title: In-Home Occupational Performance Evaluation (I-HOPE).
abstract: OBJECTIVE
  We describe the development and preliminary psychometric properties of an assessment to quantify the magnitude of an environmental barrier's influence on occupational performance.
  
  
  METHODS
  The assessment was developed and then piloted on a group of 77 older adults before and after an occupational therapy intervention focused on environmental barrier removal. Refinements were made to the assessment before it was evaluated for interrater reliability in a sample of 10 older adults using 2 raters.
  
  
  RESULTS
  The In-Home Occupational Performance Evaluation (I-HOPE) is a performance-based measure that evaluates 44 activities in the home. The 4 subscales of Activity Participation, Client's Rating of Performance, Client's Satisfaction With Performance, and Severity of Environmental Barriers are sensitive to change in the environment. The subscales' internal consistency from .77 to .85, and intraclass correlation coefficients ranged from .99 to 1.0.
  
  
  CONCLUSIONS
  This preliminary study suggests that the I-HOPE is a psychometrically sound instrument that can be used to examine person-environment fit in the home.
authors.affiliation: Program in Occupational Therapy, Washington University School of Medicine, Campus Box 8505, St. Louis, MO 63108, USA. starks@wustl.edu
authors.forename: Susan L
authors.initials: SL
authors.lastname: Stark
authors.forename: Emily K
authors.initials: EK
authors.lastname: Somerville
authors.forename: John C
authors.initials: JC
authors.lastname: Morris
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D057187:Independent Living; D008297:Male; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires
references.citation: Gerontologist. 2001 Feb;41(1):4-14
references.pmid: 11220813
references.citation: Am J Occup Ther. 1993 Apr;47(4):298-301
references.pmid: 8322870
references.citation: Psychol Bull. 1979 Mar;86(2):420-8
references.pmid: 18839484
references.citation: Gerontologist. 2003 Oct;43(5):638-48
references.pmid: 14570960
references.citation: J Gerontol Soc Work. 2007;49(1-2):165-84
references.pmid: 17804366
references.citation: J Gerontol B Psychol Sci Soc Sci. 2000 Jul;55(4):S208-12
references.pmid: 11584883
references.citation: J Aging Health. 1999 Feb;11(1):96-124
references.pmid: 10848144
references.citation: Arch Phys Med Rehabil. 1986 Jun;67(6):387-9
references.pmid: 3487300
references.citation: Disabil Rehabil. 2001 Nov 20;23(17):777-87
references.pmid: 11762880
references.citation: J Am Med Inform Assoc. 1997 Nov-Dec;4(6):501-10
references.pmid: 9391937
references.citation: J Am Optom Assoc. 1997 Jan;68(1):31-6
references.pmid: 9037987
references.citation: Arch Fam Med. 1999 May-Jun;8(3):210-7
references.pmid: 10333815
references.citation: Disabil Rehabil. 2002 Jan 10-Feb 15;24(1-3):59-71
references.pmid: 11827156
references.citation: Adv Clin Rehabil. 1987;1:6-18
references.pmid: 3503663
references.citation: Am J Psychiatry. 1983 Jun;140(6):734-9
references.pmid: 6846631
references.citation: Am J Public Health. 1997 Mar;87(3):331-2
references.pmid: 9096527