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Updated: Jun 21, 2026

Data Collection on Marine Litter Ingestion in Sea Turtles and Thresholds for Good Environmental Status
13:18

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Published on: May 18, 2019

The Environmental Cleanliness and Clutter Scale (ECCS).

Graeme Halliday1, John Snowdon

  • 1Sydney South West Area Health Service, Concord Hospital, Sydney, Australia.

International Psychogeriatrics
|July 11, 2009
PubMed
Summary
This summary is machine-generated.

A new scale, the Environmental Cleanliness and Clutter Scale (ECCS), reliably measures domestic squalor in elderly individuals. This tool aids in describing and researching cases of severe uncleanliness and clutter.

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Area of Science:

  • Gerontology
  • Environmental Health
  • Psychometrics

Background:

  • Severe domestic squalor presents challenges in description and research.
  • A standardized scale is needed to assess uncleanliness and clutter in such cases.

Purpose of the Study:

  • To develop and validate the Environmental Cleanliness and Clutter Scale (ECCS).
  • To provide a reliable tool for assessing domestic squalor in elderly populations.

Main Methods:

  • Collaborative selection of domestic uncleanliness and clutter aspects.
  • Development of a ten-item, four-point rating scale with anchor points.
  • Independent rating of 55 dwellings by two psychogeriatricians using the ECCS.

Main Results:

  • Satisfactory inter-rater reliability (kappa 0.48) for the ten ECCS items.
  • High internal consistency (Cronbach's alpha 0.94).
  • ECCS scores >12 indicated moderate to severe squalor, with good inter-rater agreement.

Conclusions:

  • The Environmental Cleanliness and Clutter Scale (ECCS) is a reliable and useful instrument.
  • The ECCS facilitates the assessment of domestic squalor in elderly individuals living in unclean environments.