Article

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.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS