School of Nursing, Faculty of Science, Medicine and Health, 90119University of Wollongong, New South Wales, Australia.
Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, Tasmania, Australia.
HERD. 2020 Oct;13(4):57-67. doi: 10.1177/1937586720929044. Epub 2020 Jun 4.
This study investigated the level of acceptance in Singapore of the eight principles of design underpinning the Environmental Assessment Tool-High Care (EAT-HC), which is commonly used in Australia to evaluate environments for the care of people living with dementia. A secondary goal was to identify topics particularly relevant to the Singaporean context, which are not included in the Australian EAT-HC.
This study was undertaken in preparation for the development of a Singaporean version of the Australian EAT-HC.
Discussions from 23 focus groups involving 150 family caregivers, aged care staff, administrators, and architects were recorded and thematically analyzed to identify the characteristics of the principles underpinning the EAT-HC that are unlikely to be relevant in a Singaporean version and to identify additional topics required to tailor it to reflect the Singaporean culture. The thematic analysis was supplemented with quantitative data obtained through the use of simple Likert-type scales measuring the appropriateness of each principle in the Singaporean context.
The principles of design that underpin the EAT-HC were highly accepted by participants and provided a framework for a systematic exploration of Singaporean residential care for people with dementia. Some topics of particular relevance to Singapore were identified. These can be subsumed by the principles without the need for the principles to be changed.
The results support the use of the design principles underpinning the EAT-HC as the foundation of a tool for the evaluation of Singaporean dementia facilities.
本研究旨在调查新加坡对澳大利亚环境评估工具-高关怀（EAT-HC）所依据的八项设计原则的接受程度，该工具常用于评估为痴呆症患者提供护理的环境。次要目标是确定澳大利亚 EAT-HC 中未包含的但与新加坡背景特别相关的主题。
本研究是为了开发澳大利亚 EAT-HC 的新加坡版本而进行的。
记录了 23 个焦点小组的讨论，涉及 150 名家庭照顾者、老年护理人员、管理人员和建筑师，对其进行了主题分析，以确定 EAT-HC 所依据的原则中不太可能适用于新加坡版本的特征，并确定需要定制的其他主题以反映新加坡文化。主题分析辅以通过使用简单的李克特量表测量每个原则在新加坡背景下的适当性获得的定量数据。
参与者高度接受 EAT-HC 所依据的设计原则，并为系统探索新加坡痴呆症患者的居住护理提供了框架。确定了一些与新加坡特别相关的主题。这些主题可以归入原则之下，而无需更改原则。
结果支持使用 EAT-HC 所依据的设计原则作为评估新加坡痴呆症设施的工具的基础。
