The Therapeutic Environment Screening Survey for nursing homes (TESS-NH): An observational instrument for assessing the physical environment of institutional settings for persons with dementia

P. D. Sloane, C. M. Mitchell, G. Weisman, S. Zimmerman, K. M. Long, M. Lynn, M. Calkins, M. P. Lawton, J. Teresi, L. Grant, D. Lindeman, R. Montgomery

Research output: Contribution to journalArticle

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Abstract

A National Institute on Aging work group developed a measure to evaluate the capacity of a dementia care environment to provide for safety, security, physical health, orientation, privacy, control, autonomy, stimulation, enhancement of socialization, and personalization/ familiarity. The final instrument, the Therapeutic Environment Screening Survey (TESS-NH), contains 84 discrete items and one global rating. Inter-rater kappa statistics for 74% of items were above .60. In validation studies, light meter ratings correlated significantly with TESS-NH lighting items (r = .29-38, p=.01-.04). A scale of 18 TESS-NH items, The Special Care Unit Environment Quality Scale (SCUEQS), appears to be a valid, reliable overall measure of environmental quality.

Original languageEnglish (US)
Pages (from-to)138-145
Number of pages8
JournalResearch and Practice in Alzheimer's Disease
Volume7
StatePublished - Dec 1 2003

Keywords

  • Alzheimer's disease
  • Environment
  • Measurement
  • Quality
  • TESS-NH

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    Sloane, P. D., Mitchell, C. M., Weisman, G., Zimmerman, S., Long, K. M., Lynn, M., Calkins, M., Lawton, M. P., Teresi, J., Grant, L., Lindeman, D., & Montgomery, R. (2003). The Therapeutic Environment Screening Survey for nursing homes (TESS-NH): An observational instrument for assessing the physical environment of institutional settings for persons with dementia. Research and Practice in Alzheimer's Disease, 7, 138-145.