Perspectives on home safety: do home safety assessments address the concerns of clients with vision loss?

PURPOSE We explored the occupational performance and home safety perspectives of older adults with vision loss. Our study focused on the person-environment interaction to ascertain whether participants' concerns are addressed by three commonly used home safety assessments. METHOD Twenty-two older adults with vision loss participated in face-to-face interviews regarding their perspectives on home safety. We compared categories generated from a content analysis of the data with the contents of three standardized home safety assessments. RESULTS Five categories of home safety emerged from the analysis: (1) lighting, (2) contrast, (3) visual distractions, (4) glare, and (5) compensation strategies. Comparisons of content in the three home safety assessments with emerged categories revealed that study participants had specific concerns about home safety that were not thoroughly addressed in the selected assessments. CONCLUSION The findings provide preliminary content areas that should be included in the development of a home assessment specific to the low vision population.

[1]  R. Cumming,et al.  Occupational Therapy Assessment of Potential Hazards in the Homes of Elderly People: an Inter-Rater Reliability Study , 2010 .

[2]  T Pey,et al.  Visual loss and falls: a review , 2010, Eye.

[3]  S. Girdler,et al.  The Impact of Age-Related Vision Loss , 2008 .

[4]  A. Cox,et al.  Visual impairment in elderly patients with hip fracture: causes and associations , 2005, Eye.

[5]  K. Rockwood,et al.  The feasibility of performing resistance exercise with acutely ill hospitalized older adults. , 2003, BMC geriatrics.

[6]  M. Angermeyer,et al.  Adaptation of dementia screening for vision-impaired older persons: administration of the Mini-Mental State Examination (MMSE). , 2002, Journal of clinical epidemiology.

[7]  Susanne Iwarsson,et al.  Development of a Novel Instrument for Occupational Therapy of Assessment of the Physical Environment in the Home—A Methodologic Study on “The Enabler” , 1996 .

[8]  A. Colenbrander,et al.  Basic concepts and terms for low vision rehabilitation. , 1995, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[9]  Rosemary Oliver,et al.  Development of the Safety Assessment of Function and the Environment for Rehabilitation (SAFER) Tool , 1993, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[10]  S. Folstein,et al.  “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician , 1975 .

[11]  Chia-Jung Lu,et al.  Development of a Novel , 2011 .

[12]  J. Rousseau,et al.  Content validity of a home-based person-environment interaction assessment tool for visually impaired adults. , 2008, Journal of rehabilitation research and development.

[13]  P. Erridge,et al.  Visual impairment , 2008, BDJ.

[14]  J. Sjöstrand,et al.  Disability in Daily Life Activities and Visual Impairment A population study of 85-year-old people living at home , 2000 .

[15]  M. Fallsberg,et al.  Phenomenography as a qualitative approach in social pharmacy research. , 1991 .