To date, no standardised, reliable and valid assessment tool for evaluating the physical environment of people with dementia in long-term care in Germany is available. The Australian “Environmental Audit Tool - High Care” is used to assess the adequacy of the physical environment in care units and the resulting planned and dementia-specific adjustments.
The aim of the planned project is a translation of the “Environmental Audit Tool – High Care” into German. Within several steps a linguistic validation, cultural adaptation and reliability testing will be conducted to provide an applicable tool for the German setting.
The translation and adaptation process described above involves both scientific experts and potential users from long-term aged care institutions. The instrument is translated by DZNE e.V. staff, focus group interviews are conducted for linguistic validation and cultural adaptation and the content validity index of the G-EAT is calculated. Answers to remaining open questions from the ongoing process and an insight into the application of the instrument in Australia will be provided by an expert consultation at the University of Wollongong (Dementia Training Australia). The subsequent psychometric test is carried out in various care units in nursing homes in Germany. The participating facilities receive the results of the audit in order to be able to get into a further discussion about the identified strengthens and weaknesses of their physical environment.
The G-EAT will initially be used in studies of the DZNE. Once the practicability and validity of the instrument have been proven and after the compilation of a manual, it can also be used for consultant purposes in practice.