In-Home Occupational Performance Evaluation (I-HOPE) Kit

The In-Home Occupational Performance Evaluation (I-HOPE) targets activities performed in the home that are essential for aging in place. The purpose of the I‐HOPE is to measure the effects of an incompatibility between a person’s abilities and the environment or the “person-environment misfit” of older adults and their homes.

The I-HOPE helps therapists measure clients’ in‐home activity performance, and observe changes in person‐environment fit before and after home modification interventions.

The I-HOPE offers a psychometrically sound assessment of daily activities that considers the client’s perspective and satisfaction while recognizing the role of the environment on performance.

The researchers of the Participation, Environment and Performance Lab developed the I-HOPE in response to the lack of performance‐based assessments that evaluate function in relation to the environment.

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How it works

The I-HOPE is a multistep assessment that is conducted in the home of an individual by a trained rater. The I-HOPE takes approximately 60 minutes to conduct and requires no specialized equipment beyond the materials included in the kit.

Materials include:

  • Manual
  • Assessment forms
  • Barrier list
  • Activity cards
  • Response cards
  • Summary score sheets

Three easy steps

i-hope_step1

Step 1:
An assessment of current in-home activities is conducted using a set of 44 cards of images depicting older adults participating in daily activities. An overall score for activity performance is then calculated.


i-hope_step2

Step 2:
Priority activities are identified for intervention and given a subjective performance and satisfaction score.


i-hope_step3

Step 3:
Performance-based rating of barriers’ influence on performance


Understanding the results

The I-HOPE yields four sub-scores that can be used individually or as a profile of performance.

Sub-Scores Construct Calculation
Activity Proportion of problematic activities Sum of activity difficulty scores / number of activities the person wants to do
Performance Subjective performance of daily activities Mean of rating for prioritized problems
Satisfaction Subjective satisfaction with performance of daily activities Mean of rating for prioritized problems
Total Barrier Severity Interviewer rating of person-environment fit Sum of each rating

For additional information on the development of the I-HOPE:

Stark, S. L., Somerville, E. K., & Morris, J. C. (2010). In Home Occupational Performance Evaluation (I-HOPE). The American Journal of Occupational Therapy, 64(4), 580–589.

Keglovits, M., Somerville, E., Stark, S. L. (2015). In-Home Occupational Performance Evaluation for Providing Assistance (I–HOPE Assist): An Assessment for Informal Caregivers. Am J Occup Ther 2015;69(5):6905290010p1-6905290010p9. doi: 10.5014/ajot.2015.015248.

How to order

You can purchase the I-HOPE and I-HOPE Assist online using a credit card (tax exempt organizations  please contact us to order).

A signed copyright notice is required before we can process your order. Please download, sign, and return to peplab@wustl.edu. Directions for signing documents using Adobe software can be found here.

Appropriate shipping costs must be included with online or paper orders.

ORDER ONLINE

If you would like to order the I-HOPE using the mailable order form (check payment) or have questions about ordering, please contact us at peplab@wustl.edu.

 

Training


Please see our training page for information on I-HOPE training.

Use of I-HOPE in practice


AOTA Home safety and accessibility assessments

Example of I-HOPE used by Rebuilding Together