Client-centred home modifications improve daily activity performance of older adults

Susan Stark, Amanda Landsbaum, Janice L. Palmer, Emily K. Somerville, John C. Morris, Dorisma Hacker Friedman

Research output: Contribution to journalArticlepeer-review

53 Scopus citations


Background. Remaining at home is a high priority for many older adults, but the capacity to "age in place" often is threatened by environmental barriers. Purpose. To describe a client-centred occupational therapy home modification intervention program and examine the impact of the intervention on daily activity performance over time. Methods. Using a competence-environmental press framework, a client-centred home modification program for older adults was implemented. In this quasi-experimental, single group prospective study, participants' subjective ratings of daily activity performance were evaluated before and after the intervention (baseline/post/post). Findings. After home modification, participants'perception of their daily activity performance at home improved significantly and was maintained 2 years post-modification. Implications. Home modification may benefit older adults attempting to age in place.

Original languageEnglish
Pages (from-to)235-245
Number of pages11
JournalCanadian Journal of Occupational Therapy
Issue numberSPEC. ISS.
StatePublished - Jul 2009


  • Aging
  • Competence-environmental press framework
  • Environmental modifications
  • Home environment


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