Physical Housing Environment: Development of a Self-Assessment Instrument
Abstract
The aims of this study were to construct and develop a self-administered assessment instrument, useful for studying clients' own perception of accessibility and usability in their housing environment, and to test the instrument for reliability. It was developed for use in combination with an objective, norm-based assessment of the physical housing environment, the Enabler instrument. The instrument developed in this study contains 31 questions about different aspects of the physical housing environment. Answers are given on a 7-point rating scale. Content validity was established by the use of an expert panel and pilot testing, followed by a test-retest study. Internal consistency of the instrument was good (Cronbach's alpha 0.96), and very good to moderate agreement between the two ratings was found on all items (mean weighted kappa, K w 0.71) indicating good reliability. However, the removal of three items from the standardized part of the instrument is suggested. The instrument has a client-centred approach and is a valid and reliable tool, useful for occupational therapy practice and research.
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Health Measurement Scales: A practical guide to their development and use
Streiner, D. L., Norman, G. R., & Cairney, J. (2014) · doi:10.1093/med/9780199685219.001.0001 · Cited by 2,564 · see citing works
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Design Principles to Accommodate Older Adults
Farage, M. A., Miller, K. W., Ajayi, F., & Hutchins, D. (2012) · Global Journal of Health Science · doi:10.5539/gjhs.v4n2p2 · Cited by 233 · see citing works
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BackgroundDepressive symptoms in the very old living alone: prevalence, incidence and risk factors
Wilson, K., Mottram, P., & Sixsmith, A. (2007) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1682 · Cited by 60 · see citing works
- Authors
- Fänge, A., & Iwarsson, S.
- Affiliations
- Lund University (SE)
- ORCID
- Fänge, Agneta
- Venue
- Canadian Journal of Occupational Therapy
- Publisher
- SAGE Publications
- Published
- 1999-12
- Volume
- 66
- Issue
- 5
- Pages
- 250-260
- ISSN
- 0008-4174 (ISSN-L)
- 1911-9828
- OpenAlex
- W2116230461
- Cited by
- 74
- References
- 1
- Citations by year
- 2026: 1 · 2024: 4 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 7 · 2015: 5 · 2014: 4 · 2013: 1 · 2012: 7
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Social Sciences › Education › Health Education and Validation
- Keywords
- self-assessment tool, accessibility, usability, consumer perception, content validity, test-retest reliability, internal consistency, person-centered approach, occupational therapy
- MeSH terms
- Activities of Daily Living, Adult, Aged, Female, Disabled Persons, Persons with Disabilities, Housing, Humans, Male, Middle Aged, Occupational Therapy, Quality of Life, Surveys and Questionnaires, Sensitivity and Specificity
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