Thriving, or just surviving? A grounded theory study of perspectives on value for money in home modifications

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Gillett, Coral
Allen, Connie
Rolfe, Annie
Bitner, Grace
Ownsworth, Tamara
Gustafsson, Louise
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2025
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Abstract

Home modification funding schemes require that home modifications demonstrate value for money; yet there is currently a lack of clarity on definitions and metrics for determining value. This paper reports on the second phase of a study exploring how concepts of value and value for money are defined and operationalised in Australian home modification practice. While the first phase considered the perspectives of occupational therapists, this paper explores the perspectives of the people who undertake home modifications. Constructivist grounded theory data analysis revealed a continuum of values that individuals prioritised in the home modification outcomes, and various factors that enabled or hindered the home modification process. The resulting Survive-Strive-Thrive framework is a synthesis of these values and factors. The findings have implications for policy and practice, and the framework can be used as a tool to support best practice in person-centred home modification.

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Disability & Society

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© 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

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This publication has been entered in Griffith Research Online as an advance online version.

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Specialist studies in education

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Sociology

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Gillett, C; Allen, C; Rolfe, A; Bitner, G; Ownsworth, T; Gustafsson, L, Thriving, or just surviving? A grounded theory study of perspectives on value for money in home modifications, Disability & Society, 2025

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