Occupational Therapy Assessment of Potential Hazards in the Homes of Elderly People: an Inter‐Rater Reliability Study

Abstract

Falls and fractured hips in the elderly have often been attributed to home environmental factors. There is a lack of research evaluating occupational therapists' reliability in assessing the home environment for potential safety hazards. Twenty home visits were conducted by seven therapists with two occupational therapy raters present at each home visit. The kappa statistic was used to determine inter‐rater reliability. Generally, therapists were able to reliably rate potential hazards in the home, however, some areas, such as the toilet area and shower rails had poor reliability. It is recommended that more objective criteria be developed for assessing potential hazards in the home.