Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. Standort Witten, 58453 Witten, Germany.
Department of Nursing Science, Faculty of Health, Witten/Herdecke University, 58455 Witten, Germany.
Int J Environ Res Public Health. 2022 Jan 18;19(3):1050. doi: 10.3390/ijerph19031050.
Dementia-specific environmental design has the potential to positively influence capabilities for daily living and quality of life in people with dementia living in nursing homes. To date, no reliable instrument exists for systematically assessing the adequacy of these built environments in Germany. This study aimed to test the adapted version of the Environmental Audit Tool-High Care (EAT-HC)-the German Environmental Audit Tool (G-EAT)-with regard to its feasibility, interrater reliability and internal consistency. The G-EAT was applied as a paper-pencil version in the German setting; intraclass correlation coefficients at the subscale level ranged from 0.662 (III) to 0.869 (IV), and 42% of the items showed at least substantial agreement (Cohen's kappa ≥ 0.60). The results indicate the need to develop supplementary material in a manual that illustrates the meaning of the items and practical implications regarding dementia-specific environmental design. Furthermore, the intersectionality of built and physical environments must be considered when interpreting G-EAT results in future research and applications to residential long-term care practice.
专为痴呆症设计的环境有可能积极影响养老院中痴呆症患者的日常生活能力和生活质量。迄今为止，德国还没有可靠的工具来系统评估这些建筑环境的充分性。本研究旨在测试经过改编的环境评估工具-高护理版（EAT-HC），即德国环境评估工具（G-EAT），以评估其可行性、评定者间信度和内部一致性。G-EAT 以纸笔形式在德国进行应用；在子量表层面的组内相关系数范围为 0.662（III）至 0.869（IV），42%的项目具有至少中等程度的一致性（Cohen 的 kappa ≥ 0.60）。结果表明，需要在手册中编写补充材料，说明项目的含义和关于痴呆症特定环境设计的实际意义。此外，在未来的研究和应用于住宅长期护理实践中解释 G-EAT 结果时，必须考虑建筑和物理环境的交叉性。
