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This article describes the development, factor analysis, reliability, and validity of the Safety Assessment of Function and the Environment for Rehabilitation-Health Outcome Measurement and Evaluation (SAFER-HOME). A pilot test of 104 pretest—posttest observations showed that occupational therapists perceived the SAFER-HOME as clinically useful, practical to administer, and sensitive in detecting changes. Using a factor analysis of 1,173 observations, a 10-factor structure SAFER-HOME v.2 was developed. The 93-item SAFER-HOME had an internal consistency coefficient alpha value of 0.86. The low correlations between the SAFER-HOME v.2 and the Functional Autonomy Measuring System (r = −0.206; p = .018) supported the presumption that home safety was related but not limited to functioning. There is some evidence supporting the SAFER-HOME v.2 as a valid and reliable instrument. The SAFER-HOME v.2 represents a carefully constructed, theoretically driven, and clinically sound outcome measure for use by occupational therapists to assess home safety.

26:T422,

Measuring the participation of preschoolers (children between 3 and 6 years of age) with disabilities in everyday activites has become a professional mandate for occupational therapists. This study outlines the development of the Preschool Activity Card Sort, which can establish a child's occupational profile through parent interview. Six of the nine International Classification of Functioning, Disability and Health activity and participation domains are included in the Preschool Activity Card Sort. A literature review and an analysis of parent time logs were used to compile photographs of preschoolers engaged in typical activities. Parents respond to these photographs during discussion about their child's participation in these everyday activities. When a child does not participate in age-appropriate activities, the Preschool Activity Card Sort helps determine whether it is due to child, family, or environmental barriers. Identifying these barriers assists the therapist and the family in determining therapeutic goals.

27:T518,

It is pertinent for occupational therapists to measure the changing patterns of activity engagement of older adults who might have undergone the process of aging, institutionalization, and illness. The Activity Card Sort was developed to measure the level of activity engagement in the main areas of occupational performance. This study examined the reliability, internal consistency, and construct validity of the Hong Kong version of the Activity Card Sort. Using expert panel reviews, 65 activities were identified as culturally appropriate for inclusio