIT-at-Home fall prevention program. Disability and Rehabilitation, 43(10), 1367-1379., 2021bMüller, C., Lautenschläger, S., Dörge, C., & Voigt-Radloff, S. (2021b). A feasibility study of a home-based lifestyle-integrated physical exercise training and home modification for community-living older people (Part 2): the FIT-at-Home fall prevention program. Disability and Rehabilitation, 43(10), 1380-1390.), Granbom et al. (2019)Granbom, M., Clemson, L., Roberts, L., Hladek, M. D., Okoye, S. M., Liu, M., Felix, C., Roth, D. L., Gitlin, L. N., & Szanton, S. (2019). Preventing falls among older fallers: study protocol for a two-phase pilot study of the multicomponent LIVE LiFE program. Trials, 20(1), 2-9.
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Incorporate functional balance and strength exercises of the upper and lower limbs into the ALD and lifestyle of elderly people at risk of falls, with the aim of improving mobility skills and participation in ADL. |
Organization of the internal and external environment |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501., Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488., Paiva et al. (2017)Paiva, M. M., Nascimento, J. S., & Tavares, D. M. S. (2017). Avaliação das características das quedas entre idosos residentes em Uberaba, Minas Gerais. Revista de Enfermagem e Atenção à Saúde, 6(1), 95-106., Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Hasegawa & Kamimura (2018)Hasegawa, A., & Kamimura, T. (2018). Development of the Japanese version of the Westmead Home Safety Assessment for the elderly in Japan. Hong Kong Journal of Occupational Therapy, 31(1), 14-21., Hamm et al. (2019c)Hamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810., Müller et al. (2021a)Müller, C., Lautenschläger, S., Dörge, C., & Voigt-Radloff, S. (2021a). Development of a lifestyle-integrated physical exercise training and home modification intervention for older people living in a community with a risk of falling (Part 1): the FIT-at-Home fall prevention program. Disability and Rehabilitation, 43(10), 1367-1379.
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Reduce clutter in the house by removing scattered objects (toys, shoes, objects, wires scattered across the floor), and fix or remove rugs from the rooms, using suction cups, rubberized and non-slip rugs. |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87.
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Facilitate access to and use of equipment such as telephones and light switches. |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501.
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Make using the bathroom easier, avoiding risks (facilitate towel accessibility, water temperature, practice getting in and out of the shower/bathtub). |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501.
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Keep enough space Around the bed for mobility and light switches within easy reach of the bed. |
Modifications to home security in indoor and outdoor environments. |
Stark et al. (2021)Stark, S., Keglovits, M., Somerville, E., Hu, Y. L., Barker, A., Sykora, D., & Yan, Y. (2021). Home hazard removal to reduce falls among community-dwelling older adults: a randomized clinical trial. JAMA Network Open, 4(8), e2122044., Müller et al. (2021a)Müller, C., Lautenschläger, S., Dörge, C., & Voigt-Radloff, S. (2021a). Development of a lifestyle-integrated physical exercise training and home modification intervention for older people living in a community with a risk of falling (Part 1): the FIT-at-Home fall prevention program. Disability and Rehabilitation, 43(10), 1367-1379., Granbom et al. (2019)Granbom, M., Clemson, L., Roberts, L., Hladek, M. D., Okoye, S. M., Liu, M., Felix, C., Roth, D. L., Gitlin, L. N., & Szanton, S. (2019). Preventing falls among older fallers: study protocol for a two-phase pilot study of the multicomponent LIVE LiFE program. Trials, 20(1), 2-9., Hamm et al. (2019b)Hamm, J., Money, A., & Atwal, A. (2019b). Guidetomeasure-OT: a mobile 3D application to improve the accuracy, consistency, and efficiency of clinician-led home-based falls-risk assessments. International Journal of Medical Informatics, 129, 349-365., Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Paiva et al. (2017)Paiva, M. M., Nascimento, J. S., & Tavares, D. M. S. (2017). Avaliação das características das quedas entre idosos residentes em Uberaba, Minas Gerais. Revista de Enfermagem e Atenção à Saúde, 6(1), 95-106.
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Propose the installation of assistive devices, such as: support bars/handrails and non-slip coating. |
Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87., Paiva et al. (2017)Paiva, M. M., Nascimento, J. S., & Tavares, D. M. S. (2017). Avaliação das características das quedas entre idosos residentes em Uberaba, Minas Gerais. Revista de Enfermagem e Atenção à Saúde, 6(1), 95-106., Hamm et al. (2019c)Hamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810., Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501.
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Remove environmental hazards such as slippery and uneven floors. |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87.
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Modify the location, height of furniture, and width of the stairs. |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501.
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Advise on adjustments to slopes and uneven floors. |
Paiva et al. (2017)Paiva, M. M., Nascimento, J. S., & Tavares, D. M. S. (2017). Avaliação das características das quedas entre idosos residentes em Uberaba, Minas Gerais. Revista de Enfermagem e Atenção à Saúde, 6(1), 95-106., Granbom et al. (2019)Granbom, M., Clemson, L., Roberts, L., Hladek, M. D., Okoye, S. M., Liu, M., Felix, C., Roth, D. L., Gitlin, L. N., & Szanton, S. (2019). Preventing falls among older fallers: study protocol for a two-phase pilot study of the multicomponent LIVE LiFE program. Trials, 20(1), 2-9., Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87., Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Hamm et al. (2019c)Hamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810., Stark et al. (2021)Stark, S., Keglovits, M., Somerville, E., Hu, Y. L., Barker, A., Sykora, D., & Yan, Y. (2021). Home hazard removal to reduce falls among community-dwelling older adults: a randomized clinical trial. JAMA Network Open, 4(8), e2122044.
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Enable maintenance of adequate lighting in all home environments, including night lights, fluorescent strips, night light intensity and number of lights. |
Stark et al. (2018)Stark, S., Somerville, E., Conte, J., Keglovits, M., Hu, Y. L., Carpenter, C., Hollingsworth, H., & Yan, Y. (2018). Feasibility trial of tailored home modifications: process outcomes. The American Journal of Occupational Therapy, 72(1), 1-10., Lo Bianco et al. (2020)Lo Bianco, M., Layton, N., Renda, G., & McDonald, R. (2020). “I think I could have designed it better, but I didn’t think that it was my place”: a critical review of home modification practices from the perspectives of health and of design. Disability and Rehabilitation. Assistive Technology, 15(7), 781-788.
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Modify the home environment to decrease ADL limitations, provide environmental support for functional impairments, and maximize control over the environment. |
Rest and sleep care |
Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87.
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Intervene in sleep problems when necessary. |
ADL training |
Stark et al. (2018)Stark, S., Somerville, E., Conte, J., Keglovits, M., Hu, Y. L., Carpenter, C., Hollingsworth, H., & Yan, Y. (2018). Feasibility trial of tailored home modifications: process outcomes. The American Journal of Occupational Therapy, 72(1), 1-10.
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Train ADL with the use of environmental modifications and assistive equipment, encouraging problem solving to complete activities safely. |
Paiva et al. (2017)Paiva, M. M., Nascimento, J. S., & Tavares, D. M. S. (2017). Avaliação das características das quedas entre idosos residentes em Uberaba, Minas Gerais. Revista de Enfermagem e Atenção à Saúde, 6(1), 95-106.
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Practice ADL to reduce fear of falling. |
Guidelines on environmental safety. |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501.
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Provide guidance on animal behavior and risk situations for falls. |
Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87.
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Provide guidance on the risks of falls present in environment and propose solutions. |
Personal safety guidelines |
Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Paiva et al. (2017)Paiva, M. M., Nascimento, J. S., & Tavares, D. M. S. (2017). Avaliação das características das quedas entre idosos residentes em Uberaba, Minas Gerais. Revista de Enfermagem e Atenção à Saúde, 6(1), 95-106., Stark et al. (2021)Stark, S., Keglovits, M., Somerville, E., Hu, Y. L., Barker, A., Sykora, D., & Yan, Y. (2021). Home hazard removal to reduce falls among community-dwelling older adults: a randomized clinical trial. JAMA Network Open, 4(8), e2122044.
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Provide guidance on risk behaviors when carrying out occupations in different areas of the home. |
Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Hasegawa & Kamimura (2018)Hasegawa, A., & Kamimura, T. (2018). Development of the Japanese version of the Westmead Home Safety Assessment for the elderly in Japan. Hong Kong Journal of Occupational Therapy, 31(1), 14-21.
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Advise on the use of appropriate footwear. |
Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87.
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Provide guidance on risky behaviors. |
Health education actions |
Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488.
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Offer care leaflets to prevent falls |
Stark et al. (2017a)Stark, S., Keglovits, M., Arbesman, M., & Lieberman, D. (2017a). Effect of home modification interventions on the participation of community-dwelling adults with health conditions: a systematic review. The American Journal of Occupational Therapy, 71(2), 7102290010p1., Paiva et al. (2017)Paiva, M. M., Nascimento, J. S., & Tavares, D. M. S. (2017). Avaliação das características das quedas entre idosos residentes em Uberaba, Minas Gerais. Revista de Enfermagem e Atenção à Saúde, 6(1), 95-106.
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Address the risk factors for falls present in the home environment and self-management strategies and adaptation of heavier to prevent the occurrence of falls. |
Family/caregiver participation |
Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488., Blain et al. (2019)Blain, H., Dabas, F., Mekhinini, S., Picot, M. C., Miot, S., Bousquet, J., Boubakri, C., Jaussent, A., & Bernard, P. L. (2019). Effectiveness of a programme delivered in a falls clinic in preventing serious injuries in high-risk older adults: A pre- and post-intervention study. Maturitas, 122, 80-86., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87.
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Involve Family participation in the data collection process, modifications to the home environment and care for the caregiver’s health. |
Client participation |
Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488.
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Involve the cliente in identifying solutions and developing a list of home modification recommendations. |
Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87.
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Identify the customer’s emotional state and desires. |
Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Müller et al. (2021a)Müller, C., Lautenschläger, S., Dörge, C., & Voigt-Radloff, S. (2021a). Development of a lifestyle-integrated physical exercise training and home modification intervention for older people living in a community with a risk of falling (Part 1): the FIT-at-Home fall prevention program. Disability and Rehabilitation, 43(10), 1367-1379., Lo Bianco et al. (2020)Lo Bianco, M., Layton, N., Renda, G., & McDonald, R. (2020). “I think I could have designed it better, but I didn’t think that it was my place”: a critical review of home modification practices from the perspectives of health and of design. Disability and Rehabilitation. Assistive Technology, 15(7), 781-788.
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Center the intervention on the client, their desires, needs and occupational performance to maintain motivation, engagement and shared decision-making in the service. |
Hamm et al. (2019c)Hamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810.
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Identify intrinsic risk factors for providing assistive equipment. |
Assistive equipment |
Hamm et al. (2017Hamm, J., Money, A., & Atwal, A. (2017). Fall prevention self-assessments via mobile 3D visualization technologies: community dwelling older adults’ perceptions of opportunities and challenges. JMIR Human Factors, 4(2), e15., 2019cHamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810.) |
Identify and reduce barriers that affect the performance of ADL and the intrinsic and extrinsic risk factors for falls, through the provision of assistive equipment to maintain independence in performing ADL and aging in place. |
Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22., Cockayne et al. (2018)Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C., Rodgers, S., Ronaldson, S. J., Lamb, S. E., Crossland, S., Boyes, S., Gilbody, S., Relton, C., & Torgerson, D. J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. BMJ Open, 8(9), e022488., Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87., Hamm et al. (2019aHamm, J., Money, A. G., & Atwal, A. (2019a). Enabling older adults to carry out paperless falls-risk self-assessments using guidetomeasure-3D: a mixed methods study. Journal of Biomedical Informatics, 92, 103135., 2019cHamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810.) |
Recommend the use of assistive devices such as bath boards, walkers, installation of handrails and grab bars in domestic environments, toilet lifts and chairs. |
Hamm et al. (2019c)Hamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810.
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Provide guidance on correct use or prescribe assistive equipment |
Stark et al. (2017aStark, S., Keglovits, M., Arbesman, M., & Lieberman, D. (2017a). Effect of home modification interventions on the participation of community-dwelling adults with health conditions: a systematic review. The American Journal of Occupational Therapy, 71(2), 7102290010p1., 2018Stark, S., Somerville, E., Conte, J., Keglovits, M., Hu, Y. L., Carpenter, C., Hollingsworth, H., & Yan, Y. (2018). Feasibility trial of tailored home modifications: process outcomes. The American Journal of Occupational Therapy, 72(1), 1-10., 2021Stark, S., Keglovits, M., Somerville, E., Hu, Y. L., Barker, A., Sykora, D., & Yan, Y. (2021). Home hazard removal to reduce falls among community-dwelling older adults: a randomized clinical trial. JAMA Network Open, 4(8), e2122044.), Maggi et al. (2018)Maggi, P., de Almeida Mello, J., Delye, S., Cès, S., Macq, J., Gosset, C., & Declercq, A. (2018). Fall determinants and home modifications by occupational therapists to prevent falls. Canadian Journal of Occupational Therapy, 85(1), 79-87., Lo Bianco et al. (2020)Lo Bianco, M., Layton, N., Renda, G., & McDonald, R. (2020). “I think I could have designed it better, but I didn’t think that it was my place”: a critical review of home modification practices from the perspectives of health and of design. Disability and Rehabilitation. Assistive Technology, 15(7), 781-788.
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Provide guidance on prescribed modifications to the home environment, how to use the environment safely and efficiently, and training in the use of assistive equipment installed to maintain safety in the environment. |
Environmental control systems |
Mackenzie (2017)Mackenzie, L. (2017). Evaluation of the clinical utility of the Home Falls and Accidents Screening Tool (HOME FAST). Disability and Rehabilitation, 39(15), 1489-1501.
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Indicate the installation of smoke detectors, fall alarms, and the installation of sensor-activated lighting. |
Arthanat et al. (2019)Arthanat, S., Wilcox, J., & Macuch, M. (2019). Profiles and predictors of smart home technology adoption by older adults. OTJR, 39(4), 247-256.
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Suggest the installation of smart home technology to maintain safety, facilitate health management and occupational independence. |
Nakamura-Thomas et al. (2019)Nakamura-Thomas, H., Kyougoku, M., & Bonsaksen, T. (2019). Japanese community-living older adults’ perceptions and solutions regarding their physical home environments. Home Health Care Management & Practice, 31(1), 16-22.
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Prescribe lighting sensor systems. |
Smart Technologies for assessment in professional practice |
Hamm et al. (2019aHamm, J., Money, A. G., & Atwal, A. (2019a). Enabling older adults to carry out paperless falls-risk self-assessments using guidetomeasure-3D: a mixed methods study. Journal of Biomedical Informatics, 92, 103135., 2019b)Hamm, J., Money, A., & Atwal, A. (2019b). Guidetomeasure-OT: a mobile 3D application to improve the accuracy, consistency, and efficiency of clinician-led home-based falls-risk assessments. International Journal of Medical Informatics, 129, 349-365.
|
Guidetomeasure-OT: Facilitate the evaluation and collection of measurements, to provide efficient and effective assistive equipment through the mobile application. |
Hamm et al. (2017Hamm, J., Money, A., & Atwal, A. (2017). Fall prevention self-assessments via mobile 3D visualization technologies: community dwelling older adults’ perceptions of opportunities and challenges. JMIR Human Factors, 4(2), e15., 2019c)Hamm, J., Money, A. G., Atwal, A., & Ghinea, G. (2019c). Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments. Health Informatics Journal, 25(3), 788-810.
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3D-MAP: Facilitate the evaluation and collection of measurements of the environment and the person to provide assistive equipment, through a mobile application for visualization, interaction and control of the environment. |
Programs |
Stark et al. (2017aStark, S., Keglovits, M., Arbesman, M., & Lieberman, D. (2017a). Effect of home modification interventions on the participation of community-dwelling adults with health conditions: a systematic review. The American Journal of Occupational Therapy, 71(2), 7102290010p1., 2021Stark, S., Keglovits, M., Somerville, E., Hu, Y. L., Barker, A., Sykora, D., & Yan, Y. (2021). Home hazard removal to reduce falls among community-dwelling older adults: a randomized clinical trial. JAMA Network Open, 4(8), e2122044.) |
Home Hazard Removal Program (HARP): remove home hazards through comprehensive assessment of the individual, behaviors and environment develop a home hazard removal and remediation plan (through home repairs, adaptive equipment, task modification, and education). The program includes shared decision-making, self-management, and motivational improvement strategies. |
Müller et al. (2021aMüller, C., Lautenschläger, S., Dörge, C., & Voigt-Radloff, S. (2021a). Development of a lifestyle-integrated physical exercise training and home modification intervention for older people living in a community with a risk of falling (Part 1): the FIT-at-Home fall prevention program. Disability and Rehabilitation, 43(10), 1367-1379., 2021bMüller, C., Lautenschläger, S., Dörge, C., & Voigt-Radloff, S. (2021b). A feasibility study of a home-based lifestyle-integrated physical exercise training and home modification for community-living older people (Part 2): the FIT-at-Home fall prevention program. Disability and Rehabilitation, 43(10), 1380-1390.) |
Fall prevention program Fit-at-Home: improve strength, balance and safety at home, preventing falls through the progressive physical exercise training program integrated into activities and with home modification intervention. |
Granbom et al. (2019)Granbom, M., Clemson, L., Roberts, L., Hladek, M. D., Okoye, S. M., Liu, M., Felix, C., Roth, D. L., Gitlin, L. N., & Szanton, S. (2019). Preventing falls among older fallers: study protocol for a two-phase pilot study of the multicomponent LIVE LiFE program. Trials, 20(1), 2-9.
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Falls prevention program – LIVE-LiFE: prevent falls through a multicomponent program based on lifestyle and home changes, including goal clarification, balance and strength training integrated into daily habits, home safety assessment, removal of domestic dangers, vision examination, and medication review. |