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|Title:||Behavioral Mapping of Patient Activity to Explore the Built Environment During Rehabilitation.|
|Authors:||Blennerhassett, Jannette M;Borschmann, Karen N;Lipson-Smith, Ruby A;Bernhardt, Julie|
|Affiliation:||Physiotherapy Department, Royal Talbot Rehabilitation Centre, Austin Health, Kew, Victoria, Australia|
The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Victoria, Australia
NHMRC Centre for Research Excellence Stroke Rehabilitation and Brain Recovery, Heidelberg, Victoria, Australia..
|Citation:||HERD 2018: online first: 22 March|
|Abstract:||To explore the use of a rehabilitation-focused behavioral mapping method to identify changes in patient physical activity, location, and social interaction following the relocation of a rehabilitation ward. Rehabilitation wards are unique healthcare environments where patient activity is encouraged to improve recovery. Little is known about the impact of building design on patient behavior within a rehabilitation setting. We examined this issue when a rehabilitation ward was relocated without altering other aspects of the healthcare service. The setting was a publicly funded inpatient general rehabilitation ward with a separate therapy area. Before and after ward relocation, patient behavior (location, physical, and social activities) was observed at 10-min intervals between 8:00 a.m. and 5:00 p.m. Patients and staff performed their usual activities during data collection. Twenty-three patients participated in the old ward and 24 in the new ward, resulting in 1,150 and 1,200 observation time points, respectively. Patient location and behaviors were similar between wards ( p > .05). Participants were in bedrooms for more than half of the observations (67% old ward, 58% new ward), sitting down (62.8% old ward, 59.0% new ward), and alone (42.0% old ward, 38.0% new ward). Design features, such as separation of the therapy area and ward, may have impacted on patient behavior. The rehabilitation-focused behavioral mapping method provided a rich description of relevant patient behaviors, indicating that it is a feasible and useful method for exploring the impact of the built environment in rehabilitation settings.|
|Appears in Collections:||Journal articles|
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