Program in Occupational Therapy, Washington University School of Medicine, Campus Box 8505, St. Louis, MO 63108, USA.
Am J Occup Ther. 2010 Jul-Aug;64(4):580-9. doi: 10.5014/ajot.2010.08065.
We describe the development and preliminary psychometric properties of an assessment to quantify the magnitude of an environmental barrier's influence on occupational performance.
The assessment was developed and then piloted on a group of 77 older adults before and after an occupational therapy intervention focused on environmental barrier removal. Refinements were made to the assessment before it was evaluated for interrater reliability in a sample of 10 older adults using 2 raters.
The In-Home Occupational Performance Evaluation (I-HOPE) is a performance-based measure that evaluates 44 activities in the home. The 4 subscales of Activity Participation, Client's Rating of Performance, Client's Satisfaction With Performance, and Severity of Environmental Barriers are sensitive to change in the environment. The subscales' internal consistency from .77 to .85, and intraclass correlation coefficients ranged from .99 to 1.0.
This preliminary study suggests that the I-HOPE is a psychometrically sound instrument that can be used to examine person-environment fit in the home.
我们描述了一种评估方法的开发和初步心理测量学特性，该方法用于量化环境障碍对职业表现的影响程度。
该评估方法是在一组 77 名老年人接受以消除环境障碍为重点的职业治疗干预前后进行开发和试点的。在对 10 名老年人使用 2 名评估者进行评估之前，对评估进行了改进，以评估其评分者间信度。
家庭作业表现评估（I-HOPE）是一种基于表现的评估方法，评估了家庭中的 44 项活动。活动参与、客户表现评级、客户对表现的满意度和环境障碍严重程度 4 个分量表对环境变化敏感。分量表的内部一致性从.77 到.85，组内相关系数范围从.99 到 1.0。
这项初步研究表明，I-HOPE 是一种具有良好心理测量学特性的工具，可以用于在家中检查人与环境的适配度。
