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Title: Behavioral Mapping of Patient Activity to Explore the Built Environment During Rehabilitation.
Austin Authors: Blennerhassett, Jannette M ;Borschmann, Karen N;Lipson-Smith, Ruby A;Bernhardt, Julie
Affiliation: NHMRC Centre for Research Excellence Stroke Rehabilitation and Brain Recovery, Heidelberg, Victoria, Australia
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
Issue Date: 2018
Date: 2018-03-22
Publication information: 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.
DOI: 10.1177/1937586718758444
ORCID: 0000-0002-1702-8144
Journal: HERD
PubMed URL: 29564923
Type: Journal Article
Subjects: behavioral mapping
evaluation tools
evidence-based design
hospital ward
physical activity
Appears in Collections:Journal articles

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