Is the presence of home entrance steps associated with community participation of people with mobility impairments?

Community starts at home: Toward understanding the dynamic relationship between home usability and community participation for people with mobility disabilities

To foster meaningful participation within a community, people must have access to suitable and safe housing. Unfortunately, many people with disabilities currently reside in homes that fail to meet their functional, social, and psychological needs. Limited research has explored the interaction between housing and home usability on community participation for people with disabilities. This analysis seeks to delve deeper into the intricacies of the relationship between home usability and community participation. Employing a qualitative approach and analysis, we examine the experiences of participants who completed the Home Usability Program at Centers for Independent Living across the United States. Results indicate that home usability affects community participation dynamically through five, interconnected mechanisms: Health and Function, Autonomy and Choice, Social Interaction, Organization, and Safety.

Examining the effects of home modifications on perceptions of exertion and safety among people with mobility disabilities

BACKGROUND

People with mobility disabilities often have reduced stamina and limited energy, making daily activities physically demanding. Home modifications, such as installing grab bars and optimizing the environment, have the potential to reduce exertion and enhance safety in the home, enabling individuals to participate more in other activities.

OBJECTIVE

The purpose of this study was to evaluate the effects of a home modification intervention on perceptions of exertion and safety among people with mobility disabilities.

METHODS

The study utilized the Home Usability Program (HUP), which aims to improve accessibility, safety, and independence in participants' homes. Participants were recruited from four Centers for Independent Living (CILs) across the US and underwent a comprehensive assessment to identify consumer-directed, individualized home modifications. Surveys examining safety and exertion, in addition to qualitative interviews, were conducted to explore the impact of the intervention on participants' energy levels and feelings of safety.

RESULTS

Analysis of pre-post measures and participant interviews revealed that the HUP intervention resulted in decreased exertion. Decreased exertion had positive outcomes, including increased time for other activities, improved socialization, enhanced independence, and the potential for engaging in activities outside the home. Additionally, the HUP intervention led to increased safety, which positively affected mental well-being and independence.

CONCLUSIONS

Findings highlight the need for useable living environments that minimize physical strain and reduce exertion. Policy recommendations include prioritizing accessibility standards for housing, implementing individualized assessments for funding home modifications, providing financial assistance options, and allocating research funding for innovative solutions and technologies.