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

Maya Kylén, Lena Von Koch, Hélène Pessah-Rasmussen, Elizabeth Marcheschi, Charlotte Ytterberg, Ann Heylighen and Marie Elf
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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
Hélène Pessah-Rasmussen: Skåne University Hospital, Department of Neurology and Rehabilitation Medicine, 221 85 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
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

IJERPH, 2019, vol. 16, issue 13, 1-15

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.

Keywords: rehabilitation; person-centred care; person–environment fit; mixed-methods design; housing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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