Marian Keglovits, Emily Somerville, Susan Stark; In-Home Occupational Performance Evaluation for Providing Assistance (I–HOPE Assist): An Assessment for Informal Caregivers. Am J Occup Ther 2015;69(5):6905290010. https://doi.org/10.5014/ajot.2015.015248
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© 2020 American Occupational Therapy Association
Home modification interventions have the potential to provide support to informal caregivers; however, the impact of these interventions on caregivers is understudied, and adequate assessments are lacking. This study describes the development and preliminary psychometric properties of a performance-based assessment that identifies environmental barriers to performance of daily caregiving activities. An existing assessment of person–environment fit was modified using key informant interviews and was administered to 31 informal caregivers. The In–Home Occupational Performance Evaluation for Providing Assistance demonstrated reliability across raters, good internal consistency for all subscales, and convergent validity with existing measures. This assessment has the potential to guide home modification interventions and measure the impact on informal caregiving in the home.
The I–HOPE Assist provides occupational therapy clinicians and researchers with a measure of person–environment fit and caregiver self-efficacy in providing assistance.
The most problematic activities for caregivers include mobility and transfer components. Barriers in the environment that influence performance of these activities are often modifiable, and occupational therapy practitioners should address any concerns in these areas.
The presence of the care recipient may influence caregiver report; this possibility should be taken into consideration in clinical and research settings.
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