Citation

Tomita MR, Saharan S, Rajendran S, Nochajski SM, Schweitzer JA. Am. J. Occup. Ther. 2014; 68(6): 711-718.

Affiliation

Jo A. Schweitzer, MS, OTR/L, is Clinical Assistant Professor, Department of Rehabilitation Science, University at Buffalo, State University of New York.

Copyright

(Copyright © 2014, American Occupational Therapy Association)

DOI

10.5014/ajot.2014.010801

PMID

25397766

Abstract

OBJECTIVE. To identify psychometric properties of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults.

METHOD. We tested content validity, test-retest reliability, interrater reliability, construct validity, convergent and discriminant validity, and responsiveness to change.

RESULTS. The content validity index was.98, the intraclass correlation coefficient for test-retest reliability was.97, and the interrater reliability was.89. The difference on identified risk factors between the use and nonuse of the HSSAT was significant (p =.005). Convergent validity with the Centers for Disease Control and Prevention Home Safety Checklist was high (r =.65), and discriminant validity with fear of falling was very low (r =.10). The responsiveness to change was moderate (standardized response mean = 0.57).

CONCLUSION. The HSSAT is a reliable and valid instrument to identify fall risks in a home environment, and the HSSAT booklet is effective as educational material leading to improvement in home safety.

Language: en