Home and Community Environment Instrument (HACE)
J Keysor‚ A Jette‚ S Haley (2005)
ابزار محیط زیست خانه و جامعه
Domain: Home mobility
What type of home of home do you live in?
□ single family □ multi-family □ apartment building or condominium complex □ congregate housing/assisted living □ nursing/rest home □ other
How many steps are at the main entrance of your home?
□ none □ 1-2 □ several □ 10 or more
Is there a railing at the main entrance steps?
□ yes □ no
Is there a ramp at the main entrance steps?
□ yes □ no
Does the door at the main entrance open electronically or is someone available to open the door?
□ yes □ no
How many steps are there from the main entrance of your building to your main living area?
□ none □ 1-2 □ several □ 10 or more
How many steps are there inside your main living area?
□ none □ 1-2 □ several □ 10 or more
Is there a chairlift or elevator inside your main living area?
□ yes □ no
Is there a chairlift or elevator inside your building?
□ yes □ no
Domain: Community Mobility
To what extent does your local community have:
Uneven footpaths or other walking areas
□ a lot □ some □ not at all □ don‟t know
Parks and walking areas that are easy to get to and easy to use
□ a lot □ some □ not at all □ don‟t know
Safe parks or walking areas
□ a lot □ some □ not at all □ don‟t know
Places to sit and rest at bus stops‚ in parks or in other places where people walk?
□ a lot □ some □ not at all □ don‟t know
Curbs with curb cuts
□ a lot □ some □ not at all □ don‟t know
Domain: Basic mobility devices
Do you have:
Manual wheelchair □ yes □ no
Electric wheelchair or electric scooter □ yes □ no
Walker □ yes □ no
Stick or crutch □ yes □ no
Bedside commode‚ raised toilet seat or grab bars near toilet □ yes □ no
Grab bars or bench in tub or shower □ yes □ no
Reachers □ yes □ no
Dressing aids such as button adapters or zipper pullers □ yes □ no
Eating aids such as built-up cutlery or kitchen aids such as cutting boards that hold food or utensils that are designed to be used with one hand □ yes □ no
Domain: Communication devices
Do you have: Aids to help you communicate with people such as boards or papers with pictures or telephones with big dials and hearing devices Voice-output communication aids‚ such as voice generating computers A computer Access to internet
□ yes □ no □ yes □ no □ yes □ no □ yes □ no
Yes = 1 No = 0
Domain: Transportation factors
Do you have a car available to you at your home? □ yes □ no
Do you drive? □ yes □ no
To what extent does your local community have:
Public transportation that is close to your home
□ a lot □ some □ not at all □ don‟t know
Public transportation with adaptions for people who are limited in their daily activities
□ a lot □ some □ not at all □ don‟t know
Adequate disabled people‟s parking
□ a lot □ some □ not at all □ don‟t know
Domain: Attitudes
People in your building have negative attitudes towards persons with limitations in daily activities
□ strongly agree □ agree □ neither agree or disagree □ disagree □ strongly disagree
People in your building are willing to help persons with limitations in daily activities
□ strongly agree □ agree □ neither agree or disagree □ disagree □ strongly disagree
People in your community have negative attitudes towards persons limitations in daily activities
□ strongly agree □ agree □ neither agree or disagree □ disagree □ strongly disagree
People in your community are willing to help persons with limitations in daily living
□ strongly agree □ agree □ neither agree or disagree □ disagree □ strongly disagree
* higher score denotes more obstacles ie worse situation all other domain scores – higher score indicates more positive situation
شرح : شش زمینه : پویایی در خانه، جامعه ، ارتباط های پایه ای، عوامل تبادل ارتباط در جامعه و نگرش را دربر می گیرد.
چگونگی دستیابی:
This instrument can be found pages 17-20 of Compendium of Clinical Measures for Community Rehabilitation‚ available online at: http://www.health.qld.gov.au/qhcrwp/docs/clinical_measure.pdf
رده سنی : افراد مسن، رده های تشخیصی اعصاب، قلب و عروق و ...
نمره گذاری: به نشانی بالا مراجعه کنید.
منبع برای آگاهی بیشتر
Keysor‚ J‚ Jette ‚A & Haley S 2005‚ „Development of the home and community environment (HACE) instrument‟‚ Journal of Rehabilitation Medicine‚ vol. 37‚ no. 1‚ pp. 37-44.