Ações de terapeutas ocupacionais na prevenção de quedas da pessoa idosa no domicílio: revisão integrativa da literatura (2017-2022)

Schuartz, Patricia; Ferreira, Ana Laura Andrade; Bernardo, Lilian Dias; Raymundo, Taiuani Marquine; Palm, Rosibeth del Carmen Muñoz

doi:10.1590/2526-8910.ctoAR270335261

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Cadernos Brasileiros de Terapia Ocupacional

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Sumário

Artigo de Revisão e/ou Atualização de Literatura • Cad. Bras. Ter. Ocup. 31 • 2023 • https://doi.org/10.1590/2526-8910.ctoAR270335261 copiar

Ações de terapeutas ocupacionais na prevenção de quedas da pessoa idosa no domicílio: revisão integrativa da literatura (2017-2022)

Autoria SCIMAGO INSTITUTIONS RANKINGS

Resumo

Introdução

Quedas em pessoas idosas são amplamente discutidas pelos profissionais da saúde, devido às suas consequências físicas, funcionais e psicossociais, as quais comprometem a participação nas Atividades de Vida Diária (AVD).

Objetivo

Identificar as ações de intervenção e estratégias utilizadas em terapia ocupacional para prevenção de quedas da pessoa idosa no domicílio.

Método

Trata-se de uma revisão integrativa de literatura, que rastreou as produções científicas nas bases de dados Biblioteca Virtual em Saúde (BVS), MEDLINE/PubMed, Scopus, Web of Science, CINAHL e Embase, de janeiro de 2017 a julho de 2022.

Resultados

As 19 publicações que compuseram o corpus desta pesquisa foram categorizadas para análise com base nas avaliações utilizadas pelo terapeuta ocupacional e suas ações para a prevenção de quedas, incluindo: treinamentos funcionais integrados às AVD, intervenções de adequação ambiental domiciliar, ações educativas e utilização de tecnologias e dispositivos assistivos.

Conclusão

O domicílio é o local mais propenso para a ocorrência de quedas em pessoas idosas. Por isso, as ações de terapeutas ocupacionais são significativamente importantes para a prevenção de quedas e manutenção da segurança da pessoa idosa nesse contexto. Além disso, notou-se a incipiência de estudos nacionais da terapia ocupacional sobre o tema, o que mostra a necessidade de ampliar as publicações da profissão nesse âmbito de atuação.

Palavras-chave:
Acidentes por Quedas; Terapia Ocupacional; Domicílio; Pessoa Idosa; Prevenção

Fontes de informação	Estratégias de busca	Resultados
MEDLINE/Pubmed	(“occupational therapist” OR “occupational therapy”) AND (“accidental falls” OR “falls”) AND (“aged” OR “elderly” OR “older adults”) AND (“home”)	94
Web of Science	(TS=(“occupational therapy”) OR TS=(“occupational therapist”)) AND (TS=(“accidental falls”) OR TS=(“falls”)) AND (TS=(“older adults”) OR TS=(“aged”) OR TS=(“elderly”)) AND (TS=(“Home”))	48
Embase	('occupational therapy':ti,ab,kw OR 'occupational therapist':ti,ab,kw) AND (falls:ti,ab,kw OR falling:ti,ab,kw) AND (aged:ti,ab,kw OR 'older adults':ti,ab,kw) AND home	39
BVS	(Terapia Ocupacional) OR (Occupational Therapy) AND (Acidentes por Quedas) OR (Accidental Falls) OR (Accidentes por Caídas) AND (Idoso) OR (Idosos) OR (Aged) OR (Anciano) AND (casa) OR (home)	81
CINAHL	(“occupational therapist” OR “occupational therapy”) AND (“accidental falls” OR “falls” OR “falling”) AND (“aged” OR “older adults”) AND (“home”)	22
Scopus	(TITLE-ABS-KEY (“Occupational Therapy”) OR TITLE-ABS-KEY (“Occupational therapist”) AND TITLE-ABS-KEY (“accidental falls”) OR TITLE-ABS-KEY (falls) AND TITLE-ABS-KEY (aged) OR TITLE-ABS-KEY (“older adults”) AND TITLE-ABS-KEY (home))	90
Total da busca de artigos		374

Avaliações		Autor(es)	Finalidade da avaliação
Avaliação do ambiente domiciliar e do risco de queda	Avaliação não padronizada	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.	Identificar as barreiras e facilitadores do ambiente.
		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.	Detectar os fatores de risco do ambiente.
		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.	Identificar o histórico de quedas, estilo de vida, uso dos ambientes da casa, comportamentos de risco e estratégias de prevenção adotadas.
	Westmead Home Safety Assessment (WeSHA)	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.), 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., 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.	Avaliar a segurança doméstica e identificar os riscos ambientais nas áreas da casa com uma lista de verificação padronizada.
	Home Falls and Accidents Screening Tool (HOME FAST)^* * Avaliações padronizadas validadas para o contexto brasileiro.	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.	Identificar as pessoas idosas com maior risco de queda devido a fatores domésticos ou de funcionamento da casa.
	Home Safety Self-Assessment Tool (HSSAT)*	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.	Avaliar os riscos domésticos, incluindo as áreas de entradas, corredor, sala de estar, cozinha, banheiro, quarto, porão/ lavanderia, escadas e garagem.
	Housing Enabler	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.	Examinar o ambiente doméstico e identificar fatores de risco e problemas de acessibilidade.
	Home environment falls-risk assessment process (HEFAP)	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.	Avaliar o risco de queda no ambiente domiciliar, coletando informações sobre habilidade funcional, medidas do cliente, mobiliário e acessórios, para a prescrição de dispositivos assistivos e manutenção da segurança.
		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.	Possibilitar a autoavaliação, por meio do aplicativo Guidetomeasure-3D, das medidas do ambiente e da pessoa para a prescrição de tecnologias assistivas.
		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.)	Avaliar, por meio do aplicativo interativo e funcional 3D-MAP, o mobiliário, ambiente e as estruturas físicas da pessoa idosa para prescrever tecnologias assistivas.
Avaliação de funções e/ou habilidades da pessoa idosa	Occupational Self-Assessment (OSA)*	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.	Possibilitar a autoavaliação do cliente, envolvendo as áreas de participação e desempenho.
	Questionário de avaliação funcional multidimensional*	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.	Identificar prejuízos e potenciais riscos de quedas nas AVD e Atividades Instrumentais da Vida Diária (AIVD).
	Escala de Berg*	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.	Medir e avaliar o equilíbrio e risco de quedas.
	Timed Up and Go (TUG)*	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., 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.	Avaliar a mobilidade e o risco de queda.
	Avaliação da Mobilidade Orientada para o Desempenho (POMA)*	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.)	Avaliar a mobilidade, a marcha e o equilíbrio.
	Mini Exame de Estado Mental (MEEM)*	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. (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., 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.	Avaliar a função cognitiva.
	Short Blessed Test (SBT)	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.	Avaliar comprometimento cognitivo grave.
	Exames visuais	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., 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.	Medir a sensibilidade ao contraste binocular.
	Exames visuais	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.	Avaliar problemas de visão que aumentam o risco de queda.
Avaliação geriátrica	Geriatric Depression Scale Short Form (GDSSF)*	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.	Avaliar escores de depressão, incluindo risco de queda.
Avaliação geriátrica	InterRAI Home 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.	Avaliar domínios relacionados à saúde da pessoa idosa (cognição, estado de saúde, condição funcional, dentária e da pele, e o apoio informal).
Avaliação da qualidade de vida	Short Form Survey (SF-36)*	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.)	Avaliar a qualidade de vida relacionada à saúde, identificando aspectos preditores de quedas.
	Euroquool 5Q-5D-5L*	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., 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.
	Older Americans Resources and Services (OARS)*	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.)	Rastrear o desempenho funcional da pessoa nas AVD e AIVD.
Avaliação do medo de cair	Falls Efficacy Scale (FES-I, FES, FES-ISF-36)*	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.), 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., 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.	Avaliar a eficácia, o desempenho e a confiança do indivíduo na realização das AVD e AIVD, e o medo de cair.
Avaliação das AVD e AIVD	Índice de Katz*	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.	Avaliar as dificuldades e o desempenho nas AVD.

Intervenções	Autor(es)	Detalhamento da ação
Treinamento funcional integrado às AVD	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.	Intervir por meio do treino funcional de exercícios para prevenir quedas, reduzir o medo de cair e manter o desempenho nas AVD.
Treinamento funcional integrado às AVD	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.	Incorporar exercícios funcionais de equilíbrio e força dos membros superiores e inferiores às AVD e no estilo de vida da pessoa idosa com risco de quedas, com o objetivo de melhorar as habilidades de mobilidade e participação nas AVD.
Organização do ambiente interno e externo	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.	Reduzir a desordem na casa, retirando objetos espalhados (brinquedos, sapatos, objetos, fios espalhados pelo chão), e fixar ou retirar tapetes dos ambientes, utilizar ventosas, emborrachados e antiderrapantes.
	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.	Facilitar o acesso e uso a equipamentos como telefones e interruptores de luz.
	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.	Facilitar o uso do banheiro, evitando riscos (facilitar acessibilidade da toalha, temperatura da água, treinar o entrar e sair do chuveiro/banheira).
	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.	Manter espaço suficiente ao redor da cama para mobilidade e interruptores de luz de fácil acesso à cama.
Modificações na segurança domiciliar em ambientes internos e externos	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.	Propor a instalação de dispositivos assistivos, como: barras/corrimão de apoio e revestimento antiderrapante.
	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.	Remover perigos do ambiente como pisos escorregadios e irregulares.
	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.	Modificar a localização, altura do mobiliário e largura da escada.
	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.	Orientar sobre adequações nos declives e pisos desnivelados.
	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.	Possibilitar a manutenção da iluminação adequada em todos os ambientes domésticos, incluindo luzes noturnas, fitas fluorescentes, intensidade da luz noturna e número de luzes.
	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.	Modificar o ambiente domiciliar para diminuir as limitações nas AVD, fornecer suporte ambiental para as deficiências funcionais e maximizar o controle sobre o ambiente.
Cuidados com descanso e sono	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.	Intervir nos problemas de sono quando necessário.
Treino de AVD	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.	Treinar as AVD com o uso das modificações ambientais e dos equipamentos assistivos, incentivando a resolução de problemas para completar as atividades com segurança.
Treino de AVD	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.	Treinar as AVD para reduzir o medo de cair.
Orientações sobre a segurança do ambiente	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.	Orientar sobre o comportamento dos animais e situações de risco para quedas.
Orientações sobre a segurança do ambiente	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.	Orientar sobre os riscos de quedas presentes nos ambientes e propor soluções.
Orientações sobre a segurança pessoal	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.	Orientar sobre os comportamentos de risco durante a realização das ocupações nos diferentes ambientes da casa.
	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.	Orientar sobre o uso de calçados adequados.
	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.	Orientar sobre os comportamentos de risco.
Ações de educação em saúde	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.	Oferecer folhetos de cuidados para prevenção de quedas.
Ações de educação em saúde	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.	Abordar os fatores de risco para quedas presentes no ambiente doméstico e estratégias de autogerenciamento e adequação do comportamento para prevenir a ocorrência de quedas.
Participação da família/cuidador	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.	Envolver a participação da família no processo de coleta de dados, modificações no ambiente domiciliar e atenção à saúde do cuidador.
Participação do cliente	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.	Envolver o cliente na identificação de soluções e desenvolvimento da lista de recomendações de modificações domiciliares.
	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.	Identificar o estado emocional e desejo do cliente.
	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.	Centralizar a intervenção no cliente, seus desejos, necessidades e desempenho ocupacional para manter a motivação, engajamento e tomada de decisão compartilhada no serviço.
	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.	Identificar os fatores de risco intrínsecos para fornecer equipamentos assistivos.
Equipamentos assistivos	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.	Identificar e reduzir as barreiras que afetam a realização das AVD e os fatores de risco intrínsecos e extrínsecos de quedas, por meio do fornecimento de equipamentos assistivos para manter a independência na realização das AVD e o envelhecimento no local.
	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.)	Recomendar o uso de dispositivos assistivos como pranchas de banho, andadores, instalação de corrimões e barras de apoio nos ambientes domésticos, elevadores de vaso sanitário e cadeiras.
	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.	Orientar sobre o uso correto ou prescrever equipamentos assistivos.
	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.	Fornecer orientações sobre as modificações prescritas para o ambiente doméstico, como usar o ambiente de maneira segura e eficiente, e treinar o uso dos equipamentos assistivos instalados para manter a segurança no ambiente.
Sistemas de controle do ambiente	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.	Indicar a instalação de detectores de fumaça, alarme de queda e instalação de iluminação ativada por sensor.
	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.	Sugerir a instalação da tecnologia casa inteligente (Smart House) para manter a segurança, facilitar o gerenciamento de saúde e a independência ocupacional.
	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.	Prescrever sistemas de sensores de iluminação.
Tecnologias inteligentes para avaliação na prática profissional	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., 2019bHamm, 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: Facilitar a avaliação e coleta de medidas, para fornecer equipamentos assistivos eficientes e eficazes por meio do aplicativo móvel.
	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.)	3D-MAP: Facilitar a avaliação e coleta de medidas do ambiente e da pessoa para fornecimento de equipamentos assistivos, por meio de um aplicativo móvel de visualização, interação e controle do ambiente.
Programas	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.)	Programa de remoção dos riscos domiciliares - Home Hazard Removal Program (HARP): remover os riscos domésticos por meio da avaliação abrangente do indivíduo, dos comportamentos e do ambiente, desenvolver um plano de remoção e remediação dos perigos domésticos (por meio de reparos domésticos, equipamentos adaptativos, modificação das tarefas e educação). O programa inclui tomada de decisão compartilhada, estratégias de autogerenciamento e de aprimoramento motivacional.
	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.)	Programa de prevenção de quedas Fit-at-Home: melhorar a força, equilíbrio e a segurança no domicílio, prevenindo quedas por intermédio do programa de treinamento de exercícios físicos progressivos integrados às atividades e com intervenção de modificação domiciliar.
	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.	Programa de prevenção de quedas - LIVE-LiFE: prevenir quedas por intermédio do programa multicomponente baseado na mudança do estilo de vida e no domicílio, incluindo esclarecimento de metas, treinamento de equilíbrio e força integrado aos hábitos diários, avaliação da segurança da casa, remoção dos perigos domésticos, exame de visão e revisão de medicações.

Universidade Federal de São Carlos, Departamento de Terapia Ocupacional Rodovia Washington Luis, Km 235, Caixa Postal 676, CEP: , 13565-905, São Carlos, SP - Brasil, Tel.: 55-16-3361-8749 - São Carlos - SP - Brazil
E-mail: cadto@ufscar.br

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[1] Rosibeth del Carmen Muñoz Palm e-mail: rosibethpalm@gmail.com

Autor(es)	Título	Ano	Periódico	País do estudo
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.	Profiles and Predictors of Smart Home Technology Adoption by Older Adults	2018	OTJR: Occupational Therapy Journal of Research	Estados Unidos
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.	Effectiveness of a programme delivered in a falls clinic in preventing serious injuries in high-risk older adults: A pre- and post-intervention study	2019	Maturitas	França
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