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The Housing Enabler instrument : Assessing threats to reliability and validity

Norin, Lizette LU ; Iwarsson, Susanne LU ; Haak, Maria LU and Slaug, Björn LU orcid (2019) In British Journal of Occupational Therapy 82(1). p.48-59
Abstract

Introduction: The Housing Enabler instrument, designed to measure housing accessibility, has not been used in samples with long-standing spinal cord injury. We aimed to investigate potential threats to the reliability and validity of the instrument when used among older adults with spinal cord injury. Method: Cross-sectional data from the Swedish Aging with Spinal Cord Injury Study (N = 123, injury levels C1–L5) were utilised. The potential effect on the reliability and content validity of the House Enabler was qualitatively considered and reviewed in an iterative evaluation procedure. To analyse the potential effect on construct validity, simulations adjusting accessibility problem scores for housing adaptations and use of mobility... (More)

Introduction: The Housing Enabler instrument, designed to measure housing accessibility, has not been used in samples with long-standing spinal cord injury. We aimed to investigate potential threats to the reliability and validity of the instrument when used among older adults with spinal cord injury. Method: Cross-sectional data from the Swedish Aging with Spinal Cord Injury Study (N = 123, injury levels C1–L5) were utilised. The potential effect on the reliability and content validity of the House Enabler was qualitatively considered and reviewed in an iterative evaluation procedure. To analyse the potential effect on construct validity, simulations adjusting accessibility problem scores for housing adaptations and use of mobility devices were conducted. Findings: Considerable threats to the reliability and content validity of the Housing Enabler were identified. The simulated analysis of construct validity showed a modest overall effect on the accessibility problem scores, although this was substantial in some individuals. Conclusion: Data collection and analyses of housing accessibility with the Housing Enabler in samples characterised by high frequencies of housing adaptations and/or use of mobility devices (such as powered wheelchairs) require particular attention. Further studies are needed to propose optimisation of the instrument for use in such contexts, followed by psychometric testing to maintain reliability and validity.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Housing Enabler instrument, occupational therapy, Reliability, validity
in
British Journal of Occupational Therapy
volume
82
issue
1
pages
48 - 59
publisher
SAGE Publications
external identifiers
  • scopus:85049839741
ISSN
0308-0226
DOI
10.1177/0308022618782329
project
Home, Health and Disability along the Process of Ageing
Housing Enabler
language
English
LU publication?
yes
id
c6aa8c77-f192-4163-a297-a6c2ea4e61b7
date added to LUP
2018-07-31 10:54:54
date last changed
2022-05-11 00:38:07
@article{c6aa8c77-f192-4163-a297-a6c2ea4e61b7,
  abstract     = {{<p>Introduction: The Housing Enabler instrument, designed to measure housing accessibility, has not been used in samples with long-standing spinal cord injury. We aimed to investigate potential threats to the reliability and validity of the instrument when used among older adults with spinal cord injury. Method: Cross-sectional data from the Swedish Aging with Spinal Cord Injury Study (N = 123, injury levels C1–L5) were utilised. The potential effect on the reliability and content validity of the House Enabler was qualitatively considered and reviewed in an iterative evaluation procedure. To analyse the potential effect on construct validity, simulations adjusting accessibility problem scores for housing adaptations and use of mobility devices were conducted. Findings: Considerable threats to the reliability and content validity of the Housing Enabler were identified. The simulated analysis of construct validity showed a modest overall effect on the accessibility problem scores, although this was substantial in some individuals. Conclusion: Data collection and analyses of housing accessibility with the Housing Enabler in samples characterised by high frequencies of housing adaptations and/or use of mobility devices (such as powered wheelchairs) require particular attention. Further studies are needed to propose optimisation of the instrument for use in such contexts, followed by psychometric testing to maintain reliability and validity.</p>}},
  author       = {{Norin, Lizette and Iwarsson, Susanne and Haak, Maria and Slaug, Björn}},
  issn         = {{0308-0226}},
  keywords     = {{Housing Enabler instrument; occupational therapy; Reliability; validity}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{1}},
  pages        = {{48--59}},
  publisher    = {{SAGE Publications}},
  series       = {{British Journal of Occupational Therapy}},
  title        = {{The Housing Enabler instrument : Assessing threats to reliability and validity}},
  url          = {{http://dx.doi.org/10.1177/0308022618782329}},
  doi          = {{10.1177/0308022618782329}},
  volume       = {{82}},
  year         = {{2019}},
}