Photo of Sarah Pruett teaching on a video on a tablet.

Good Fit / Poor Fit.

Usability is the result of the relationship between individual factors, the design of the environment, and the activities someone does. When applied to housing, a home is a “good fit” when its design supports successful performance of everyday activities, and a “poor fit” when it creates barriers to completing tasks with ease.

This perspective recognizes that universally designed homes enable people of all walks of life to engage in meaningful activities with the greatest possible dignity and independence. Rather than asking “What requirements do we need to follow for accessibility?” it asks “How can we create spaces that enable people to do all of the activities that matter?”

Our focus is new homes.

While universal design can be applied in many contexts, we focus on new single-family homes. Our housing stock has an extreme shortage of accessible options. We want to see more universally accessible homes available for homebuyers.

Why universal design? Because 19% of households have a wide range of accessibility needs. If home accessibility is always custom, the need will never be met at scale.

That said, we know not everyone is in the position to buy and/or build a new UD home. We also teach about home modification. The problem with modifications is that compromises occur due to budget constraints or what’s possible with an existing home.

Photo of a modern single-story home with no steps leading to the entrance.
Photo of an elderly woman washing vegetables at a kitchen sink.

Housing impacts health.

A home can promote health or make it worse. Accessibility isn’t solely about being able to get in and out of spaces. It’s about people being able to do everything they need to do without unnecessary difficulty. This leads to better hygiene, better eating, better movement, & more.

Our research has found that accessibility (or the lack thereof) impacts mental health equally, if not more, than physical health. The design of the home environment affects how people can manage roles and responsibilities. Daily frustrations and strains on household relationships can be minimized or avoided when homes are a “good fit” for those living there.

Community matters.

It’s shortsighted to consider universally accessible homes only useful for “those other people.” It’s difficult to build community if the only home someone can access is their own. Communities are stronger without barriers to socialization.

The Bible tells us “the parts of the body that seem to be weaker are indispensable” (1 Cor 12:12-27 ). If communities include members with varying abilities, and if homes are sites of community life, then inaccessible homes exclude people from full participation. Our homes play a big part in bringing people together.

Photo of three friends smiling over drinks. One uses a wheelchair.
Map of combined metropolitan and micropolitan statistical areas in the United States.

We have a big goal.

Our Big Hairy Audacious Goal (BHAG ) is to educate 1 million people by 2035 about accessible housing to help increase the demand for universal design.

This is because our vision is for every community in the USA to have a surplus of universally accessible homes. 25 million households have accessibility needs (HUD, 2022 ), and people shouldn’t compromise their health and well-being due to inaccessible housing options. More UD homes won’t be built unless the demand for them goes up.

What we’ve done so far…

  • 2012: Started providing occupational therapy services for clients needing home modifications.
  • 2014: Published an eBook called “Universal Design: Simplified” to advocate for the importance of universal design in our homes and communities in an easy-to-understand format.
  • 2015: Launched SafeScore , an online home assessment tool to help people evaluate what home features can increase safety & usability. This is outdated but online for posterity.
  • 2015: Began taking interns and mentoring Doctor of Occupational Therapy students for doctoral capstone experiences. We’ve worked with 20 students from 12 different institutions.
  • 2016: Started The Universal Design Project, a 501(c)(3) nonprofit, to produce a library of universally accessible home plans and create a replicable demonstration home for experiential education. Fast forward to 2022: neither materialized due to funding challenges.
  • 2017: Created a “Design Advisor” group of nearly 200 members with personal and professional experience with various disabilities or impairments. This group provided feedback about accessibility decisions to minimize bias during design processes.
  • 2020: Started a podcast called “Good Fit Poor Fit” that focuses on topics related to the design of homes from an occupational therapist’s perspective and how design is either a good fit for people or, you guessed it, a poor fit.
  • 2022: Published the first version of the Residential Universal Design Building Code , outlining features and elements for entire homes, primarily as a resource for new construction.
  • 2023: Started The UD Project and purchased assets from The Universal Design Project. This moved us away from being perceived as a charity and allowed us to shift our focus to education for consumers and continuing education for occupational therapy practitioners.
  • 2023: Published five Home Accessibility & Universal Design Courses, one occupational therapy training course, and one non-traditional occupational therapy course.
  • 2024: Became an American Occupational Therapy Association (AOTA) Approved Provider of professional development. We are authorized to grant 10 contact hours / 1.0 AOTA CEUs of continuing education for our five core courses.
  • 2024: Launched collaboration services for housing industry professionals.
  • 2025: Launched the Learning Community to make learning about home accessibility and universal design free for everyone, without financial barriers.
  • 2025: Launched the Universal Design Style Guide to give people accessible design ideas that are aesthetically pleasing and counter the narrative that accessibility looks institutional.
  • 2026: Launched the Good Fit / Poor Fit: Home Survey and Report to give people a snapshot and score about their home’s accessibility across six key areas of the home. This is an evolution from our SafeScore home assessments , which over have been completed over 8,000 times since 2015.
  • 2026: Rebranded the Residential Universal Design Building Code as the Residential Universal Design Specifications. This is simply a reframing for a wider audience.
  • 2026: Launched a state-by-state Home Modification Funding Resources directory to help people find programs that may help fund accessibility modifications, adaptive equipment, and assistive technology.