The use of evidence-based guidance to enable reliable and accurate measurements of the home environment

Journal article


Spiliotopoulou, G, Atwal, A and McIntyre, A (2017). The use of evidence-based guidance to enable reliable and accurate measurements of the home environment. British Journal of Occupational Therapy.
AuthorsSpiliotopoulou, G, Atwal, A and McIntyre, A
Abstract

Abstract Introduction: High quality guidance in home strategies is needed to enable older people to measure their home environment and become involved in the provision of assistive devices and to promote consistency among professionals. This study aims to investigate the reliability of such guidance and its ability to promote accuracy of results when measurements are taken by both older people and professionals. Method: Twenty-five health professionals and 26 older people participated in a within-group design to test the accuracy of measurements taken (that is, person’s popliteal height, baths, toilets, beds, stairs and chairs). Data were analysed with descriptive analysis and the Wilcoxon test. The intra-rater reliability was assessed by correlating measurements taken at two different times with guidance use. Results: The intra-rater reliability analysis revealed statistical significance (P<0.05) for all measurements except for the bath internal width. The guidance enabled participants to take 90% of measurements that they were not able to complete otherwise, 80.55% of which lay within the acceptable suggested margin of variation. Accuracy was supported by the significant reduction in the standard deviation of the actual measurements and accuracy scores. Conclusion: This evidence-based guidance can be used in its current format by older people and professionals to facilitate appropriate measurements. Yet, some users might need help from carers or specialists depending on their impairments

Keywordsequipment abandonment; measurement; self assessment; service user; 1103 Clinical Sciences; Rehabilitation
Year2017
JournalBritish Journal of Occupational Therapy
PublisherBritish Association of Occupational Therapists
ISSN0308-0226
Digital Object Identifier (DOI)doi:10.1177/0308022617737689
Publication dates
Print14 Nov 2017
Publication process dates
Deposited20 Nov 2017
Accepted20 Sep 2017
Accepted author manuscript
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/86wxz

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