scholarly journals Development of the Japanese version of the Westmead Home Safety Assessment for the elderly in Japan

2018 ◽  
Vol 31 (1) ◽  
pp. 14-21 ◽  
Author(s):  
Aya Hasegawa ◽  
Tomoko Kamimura

Objective Home safety assessment and intervention is a key component in the management of fall risk in elderly people. However, a standardised assessment for home safety has not yet been established in Japan. We developed a Japanese version of the Westmead Home Safety Assessment by partially modifying the original version according to house structures and lifestyles in Japan and examined its inter-rater reliability and content validity. Methods Japanese elderly in the community who had fear of falls were recruited to investigate the reliability of the Japanese version of the Westmead Home Safety Assessment. Two occupational therapists simultaneously visited a participant’s home to perform the Japanese version of the Westmead Home Safety Assessment independently. Further, an expert panel of 18 occupational therapists evaluated the relevance of each item of the Japanese version of the Westmead Home Safety Assessment. Results Fifty elderly people (aged 78.2 ± 7.1 years) participated in this reliability study. The most frequent hazards were identified as internal steps/stairs, seating, bathroom, bath, and external steps/stairs. Forty-nine items (69%) in the Japanese version of the Westmead Home Safety Assessment were rated to have fair to good (0.40 < κ < 0.75) or excellent (κ ≥ 0.75) reliability as well as excellent validity (item content validity ≥0.78). These items were concerned with basic activities of daily living and some simple instrumental activities of daily living. The scale content validity was 0.78 ± 0.16 but was not excellent (scale content validity index <0.90). Conclusions This study suggested that 49 items in the Japanese version of the Westmead Home Safety Assessment were appropriate for home safety assessment for Japanese elderly. Further research is necessary to improve the reliability and validity of the present version of the Japanese version of the Westmead Home Safety Assessment for this population.

1998 ◽  
Vol 61 (3) ◽  
pp. 127-132 ◽  
Author(s):  
Lori Letts ◽  
Sheri Scott ◽  
Jill Burtney ◽  
Linda Marshall ◽  
Martha McKean

The Safety Assessment of Function and the Environment for Rehabilitation (SAFER Too)) was developed to assess people's abilities to manage functional activities safety within their homes. The results of a study to evaluate the instruments inter-rater and test-retest reliability and construct validity are reported. Reliability was evaluated using kappa for each dichotomous item. For inter-rater reliability, 59 of 66 items had acceptable reliability. For test-retest reliability, 63 of 70 items had acceptable kappa scores. For items where kappa could not be calculated because of limited variation between raters, percentage agreement was over 80%. For validity, higher SAFER Tool scores (that is, more safety problems) were hypothesised to be associated with less independence in activities of daily living (ADL) and instrumental activities of daily living (IADL) and more cognitive impairment. The correlation between SAFER Tool scores and cognitive impairment supported this hypothesis. The results of the correlations with ADL and IADL scores were less clear. This could be attributed to caregivers' assistance with activities which might have reduced risk, and generally limited variation in ADL scores. The reliability results from this study are positive. Further research to assure the SAFER Tools validity and predictive ability are needed.


1989 ◽  
Vol 52 (2) ◽  
pp. 50-54 ◽  
Author(s):  
Pamela Eakin

This is the second of two articles addressing the design and use of assessments of activities of daily living (ADL). The first article reviewed 15 published ADL assessments and evaluated their usefulness for occupational therapists together with any evidence for their reliability and validity. The importance of using standardised assessments was stressed. This second article explains what is meant by terms such as reliability, validity and operationalisation. It details the consequences of using assessments in which these terms are misunderstood or, even, totally absent.


1988 ◽  
Vol 55 (2) ◽  
pp. 63-68 ◽  
Author(s):  
Mary Law ◽  
Patricia Usher

Occupational therapists require reliable and valid activities of daily living assessments to describe patient performance and to aid in treatment evaluation and planning. A recently developed instrument, the Klein-Bell ADL Scale has been shown to have acceptable reliability and validity for use with adults. This paper reports the results of an initial study designed to evaluate the utility of the Klein-Bell ADL Scale for use with children. Developmental ages reported in the literature were used to adapt the scale for use with children ages six months to adulthood. Its reliability, construct validity and responsiveness were tested in a total sample of 10 normal and 10 cerebral palsied children. Results indicate that the scale is reliable, is able to differentiate normal from handicapped children and demonstrates acceptable agreement with parental ratings of change in ADL skills. The Klein-Bell ADL Scale was also found to be an effective communication tool between therapists and parents of disabled children.


1995 ◽  
Vol 62 (2) ◽  
pp. 62-69 ◽  
Author(s):  
Anne Carswell ◽  
Corinne Dulberg ◽  
Lorie Carson ◽  
Jitka Zgola

The Functional Performance Measure (FPM) is an instrument developed from grounded theory, and measures daily function in persons with Alzheimer Disease. This paper presents a study testing the reliability and validity of the FPM. The study design is based upon generalizability theory that allows the examination of several “facets” to the total variance of the FPM. Twenty-two clients with Alzheimer disease were videotaped performing three activities of daily living. Twelve raters evaluated the clients' performance using the FPM giving 792 completed measures. The FPM demonstrates high inter-rater reliability, moderate reliability across tasks, and criterion and construct validity. The FPM is a measure that will help occupational therapists identify clients' abilities and deficits so that therapists can determine intervention strategies to improve or maintain clients' functional performance.


1989 ◽  
Vol 52 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Pamela Eakin

Occupational therapists are prolific creators and users of assessments. However, many of us accept an ‘assessment’ form at face value without really considering the reliability or validity of the assessment method. The use of unreliable assessments seriously diminishes the credibility of the profession. Unfortunately, testing assessments for reliability and validity is time consuming. Therefore, it is suggested that occupational therapists make use of the many published assessments, which already provide evidence of their reliability and validity.


2014 ◽  
Vol 35 (4) ◽  
pp. 236-244 ◽  
Author(s):  
Atsushi Oshio ◽  
Shingo Abe ◽  
Pino Cutrone ◽  
Samuel D. Gosling

The Ten Item Personality Inventory (TIPI; Gosling, Rentfrow, & Swann, 2003 ) is a widely used very brief measure of the Big Five personality dimensions. Oshio, Abe, and Cutrone (2012) have developed a Japanese version of the TIPI (TIPI-J), which demonstrated acceptable levels of reliability and validity. Until now, all studies examining the validity of the TIPI-J have been conducted in the Japanese language; this reliance on a single language raises concerns about the instrument’s content validity because the instrument could demonstrate reliability (e.g., retest) and some forms of validity (e.g., convergent) but still not capture the full range of the dimensions as originally conceptualized in English. Therefore, to test the content validity of the Japanese TIPI with respect to the original Big Five formulation, we examine the convergence between scores on the TIPI-J and scores on the English-language Big Five Inventory (i.e., the BFI-E), an instrument specifically designed to optimize Big Five content coverage. Two-hundred and twenty-eight Japanese undergraduate students, who were all learning English, completed the two instruments. The results of correlation analyses and structural equation modeling demonstrate the theorized congruence between the TIPI-J and the BFI-E, supporting the content validity of the TIPI-J.


2008 ◽  
Vol 14 (5) ◽  
pp. 231-235 ◽  
Author(s):  
Georgina Corte Franco ◽  
Floriane Gallay ◽  
Marc Berenguer ◽  
Christine Mourrain ◽  
Pascal Couturier

2021 ◽  
Vol 11 (15) ◽  
pp. 7130
Author(s):  
Jose M. Catalan ◽  
Andrea Blanco ◽  
Arturo Bertomeu-Motos ◽  
Jose V. Garcia-Perez ◽  
Miguel Almonacid ◽  
...  

Robotics to support elderly people in living independently and to assist disabled people in carrying out the activities of daily living independently have demonstrated good results. Basically, there are two approaches: one of them is based on mobile robot assistants, such as Care-O-bot, PR2, and Tiago, among others; the other one is the use of an external robotic arm or a robotic exoskeleton fixed or mounted on a wheelchair. In this paper, a modular mobile robotic platform to assist moderately and severely impaired people based on an upper limb robotic exoskeleton mounted on a robotized wheel chair is presented. This mobile robotic platform can be customized for each user’s needs by exploiting its modularity. Finally, experimental results in a simulated home environment with a living room and a kitchen area, in order to simulate the interaction of the user with different elements of a home, are presented. In this experiment, a subject suffering from multiple sclerosis performed different activities of daily living (ADLs) using the platform in front of a group of clinicians composed of nurses, doctors, and occupational therapists. After that, the subject and the clinicians replied to a usability questionnaire. The results were quite good, but two key factors arose that need to be improved: the complexity and the cumbersome aspect of the platform.


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