期刊
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
卷 57, 期 2, 页码 S69-S78出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/geronb/57.2.S69
关键词
-
资金
- NATIONAL INSTITUTE ON AGING [U01AG010304, U01AG010328, R01AG008948, U01AG010311, U01AG010313, U01AG010318, U01AG010330] Funding Source: NIH RePORTER
- NIA NIH HHS [U01-AG10328, U01-AG10313, R01-AG08948, U01-AG10304, U01-AG10318, U01-AG10330, U01-AG10311] Funding Source: Medline
Objective. To develop an observational instrument that describes the ability of physical environments of institutional settings to address therapeutic goals for persons with dementia. Methods. A National Institute on Aging workgroup identified and subsequently revised items that evaluated exit control, maintenance, cleanliness, safety, orientation/cueing, privacy, unit autonomy, outdoor access, lighting, noise, visual/tactile stimulation, space/seating, and familiarity/homelikeness. The final instrument contains 84 discrete items and one global rating. A summary scale, the Special Care Unit Environmental Quality Scale (SCUEQS), consists of 18 items. Lighting items were validated using portable light meters. Concurrent criterion validation compared SCUEQS scores with the Professional Environmental Assessment Protocol (PEAP). Results. Interrater kappa statistics for 74% of items were above .60. For another 10% of items, kappas could not be calculated due to empty cells, but interrater agreement was above 80%. The SCUEQS demonstrated an interrater reliability of .93, a test-retest reliability of .88, and an internal consistency of .81-83. Light meter ratings correlated significantly with the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH) lighting items (r = .29-.38, P = .61-.04), and the SCUEQS correlated significantly with global PEAP ratings (r = .52, p < .01). Discussion. The TESS-NH efficiently assesses discrete elements of the physical environment and has strong reliability and validity. The SCUEQS provides a quantitative measure of environmental quality in institutional settings.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据