Lian Fei, Huang Yanan, Fleming Richard
School of Architecture and Design, Harbin Institute of Technology, Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, China.
University of Wollongong, Australia.
HERD. 2025 Jan;18(1):21-40. doi: 10.1177/19375867241276211. Epub 2024 Sep 9.
The aim of this study was to translate the Australian Environmental Assessment Tool (EAT) into Chinese and identify culturally specific characteristics in the Chinese context for adaptation. In the context of dementia-specific care, the design of the environment is considered an influential factor in supporting and maintaining skills. However, despite the increasing number of individuals with dementia in China, there is currently no valid instrument available to systematically assess the quality of the physical environment in long-term care facilities (LTCFs). This study utilized a mixed-method procedure consisting of seven steps, including translation and adaptation. The study involved focus groups comprising an expert panel ( = 17) and potential users ( = 64) of the newly developed tool. Cross-cultural adaptation was performed through Chinese literature review and literature quality appraisal, field study, and expert committee review. The final version of the China Environmental Assessment Tool (C-EAT) consisted of 10 key design principles and 64 items. The C-EAT was tested in four LTCFs in China and underwent two rounds of review by an expert panel. The C-EAT was deemed a suitable tool for assessing the environment and enhancing the living environments for individuals with dementia in LTCFs in China. In future research, field tests will be conducted to validate the C-EAT scale and modify the EAT-HC to enhance its applicability in China.
本研究的目的是将澳大利亚环境评估工具（EAT）翻译成中文，并确定其在中国背景下的文化特异性特征以便进行改编。在痴呆症专项护理的背景下，环境设计被认为是支持和维持技能的一个影响因素。然而，尽管中国痴呆症患者数量不断增加，但目前尚无有效的工具可用于系统评估长期护理机构（LTCFs）中物理环境的质量。本研究采用了包括翻译和改编在内的七个步骤的混合方法程序。该研究涉及由新开发工具的专家小组（n = 17）和潜在用户（n = 64）组成的焦点小组。通过中国文献综述和文献质量评估、实地研究以及专家委员会审查进行跨文化改编。中国环境评估工具（C-EAT）的最终版本包括10项关键设计原则和64个项目。C-EAT在中国的四个长期护理机构中进行了测试，并经过专家小组两轮审查。C-EAT被认为是评估中国长期护理机构中痴呆症患者的环境和改善其生活环境的合适工具。在未来的研究中，将进行实地测试以验证C-EAT量表，并对EAT-HC进行修改以提高其在中国的适用性。
