Assessing the quality of environmental design of nursing homes for people with dementia: Development of a new tool

Australasian Journal on Ageing
Richard Fleming, Kirsty Bennett

Abstract

To develop an environmental audit tool suitable for use across the spectrum of people with dementia. The existing Environmental Audit Tool was supplemented with items describing the environmental needs of people in the final stages of dementia. Two independent raters assessed 30 aged care homes using this draft tool and the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH). The Environmental Audit Tool-High Care, comprising eight sub-scales with acceptable levels of internal reliability, was constructed. Validity was assessed against the TESS-NH and the EAT-HC's ability to differentiate units specifically for people with dementia from other residential care units. The EAT-HC sub-scales' inter-rater reliability (ICC) ranged from 0.52 to 0.92. Correlations with the TESS-NH were highly significant. The EAT-HC total score differentiated between dementia-specific homes and others. The EAT-HC can validly and reliably assess environmental features required by a wide range of people with dementia.

References

Feb 17, 1998·Statistics in Medicine·S D WalterA Donner
Feb 28, 2002·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Philip D SloaneRhonda Montgomery
Nov 9, 2012·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Richard FlemingAndrew Robinson

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Citations

Sep 22, 2017·Dementia·Catherine A Hebert, Kezia Scales
Jun 21, 2019·The Gerontologist·Maayken E L van den BergMaria Crotty
Mar 20, 2019·Australasian Journal on Ageing·Jane Sims
Dec 29, 2020·HERD·Mais M Aljunaidy, Mohamad Nadim Adi

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