For instance, those dependent on mobility devices may be confined indoors, or even to very limited spaces within the dwelling consequently violating their human rights and diminishing their quality of life. Home environments without the basic accessibility components can negatively impact on the daily activities of persons with functional limitations. Among physical environments, there is little doubt that the accessible domestic home is fundamental to enabling independent living for persons with disabilities. The United Nations Convention on the Rights of Persons with Disabilities, Article 9 safeguards the rights of persons with disabilities to live in an accessible physical environment, as well as the right to equal access to information and communications. Home environments that lack accessibility modifications appropriate to the needs of their users are likely to result in people with physical impairments becoming disabled at home. Results suggest that certain interventions to enhance the accessibility of homes can have positive health and social effects. A narrative approach was used to synthesise the findings of the included studies due to methodological and statistical heterogeneity. We did not identify any meta-analysis or systematic review directly relevant to the question for this systematic review. Fourteen studies were included in the review.
Included studies were critically appraised using the Mixed Method Appraisal Tool, version 2011. We identified 94 articles as potentially eligible and assessed their full text. Two reviewers independently screened 12,544 record titles or titles and abstracts based on our pre-defined eligibility criteria.
All study types were included in this review. MEDLINE and nine other electronic databases were searched between December 2014 and January 2015, for articles published since 2004. The aim of this review is to evaluate the health and social effects of accessible home environments for people with functional limitations, in order to provide evidence to promote well-informed decision making for policy guideline development and choices about public health interventions.
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