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KMID : 0603920210290030155
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Journal of Korean Academy of Occupational Therapy
2021 Volume.29 No. 3 p.155 ~ p.168
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Effectiveness of Home Modification Occupational Therapy for People Living in the Community With Mental Illness
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Ju Yu-Mi
Lee Hyun-Sook
Jeong Eun-Hwa
Kim Ji-Hyun
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Abstract
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Purpose: The aim of this study was to provide preliminary evidence of an occupational therapy (OT) serviceinvolving home modification for community dwelling people with a mental illness.
Methods: Six participants with chronic mental illness were recruited for this study through an organization of theparties concerned. The OT service provided to each participant consist of three sessions: a basic assessment,home modification and ADL intervention, and a follow-up. The intervention was provided in a mixed face-to-faceand remote delivery model. COPM, Residential Environment Impact Scale (REIS), and a Service SatisfactionQuestionnaire (SSQ) were used as pre- and post-measurements to investigate the clinical effect of theintervention. The results were analyzed through descriptive statistics and a Wilcoxon signed rank test.
Results: The COPM score for both the performance and satisfaction were improved after the intervention for allparticipants. Changes in the total score of the REIS were statistically significant (Z = -2.201, p = .028). Theparticipants showed a medium-to-high satisfaction in general for the SSQ, which was scored out of 10 points foreach area (elimination of risk factors, 6.5; satisfaction with clean up, 7.8; help in everyday life, 8.8; satisfactionwith home modification service, 9.1; and hope of service continuation, 9.1, on average).
Conclusion: This study found that home modification OT has a positive effect for people with a mental illness.
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KEYWORD
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Community-care, Everyday Life Rehabilitation (ELR), Home
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