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Rehabilitation Practice and Science

Translated Title

自覺環境障礙量表在台灣於社區老年人的適用性

Abstract

Background and Purpose: The purpose of this study was to find out the cut-off point of the Perceived Environmental Barriers in Community according to basic activity of daily living (BADL) and instrumental activity of daily living (IADL) independence in community-dwelling elderly in Taiwan. Methods: In this study, 200 community-dwelling elderly were sampled and administered with the Perceived Environmental Barriers in Community and Hierarchy of the Care Required (HCR). Receiver operating characteristic curves were used to find out the cut-off points of the Perceived Environmental Barriers in Community. Results: We found that the Physical/Structural domain and total score of the Perceived Environmental Barriers in Community demonstrated acceptable discrimination with regard to the independence of the BADL domain of the HCR (the areas under the curve were 0.751 and 0.737, respectively) and excellent discrimination was demonstrated with regard to the independence of the IADL domain of the HCR (the areas under the curve were 0.839 and 0.826, respectively). We also found that the cut off point was 7 in the BADL independence (sensitivity 0.797 and specificity 0.546) and the cutoff point was 4 in the IADL independence (sensitivity 0.899 and specificity 0.637). Conclusions: The results showed that the cut-off points of the Perceived Environmental Barriers in Community had acceptable discrimination with regard to the independence of BADL and IADL in a sample of community-dwelling elderly in Taiwan.

Language

Traditional Chinese

First Page

149

Last Page

158

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