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The Importance of the Built Environment in Person-Centred Rehabilitation at Home: Study Protocol

Author

Listed:
  • Maya Kylén

    (School of Education, Health and Social Studies, Dalarna University, SE-791 88 Falun, Sweden)

  • Lena Von Koch

    (Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, SE-141 83 Huddinge, Sweden
    Karolinska University Hospital, SE-141 86 Stockholm, Sweden)

  • Hélène Pessah-Rasmussen

    (Skåne University Hospital, Department of Neurology and Rehabilitation Medicine, 221 85 Lund, Sweden
    Lund University, Department of Clinical Sciences Lund, Neurology, 221 84 Lund, Sweden)

  • Elizabeth Marcheschi

    (Arkitektur och samhällsbyggnadsteknik, Byggnadsdesign, ACE, Chalmers University, SE-412 96 Gothenburg, Sweden)

  • Charlotte Ytterberg

    (Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, SE-141 83 Huddinge, Sweden
    Karolinska University Hospital, SE-141 86 Stockholm, Sweden)

  • Ann Heylighen

    (KU Leuven, Department of Architecture, Research[x]Design, 3001 Leuven, Belgium)

  • Marie Elf

    (School of Education, Health and Social Studies, Dalarna University, SE-791 88 Falun, Sweden
    Arkitektur och samhällsbyggnadsteknik, Byggnadsdesign, ACE, Chalmers University, SE-412 96 Gothenburg, Sweden)

Abstract

Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This—along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred—will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient’s recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. The project uses a convergent parallel mixed-methods design, with ICF (International Classification of Functioning, Disability and Health) and person–environment theories as conceptual frameworks. Data will be collected during home visits 3 months after stroke onset. Medical records, questionnaires, interviews and observations will be used. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Data will be used to synthesise the contexts, mechanisms and outcomes that are important to support the rehabilitation process at home.

Suggested Citation

  • Maya Kylén & Lena Von Koch & Hélène Pessah-Rasmussen & Elizabeth Marcheschi & Charlotte Ytterberg & Ann Heylighen & Marie Elf, 2019. "The Importance of the Built Environment in Person-Centred Rehabilitation at Home: Study Protocol," IJERPH, MDPI, vol. 16(13), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:13:p:2409-:d:246270
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    References listed on IDEAS

    as
    1. Avvai Singam & Charlotte Ytterberg & Kerstin Tham & Lena von Koch, 2015. "Participation in Complex and Social Everyday Activities Six Years after Stroke: Predictors for Return to Pre-Stroke Level," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-12, December.
    2. Maya Kylén & Charlotte Löfqvist & Maria Haak & Susanne Iwarsson, 2019. "Meaning of home and health dynamics among younger older people in Sweden," European Journal of Ageing, Springer, vol. 16(3), pages 305-315, September.
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