Designing home modification plans through case analysis and 360-degree video observation

Teacher Guidelines
Student Learning Objectives
Role Simulated Participant

📄 You can download the full simulation scenario in your preferred language below:

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🧩 Simulation Overview

In this scenario, students prepare by reviewing the ICF framework and the theory behind reimbursement for home modifications. In previous lessons, they have learned about existing home adaptations, relevant websites, and the structure of an advisory conversation. During the class, students work in groups of four to analyze a case, identify the occupational therapy question, and examine 360-degree videos and a floor plan to collaboratively develop a plan. In the second phase, each group presents their plan to the others. As a final assignment, students write a professional report to the team with the necessary home modifications and therapy goals.

Modality: Digital Student roles:

Student roles	Number of students	Extra information
Occupational therapist
Participant
Other simulated participant Please specify in extra information
Observer	28	Students observe the home in groups of four in the classroom.

Learning outcomes:

Learning outcomes (simOT Framework)

Domain A: Knowledge and attitudes supporting OT competence	A.2. Occupational therapists possess knowledge about occupational therapy: Process of occupational therapy (occupational therapy assessments; goal-setting approaches; intervention strategies, methods and equipment targeting person, occupation and/or environment; outcome evaluation; documentation)
Domain B: Managing and conducting OT process	B.2. Occupational therapists demonstrate competencies in managing and conducting the occupational therapy process. B.2.1. Occupational therapists assess functional participation in all areas of human activity (e.g. Self-care, daily life, work/study/school, play, leisure and rest). Those: Subjective personal factors (e.g. client beliefs about activities, operational goals, strengths, skills, limitations; satisfaction with participation) that influence functional performance or participation are assessed. Analyze, interpret and report clearly the evaluation results Prepare an action-oriented report based on evaluation. B.2.2. Occupational therapists jointly set goals and intervention plans with the client. They: Jointly negotiate and set objective, achievable and reasonable (SMART) goals with the client Develop occupation-focused intervention plans (timeline, outcomes, resources, contingency plans, and responsibilities) based on assessment findings, client goals, best available evidence, and professional reasoning

🛠️ Preparation for the Simulation

Prerequisites:

Competencies	Specific description of prior knowledge, attitudes and skills
Reimbursement knowledge	Students understand the basic principles of reimbursement systems for home modifications in Belgium.
Resource navigation	Students know where to find and how to use relevant databases and websites (e.g. hulpmiddeleninfo.be) to search for assistive devices and home adaptations.
OT process	Students are familiar with the general steps of the occupational therapy process, including assessment, goal setting, and intervention planning.

📦 Actions and Materials

Action	Materials
Print floor plan and ICF client	Copy of the house layout with dimensions for each student group and the ICF of the client
360° images online	Online access to 360° photos of the home environment
Report template	A structured digital template for students to complete their final report to the team.

Learning objectives (observable behaviour)

Domain A	Formulate short- and long-term goals for a client based on a case study
Domain B	Identify and justify appropriate home modifications (short- and long-term) that support the client’s occupational performance and participation in daily life. Search for and select relevant assistive devices and environmental adaptations using professional resources such as the Belgian assistive devices database. Collaboratively analyze and interpret environmental and personal factors that influence the client’s functional participation, using 360° visual materials and floor plans. Prepare a clear, action-oriented report for the interprofessional team, including proposed goals and recommended home modifications.

Name	Michel
Age	60 years
Sex	male
Personal factors	Michel has always been an active and helpful man. He currently has a DNR code 0 (Do Not Resuscitate) and is experiencing feelings of depression and hopelessness.
Ethnicity and cultural context
Reason the participant is seeking OT service and concerns related to engagement in occupations	Michel is currently receiving therapy in a care facility. His partner has expressed the wish for him to come home for short weekend visits in the near future, with the long-term goal of him returning to live at home. Occupational therapy is involved to assess the feasibility of this transition, focusing on his ability to perform daily activities and the necessary home modifications to support his safety and independence.