{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:49:56Z","timestamp":1777463396439,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009157","name":"National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90DPCP0001"],"award-info":[{"award-number":["90DPCP0001"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Occupational Therapy"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>People ageing with long-term physical disabilities face unique challenges to maintaining independence. We developed a novel, evidence-based intervention \u2013 Removing Environmental Barriers to Independent Living \u2013 to support participation and reduce falls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>To examine Removing environmental barriers to independent living\u2019s feasibility and estimate its magnitude of efficacy, we conducted a single-blinded randomised controlled trial. Fifty participants who were aged 45\u201365\u2009years with a physical disability for at least 5\u2009years were randomised to intervention ( n\u2009=\u200924) or control ( n\u2009=\u200926). Activity performance, environmental barriers to performance, community participation, environmental fall hazards and fall prevention behaviours were assessed at baseline and at 6-month follow-up. Dose, adherence, fidelity and cost were examined. Linear mixed-effects models for repeated measures were used to assess the effects of time, group and group by time interaction on the continuous outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Removing environmental barriers to independent living had high fidelity and adherence and a low implementation cost. There were trends for greater improvements in activity limitations and activity performance among intervention versus control participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Removing environmental barriers to independent living is a feasible intervention with high fidelity and adherence. Findings trended towards greater improvements in activity performance for intervention participants. Results could inform future planning for a larger pragmatic trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03080226241280803","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T08:00:23Z","timestamp":1727683223000},"page":"5-16","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Removing environmental barriers to independent living: A feasibility randomised controlled trial targeting people ageing with long-term physical disabilities"],"prefix":"10.1177","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9630-0934","authenticated-orcid":false,"given":"Szu-Wei","family":"Chen","sequence":"first","affiliation":[{"name":"Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa J","family":"Krauss","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Somerville","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna","family":"Holden","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megen","family":"Devine","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2816-7158","authenticated-orcid":false,"given":"Susan","family":"Stark","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"bibr1-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1177\/0193945903253002"},{"key":"bibr2-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2016.05.001"},{"key":"bibr3-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1177\/03080226221126901"},{"key":"bibr4-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1177\/030802269906200407"},{"key":"bibr5-03080226241280803","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.MM6429a2"},{"key":"bibr6-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1191\/0269215503cr686oa"},{"key":"bibr7-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2293990"},{"key":"bibr8-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.07.013"},{"key":"bibr9-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701625377"},{"key":"bibr10-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016004235.x"},{"key":"bibr11-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.02.002"},{"key":"bibr12-03080226241280803","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.3.443"},{"key":"bibr13-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2013.08.005"},{"key":"bibr14-03080226241280803","doi-asserted-by":"publisher","DOI":"10.1037\/10044-020"},{"key":"bibr15-03080226241280803","unstructured":"McBride T (2022) Medicaid Expansion After One Year; Over 270,000 Enrolled. 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