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In-Home Occupational Performance Evaluation (I-HOPE).

Susan L Stark1, Emily K Somerville, John C Morris

  • 1Program in Occupational Therapy, Washington University School of Medicine, Campus Box 8505, St. Louis, MO 63108, USA. starks@wustl.edu

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
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Summary
This summary is machine-generated.

The In-Home Occupational Performance Evaluation (I-HOPE) effectively measures how environmental barriers impact daily activities for older adults. This tool demonstrates strong reliability and validity for assessing home environments and occupational performance.

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Area of Science:

  • Occupational therapy
  • Environmental psychology
  • Gerontology

Background:

  • Environmental barriers significantly affect occupational performance in older adults.
  • Quantifying these barriers is crucial for effective interventions.
  • Existing assessments may not fully capture the person-environment interaction within the home.

Purpose of the Study:

  • To develop and evaluate the psychometric properties of a new assessment tool.
  • To quantify the influence of environmental barriers on occupational performance.
  • To examine the person-environment fit in home settings.

Main Methods:

  • Development of the In-Home Occupational Performance Evaluation (I-HOPE).
  • Pilot testing on 77 older adults pre- and post-occupational therapy intervention.
  • Interrater reliability assessment with 2 raters on 10 older adults.

Main Results:

  • I-HOPE is a performance-based measure assessing 44 home activities.
  • Subscales include Activity Participation, Client's Rating of Performance, Client's Satisfaction With Performance, and Severity of Environmental Barriers.
  • High internal consistency (0.77–0.85) and intraclass correlation coefficients (0.99–1.0) were found.

Conclusions:

  • The I-HOPE is a psychometrically sound instrument.
  • It is sensitive to environmental changes and occupational performance.
  • The I-HOPE can be utilized to examine person-environment fit in the home.