1. What article did we discuss? We reviewed and discussed a qualitative article exploring the concept of value and value for money in home modifications, from an OT perspective. A grounded theory methodology was completed and three high-level themes were found: Understanding value in home modifications; Aligning values and managing expectations; and Quantifying value for money.

2. What ‘Research Fundamentals’ tip was covered in this session? We covered an overview of the features of three types of qualitative research - grounded theory, phenomenology and ethnography. Examples of OT research studies for each type were provided.

3. What were the key points from the article critique? We used the McMaster critical appraisal form for qualitative studies. The researchers had a clear study purpose and summarised a good range of relevant literature. Data was only collected from OTs using interviews, limiting the triangulation of the data. The participants (OTs) were clearly described, however, there was limited detail about their relationship with the participants. The data analysis was adequately described, however, there were limited details about methods used to enhance rigour, such as member checking, peer checking and reflexivity.

4. What were some of the key take home messages from the discussion? The NDIS featured prominently in the article and the discussion. Most OTs agreed value for money (cost-effectiveness) is what seems to be most valued by the NDIS, however, there was a lack of clear guidelines and many inconsistencies in terms of how funding decisions were made. OTs found adding dollar amounts when discussing cost savings achieved through home modifications was often effective, including comparing to alternatives such as relocation or SDA. Special considerations also need to be made when working with clients with life-limiting conditions, including considering the psychosocial impact of the discussions we have with clients.

5. How are OTs going to use what they learnt in this session? Some OTs were planning to use dollar amounts to justify cost-savings in their applications, or to ensure they were addressing other reasonable and necessary criteria when value for money is hard to describe. One OT was planning to create a package of resources to help manage client expectations regarding home modifications from the time of referral.