Feasibility, Interrater Reliability and Internal Consistency of the German Environmental Audit Tool (G-EAT)

Anne Fahsold, Kathrin Schmüdderich, Hilde Verbeek, Bernhard Holle and Rebecca Palm
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Anne Fahsold: Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. Standort Witten, 58453 Witten, Germany
Kathrin Schmüdderich: Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. Standort Witten, 58453 Witten, Germany
Hilde Verbeek: Department of Health Services Research, Maastricht University, 6229 GT Maastricht, The Netherlands
Bernhard Holle: Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. Standort Witten, 58453 Witten, Germany
Rebecca Palm: Department of Nursing Science, Faculty of Health, Witten/Herdecke University, 58455 Witten, Germany

IJERPH, 2022, vol. 19, issue 3, 1-15

Abstract: Dementia-specific environmental design has the potential to positively influence capabilities for daily living and quality of life in people with dementia living in nursing homes. To date, no reliable instrument exists for systematically assessing the adequacy of these built environments in Germany. This study aimed to test the adapted version of the Environmental Audit Tool—High Care (EAT-HC)—the German Environmental Audit Tool (G-EAT)—with regard to its feasibility, interrater reliability and internal consistency. The G-EAT was applied as a paper-pencil version in the German setting; intraclass correlation coefficients at the subscale level ranged from 0.662 (III) to 0.869 (IV), and 42% of the items showed at least substantial agreement (Cohen’s kappa ≥ 0.60). The results indicate the need to develop supplementary material in a manual that illustrates the meaning of the items and practical implications regarding dementia-specific environmental design. Furthermore, the intersectionality of built and physical environments must be considered when interpreting G-EAT results in future research and applications to residential long-term care practice.

Keywords: dementia-specific environment; environmental design; assessment instrument; long-term care; dementia; reliability; feasibility (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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