Evaluation of housing adaptation interventions: integrating the economic perspective into occupational therapy practice

Chiatti, Carlos and Iwarsson, Susanne (2014) Evaluation of housing adaptation interventions: integrating the economic perspective into occupational therapy practice. Scandinavian Journal of Occupational Therapy, 21 5: 323-333. doi:10.3109/11038128.2014.900109


Author Chiatti, Carlos
Iwarsson, Susanne
Title Evaluation of housing adaptation interventions: integrating the economic perspective into occupational therapy practice
Journal name Scandinavian Journal of Occupational Therapy   Check publisher's open access policy
ISSN 1103-8128
1651-2014
Publication date 2014-05-01
Year available 2014
Sub-type Article (original research)
DOI 10.3109/11038128.2014.900109
Open Access Status
Volume 21
Issue 5
Start page 323
End page 333
Total pages 13
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2015
Language eng
Formatted abstract
Objective: The home environment is a key determinant of health, quality of life, and well-being. Given its relevance for such aspects, the scarcity of evaluations of housing adaptation (HA) interventions aimed at removing environmental barriers and accessibility problems in the homes of people with disabilities is surprising. This article aims to contribute to the development of strategies for economic evaluations of HA interventions, by stimulating the dissemination and application of the concepts of effectiveness, cost, and cost-effectiveness as used within health economics.

Methods: The focus is limited to three overarching questions for the evaluation of HA interventions. Considering X and Y as two hypothetical interventions for the same individual case, the article asks: (i) Will X be more effective than Y?; (ii) Will X cost more than Y?, and (iii) Will X be more cost-effective than Y? Vignette-like descriptions of fictional cases are used to exemplify the economic concepts explained in the article.

Results and conclusion:
In the conclusion, the need is stressed for new experimental data regarding both costs and outcomes of HA interventions, in order to realize sound evaluations with the potential to inform policy and professionals in this field. Given the heterogeneity among national contexts, systematic approaches applied in a coherent manner could strengthen cross-national research and collaborations. 
Keyword Outcome research
Economic evaluation
Cost-analysis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Published online ahead of print 1 May 2014.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 4 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Thu, 26 Jun 2014, 13:06:48 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work