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

1
School of Education, Health and Social Studies, Dalarna University, SE-791 88 Falun, Sweden
2
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, SE-141 83 Huddinge, Sweden
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Karolinska University Hospital, SE-141 86 Stockholm, Sweden
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Skåne University Hospital, Department of Neurology and Rehabilitation Medicine, 221 85 Lund, Sweden
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Lund University, Department of Clinical Sciences Lund, Neurology, 221 84 Lund, Sweden
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Arkitektur och samhällsbyggnadsteknik, Byggnadsdesign, ACE, Chalmers University, SE-412 96 Gothenburg, Sweden
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KU Leuven, Department of Architecture, Research[x]Design, 3001 Leuven, Belgium
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(13), 2409; https://doi.org/10.3390/ijerph16132409
Received: 22 May 2019 / Revised: 2 July 2019 / Accepted: 4 July 2019 / Published: 6 July 2019
(This article belongs to the Special Issue Accessible and Inclusive Health Services for People with Disabilities)
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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. View Full-Text
Keywords: rehabilitation; person-centred care; person–environment fit; mixed-methods design; housing rehabilitation; person-centred care; person–environment fit; mixed-methods design; housing
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MDPI and ACS Style

Kylén, M.; Von Koch, L.; Pessah-Rasmussen, H.; Marcheschi, E.; Ytterberg, C.; Heylighen, A.; Elf, M. The Importance of the Built Environment in Person-Centred Rehabilitation at Home: Study Protocol. Int. J. Environ. Res. Public Health 2019, 16, 2409.

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