Three-Nation Comparison of Content Validity of the Environmental Assessment Tool-Higher Care

Abstract

This study reports on the cultural adaptation of the Environmental Assessment Tool-Higher Care (EAT-HC) in Germany, Japan, and Singapore. The purpose is to compare the content validity assessment, focusing on common and unique challenges encountered by each nation. In Germany, the security through environmental safety features and segregation of residents is highly debatable. Japan's challenge is for gerontologists to work closely with facility directors and architects to balance the cultural aspects of design. In Singapore, there is a gap in dementia design literacy for healthcare practitioners and designers. Identifying culturally sensitive aspects benefits further adaptation of the EAT-HC worldwide.

Keywords:

• Content validity
• cross-cultural adaption
• dementia
• environmental design
• nursing home

Acknowledgments

The authors would like to thank all aging experts, practitioners, and facility directors for their contributions to this research, as well as the EAT-HC developers Richard Fleming and Kirsty Bennett.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data availability statement

The data supporting this study's findings are available from the corresponding author [TD] upon reasonable request.