Cultural Adaptation and Validation of the Japanese Environmental Assessment Tool-Higher Care

Abstract

The Japanese cultural adaptation of the Australian Environmental Assessment Tool-Higher Care (J-EAT) was developed for use in Japan’s small-scale living facilities. This study aimed to validate the J-EAT. Twenty-five dementia care experts (7 gerontologists and 18 facility care workers) participated in assessing J-EAT content validity. The final version of J-EAT contained 81 items; of those, 74 met the CVI threshold for relevance. The findings indicated different perspectives between the two expert groups. Validation of the J-EAT was confirmed as an appropriate tool for Japan’s small-scale living facilities to evaluate the environment to enhance residents’ quality of life.

Keywords:

• Dementia
• small-scale living facility
• environmental assessment tool
• cultural adaptation
• Japan

Acknowledgments

The authors thank all aging experts, practitioners, and facility directors for contributing to this research. Special thanks to Dr. Hisao Osada, Dr. Takehiko Tanabe, and Dr. Takashi Saito.

Disclosure statement

The authors reported no potential conflict of interest.

Data availability statement

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