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Complex medical, orthopedic, & neurologic conditions (Keysor et al, 2006; n = 342; mean age = 68 (14) years; assessed 1 month after discharge)

Complex medical, orthopedic, & neurologic conditions: (Keysor et al, 2006; n = 342; mean age = 68 (14) years; assessed 1 month and 6 months after discharge) ¨CAssessed with Participation Measure for Post Acute Care (PM-PAC)

• 1 month after discharge: a greater home mobility barriers (P<.01) was associated with less social and home participation; greater community mobility barriers (P<.01) and more social support (P<.001) were associated with greater participation
• 6 months after discharge, social support was the only environmental factor associated with participation

Two experts examined a prototype version of the HACE to assess its ability to adequately measure important aspects of the patients home and community environments.  Revisions were made on the final version of the HACE based on this feedback.

Instrument pilot tested with 62 individuals and items removed based on inadequate response, and Kappa statistics indicating moderate agreement . (Keysor et al, 2005)

During the measure's construction, items with 20% or fewer respondents answering, ¡°don¡¯t know¡± and having not reached a moderate level of agreement were eliminated from the final version of the HACE.

Elderly Adults: (Keysor et al, 2005; n = 62; mean age = 70 (17) years, 85% of the sample recruited from the community, 15% recruited from a rehabilitation facility)

Elderly Adults: (Keysor et al, 2005):

Patients living in single or multi-family dwellings reported significantly more obstacles than patients residing in other living situations (See table below)