The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH): an observational instrument for assessing the physical environment of institutional settings for persons with dementia
| Autor: | Sheryl Zimmerman, Leslie A. Grant, Gerald D. Weisman, Kristie L. Foley, Margaret P. Calkins, Jeanne A. Teresi, David Lindeman, C. Madeline Mitchell, Mary R. Lynn, Rhonda J. V. Montgomery, M. Powell Lawton, Philip D. Sloane |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Gerontology
Activities of daily living Social Psychology Psychometrics Quality Assurance Health Care Maintenance Applied psychology Test validity Cohen's kappa Physical Stimulation Activities of Daily Living Medicine Humans Lighting Observer Variation business.industry Data Collection Nursing Homes Global Rating Clinical Psychology Inter-rater reliability Privacy Scale (social sciences) Health Care Surveys Health Facility Environment Observational study Dementia Geriatrics and Gerontology Safety business Factor Analysis Statistical Noise Goals Needs Assessment Interior Design and Furnishings |
| Zdroj: | The journals of gerontology. Series B, Psychological sciences and social sciences. 57(2) |
| ISSN: | 1079-5014 |
| Popis: | 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 = .01-.04), and the SCUEQS correlated significantly with global PEAP ratings (r = .52, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|