Article

The aim of this study was to explore older people's experience of
environmental factors that impact on their activity and participation in home
rehabilitation. METHOD: Older people aged between 68 and 93 years and receiving
home rehabilitation were interviewed. A qualitative content analysis was
performed on the interview text using the predetermined structure of the
International Classification of Functioning, Disability and Health (ICF)
environmental domain. The text was linked to the closest ICF category. RESULTS:
The results identified environmental facilitators and barriers that influenced
activity and participation among older people receiving home rehabilitation.
Approaches that provided a facilitative environment were access to assistive
products and technologies, alterations to the physical environment, social
support and relationships, and adjusted health and social care services.
CONCLUSIONS: A qualitative study using ICF-listed environmental factors
contributed a holistic view of facilitators and barriers in home rehabilitation
for older people. Awareness of the importance of the impact of the social
environment on activities and participation could improve home rehabilitation
services for older people. The study represents an important step towards a
holistic approach using the ICF, which aims to enable all health care
professionals to describe, plan and evaluate rehabilitation services together
with older people across the health and social care sectors.

Langue : ANGLAIS