Developing and Testing A Model of the Assisted Living Environment.
Developing and Testing A Model of the Assisted Living Environment.
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DOI：
10.1080/26892618.2020.1793439
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发表时间：
2021
影响因子：
2
通讯作者：
Kusmaul N
中科院分区：
文献类型：
--
作者：
Holmes SD;Resnick B;Galik E;Kusmaul N
辅助生活（AL）环境在支持居民的满意度和帮助他们在原地养老方面发挥着重要作用。AL环境是多方面的，有许多相互关联的组成部分，包括人员配备（例如直接护理人员，护理人员，活动人员），提供的服务（例如医疗，心理健康，药房），在设置提供的设施（例如美容院，图书馆，运动设施）和物理环境。有证据表明，AL环境的各个方面可以增强或削弱居民的身体功能，幸福感，社会参与和行为结果。本研究的目的是开发和测试一个多维AL环境测量模型，包括人员配备，服务，设施和物理环境的指标。基线数据来自一项测试AL功能集中护理的传播和实施的研究。样本中包括三个州的54个AL设施。设置的大小范围为31至164张床位，平均大小为82.2（SD=26.2）张床位，大多数为营利性设施（n=41，74.5%）。结构方程模型被用来测试所提出的模型。结果表明，模型拟合数据（χ2/df=1.861，p<0.05; CFI= 0.858，RMSEA= 0.126）。拥有一个全面的AL环境测量模型将推动未来的研究，探索环境对居民结果的影响。这项研究的结果将为旨在修改AL环境以优化居民对AL的满意度的干预措施和计划提供信息。
The assisted living (AL) environment plays an important role in supporting residents’ satisfaction and helping them to age in place. The AL environment is multidimensional and has many interrelated components including staffing (e.g. direct care workers, nursing, activity staff), services provided (e.g. medical, mental health, pharmacy), amenities offered at the setting (e.g. beauty salon, library, exercise facilities), and the physical environment. Evidence suggests that aspects of the AL environment can enhance or detract from the physical function, well-being, social engagement, and behavioral outcomes among residents. The purpose of this study was to develop and test a multidimensional AL environment measurement model that includes indicators of staffing, services, amenities, and the physical environment. Baseline data was used from a study testing the Dissemination and Implementation of Function Focused Care in AL. A total of 54 AL facilities across three states were included in the sample. Settings ranged in size from 31 to 164 beds with an average size of 82.2 (SD=26.2) beds and the majority were for profit facilities (n=41, 74.5%). Structural equation modeling was used to test the proposed model. Results showed that the model fit the data (χ2/df=1.861, p<.05; CFI=.858, RMSEA=.126). Having a comprehensive AL environment measurement model will advance future research that explores the impact of the environment on resident outcomes. Findings from this study will inform interventions and programs designed to modify AL environments to optimize residents’ satisfaction with AL.