{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:27Z","timestamp":1786692687161,"version":"build-2736575974"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Accessible home modifications (HMs) can positively influence the lives of people with disabilities (PwDs). Occupational therapists may recommend HMs, but implementation often falls to clients. Research on the experiences of PwD related to implementing accessible HMs in a North American context is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe the process and impacts of implementing accessible HMs from PwDs\u2019 perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Qualitative descriptive design with semistructured interviews with codebook thematic analysis to identify themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>\n                      Community-dwelling adults with musculoskeletal and sensory disabilities (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 31) and 2 cohabiting caregivers from Ontario, Canada, who had either made HMs or required accessible housing. Fourteen of these participants also had professional expertise related to accessible housing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>The primary outcome was participant perspectives and experiences related to HMs. No standardized measures or hypotheses were used, consistent with the exploratory qualitative design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four themes emerged that depict the process and impacts of implementing HMs: (1) impacts of an unmet need for HMs, (2) barriers to and (3) facilitators of effective HMs, and (4) outcomes and benefits of having HMs. Issues related to independence, safety, and dignity, as well as how structural, financial, and attitudinal barriers intersect in decision-making. Participants also described a lack of guidance on how to approach the HM process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>Findings highlight the importance of HMs to achieve person\u2013environment fit. Given the complexities of the HM process, occupational therapists are well positioned to support individuals in navigating this process and to contribute to broader advocacy efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051139","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T15:03:03Z","timestamp":1769698983000},"page":"296-305","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Accessible Home Modification and Impacts: A Qualitative Study"],"prefix":"10.1177","volume":"80","author":[{"given":"Siobhan","family":"Galeazzi","sequence":"first","affiliation":[{"name":"Siobhan Galeazzi, MScOT, is Occupational Therapist, VHA Home Health Care, Toronto, Ontario, Canada. At the time this article was written, Galeazzi was Master\u2019s Student, Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Bacchus-Misir","sequence":"additional","affiliation":[{"name":"Farah Bacchus-Misir, MScOT, was Master\u2019s Student, Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada, at the time this article was written."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Cohen","sequence":"additional","affiliation":[{"name":"Eva Cohen, MSc, is Research Assistant, St. John\u2019s Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Sheppard","sequence":"additional","affiliation":[{"name":"Christine Sheppard, PhD, MSW, is Researcher, Wellesley Institute, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franca","family":"Tomasella","sequence":"additional","affiliation":[{"name":"Franca Tomasella is Person with Lived Experience Advisor, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Athanasopoulos","sequence":"additional","affiliation":[{"name":"Peter Athanasopoulos, BA, is Director of Public Policy, Spinal Cord Injury Ontario, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirstin E.","family":"Yuzwa","sequence":"additional","affiliation":[{"name":"Kirstin E. Yuzwa, MSc, MScOT, is Research Associate, St. John\u2019s Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander L.","family":"Hitzig","sequence":"additional","affiliation":[{"name":"Siobhan Galeazzi, MScOT, is Occupational Therapist, VHA Home Health Care, Toronto, Ontario, Canada. 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