Negotiating Social Relationships in Assisted Living: The Resident Experience

辅助生活中的社会关系协商：居民体验

• 批准号: 7579759
• 负责人: MARY M BALL
• 金额: $ 29.59万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-15 至 2011-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7579759
• 关键词: Address; African American; Assisted Living Facilities; Attention; Attitude; Caring; Caucasians; Caucasoid Race; Data; Data Analyses; Data Collection; Dimensions; Elderly; Environment; Environmental Risk Factor; Ethnic Origin; Family; Family member; Frail Elderly; Gender; Goals; Health; Health Promotion; Home environment; Income; Individual; Intervention; Interview; Knowledge; Lead; Learning; Life; Life Cycle Stages; Location; Long-Term Care; Low income; Mediation; Methods; Ownership; Participant; Pattern; Personal Satisfaction; Population; Public Health; Quality of life; Race; Recurrence; Research; Resources; Role; Shapes; Social Interaction; Social Network; Socioeconomic Status; Structure; Well in self; base; design; experience; follower of religion Jewish; improved; male; men; older men; older women; satisfaction; social; suburb; theories

DESCRIPTION (provided by applicant): The overall goal of the project is to learn how to create an assisted living facility (ALF) environment that maximizes residents' ability to negotiate and manage their relationships with other residents. The specific aims are to: 1) to learn how residents experience relationships with other residents in ALFs; 2) to understand how gender and other individual, sociocultural, and environmental factors shape how residents experience relationships with other residents; and 3) to identify successful strategies of residents and staff that support residents' ability to negotiate and manage social interactions and relationships with other residents. Qualitative and quantitative methods will be utilized. Seven (ALFs) in and around Atlanta will be selected to vary along the dimensions of gender, race, ethnicity, and socioeconomic status of residents and facility size, design, location, resident profile, ownership, and resources to include: two small with low-income residents (one where most or all residents are black and one where all residents are white); one medium-sized suburban ALF with moderate- to high-income Caucasian residents (most Jewish) and with a DCU; and four large ALFs, two in a small towns-one where most residents are Caucasian residents and moderate-income and with a high proportion of males and one where most residents are white and moderate- to high-income-one urban ALF with a DCU where all residents are moderate- to high- income and African American, and one suburban ALF with moderate-income Caucasian residents, a DCU, and on a campus with independent and skilled care facilities. Primary data collection methods will be face-to-face interviewing and participant observation. Approximately 233 residents will be selected for quantitative interviews, which will assess the structure, function, and adequacy of their social networks. About 84 of these residents will be purposively selected for an in-depth interview, which will focus on their attitudes and experiences regarding their interactions and relationships with other residents. In-depth interviews also will be conducted with 1-2 administrative and care staff in each home. Qualitative data will be analyzed using the grounded theory method, and standard quantitative methods will be utilized for quantitative data analysis. Results of this study will lead to increased knowledge of how AL residents experience their relationships with other residents, of how to maximize their ability to negotiate and manage these relationships, and, ultimately, to improve their overall quality of life. PUBLIC HEALTH REVELANCE Social relationships -- the recurrent patterns of interaction we have with others -- have profound effects on individuals' physical and mental well-being throughout the life course and into later life. Relationships with others are understood to influence life satisfaction, one's sense of self-worth, and quality of life, particularly in residential care settings. Findings from this study will form the basis of an intervention that will enhance these relationships and ultimately residents' quality of life in assisted living.

描述（由申请人提供）：该项目的总体目标是学习如何创建辅助生活设施（ALF）环境，最大限度地提高居民与其他居民协商和管理关系的能力。具体目标是： 1）了解 ALF 中的居民如何体验与其他居民的关系； 2) 了解性别和其他个人、社会文化和环境因素如何影响居民与其他居民的关系； 3) 确定住院医师和工作人员的成功策略，以支持住院医师与其他住院医师协商和管理社交互动和关系的能力。将使用定性和定量方法。亚特兰大及其周边地区的七个（ALF）将根据居民的性别、种族、民族和社会经济地位以及设施规模、设计、位置、居民概况、所有权和资源等维度进行选择，其中包括：两个小型的低水平设施-收入居民（一种是大多数或所有居民都是黑人，另一种是所有居民都是白人）； 一个中型郊区 ALF，其中有中高收入白种人居民（大多数是犹太人），并有一个 DCU；四个大型 ALF，其中两个位于一个小镇 - 一个大多数居民是白种人居民，中等收入，男性比例较高，另一个大多数居民是白人，中等收入到高收入 - 一个城市 ALF，拥有 DCU其中所有居民都是中高收入的非裔美国人，还有一个郊区 ALF，其中有中等收入的白种人居民、一个 DCU，并且校园内拥有独立且熟练的护理设施。主要数据收集方法将是面对面访谈和参与观察。将选择大约 233 名居民进行定量访谈，评估他们的社交网络的结构、功能和充分性。其中约 84 名居民将被有意挑选进行深度访谈，重点关注他们对与其他居民的互动和关系的态度和经历。还将对每个家庭的 1-2 名行政和护理人员进行深入访谈。定性数据将使用扎根理论方法进行分析，定量数据分析将使用标准定量方法。 这项研究的结果将让人们更加了解 AL 居民如何体验与其他居民的关系，以及如何最大限度地提高他们谈判和管理这些关系的能力，并最终提高他们的整体生活质量。公共卫生启示 社会关系——我们与他人互动的反复模式——对个人整个生命过程和晚年的身心健康有着深远的影响。人们认为与他人的关系会影响生活满意度、自我价值感和生活质量，特别是在寄宿护理环境中。这项研究的结果将构成干预措施的基础，从而增强这些关系，并最终提高居民在辅助生活中的生活质量。