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Title: The use of evidence-based guidance to enable reliable and accurate measurements of the home environment
Authors: Spiliotopoulou, G
Atwal, A
McIntyre, A
Keywords: Care Act;Equipment abandonment;Margin of measurement variation;Provision of assistive devices;Self-assessment;Service user involvement
Issue Date: 2017
Publisher: SAGE Publications
Citation: British Journal of Occupational Therapy, (2017)
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 accuracy of measurements taken (i.e. 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<.05) for all measurements except for the bath internal width. The guidance enabled participants to take 90% of measurements that were not able to complete otherwise, 80.55% of which lied 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.
ISSN: 0308-0226
Appears in Collections:Dept of Clinical Sciences Research Papers

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