A scoping review of home modification interventions – Mapping the evidence base
- Publisher:
- SAGE Publications
- Publication Type:
- Journal Article
- Citation:
- Indoor and Built Environment, 2019, 29, (3), pp. 299-310
- Issue Date:
- 2019
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As home-based health services emerge as a focal point of international discussions of primary
healthcare, the home environment is now recognised as a place for safe and independent living, and
also delivery of care. Consequently, research into how housing improvements can directly impact health
and care outcomes is an increasingly important area of trans-disciplinary research. The links between
health and housing are well established and indicate that housing interventions may be an important
mechanism in health maintenance and improvement. Studies of home modifications have been
published across a number of fields and the extent of their effects are diverse. We undertook a
scoping review according to systematic PRISMA-P (Preferred reporting items for systematic review
and meta-analysis protocols) guidelines to map the breadth and scale of the evidence base,
identify themes and gaps in the evidence as well as grading home modifications research quality.
Seventy-seven studies from 16 countries were included and revealed that home modifications evidence
is measured in terms of a diverse range of effects. Seven key themes emerged including (in decreasing
order); injury and falls prevention; improved function, self-care or independence; physical health and
well-being; caregiving; economic effectiveness; ageing process; and social participation. The strongest
experimental evidence has been conducted in relation to falls prevention.
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