The Importance of the Built Environment in Person-Centred Rehabilitation at Home: Study Protocol
Artikel i vetenskaplig tidskrift, 2019

Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This-along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred-will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient's recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. The project uses a convergent parallel mixed-methods design, with ICF (International Classification of Functioning, Disability and Health) and person-environment theories as conceptual frameworks. Data will be collected during home visits 3 months after stroke onset. Medical records, questionnaires, interviews and observations will be used. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Data will be used to synthesise the contexts, mechanisms and outcomes that are important to support the rehabilitation process at home.

mixed-methods design



person-centred care

person–environment fit


Maya Kylén

Högskolan i Dalarna

Lena von Koch

Karolinska Institutet

Karolinska universitetssjukhuset

Hélène Pessah-Rasmussen

Lunds universitet

Elizabeth Marcheschi

Chalmers, Arkitektur och samhällsbyggnadsteknik, Byggnadsdesign

Charlotte Ytterberg

Karolinska universitetssjukhuset

Karolinska Institutet

A. Heylighen

KU Leuven

Marie Elf

Chalmers, Arkitektur och samhällsbyggnadsteknik, Byggnadsdesign

Högskolan i Dalarna

International Journal of Environmental Research and Public Health

1661-7827 (ISSN) 1660-4601 (eISSN)

Vol. 16 13 2409


Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi


Gerontologi, medicinsk/hälsovetenskaplig inriktning





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