A growing body of research confirms that home environment modifications (HEMs) are a critical intervention strategy for older adults, effectively enhancing functional performance and reducing the risk of nursing home admissions [1]. Systematic reviews indicate that comprehensive assessments—incorporating structural changes like ramp installations and the use of assistive devices—significantly improve an individual’s ability to live independently [1, 4]. By addressing the discrepancy between environmental demands and an individual’s functional capacity, these modifications foster physical and psychological stability [4]. Occupational therapy guidelines emphasize that this process, which includes assessment, solution implementation, and evaluation, is essential for bridging the gap between clinical discharge and sustainable community living [4].
Clinical References:
- [1] Campani, D., et al. (2020). Home and environmental hazards modification for fall prevention. Public Health Nursing, 38(3).
- [2] Kirchner-Heklau, U., et al. (2021). Predischarge home assessments to improve transition of care. BMC Health Services Research, 21(1).
- [3] Marini, G., et al. (2025). Transitional Care Interventions in Improving Outcomes. Healthcare, 13(3).
- [4] Stark, S., et al. (2017). Effect of Home Modification Interventions on Participation. AJOT, 71(2).