Perceived Decisional Control as a Mediator between Moving to Assisted Living Due to Caregiver Burden and Relocation Adjustment.

Perceived Decisional Control as a Mediator between Moving to Assisted Living Due to Caregiver Burden and Relocation Adjustment.
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将决策控制视为因看护者负担而转向辅助生活与搬迁调整之间的中介。

DOI:
10.1080/07317115.2020.1869132
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发表时间:
2022-10
影响因子:
2.8
通讯作者:
Parmelee PA
Parmelee PA
中科院分区:
医学3区
文献类型:
--
作者:
Regier NG;Parmelee PA

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美国老年人口的快速增长导致辅助生活设施(ALF)的利用率增加,重要的是要了解哪些因素可能有助于更好地调整。本研究探讨了知觉决策控制在搬迁到辅助生活(AL),以防止/减轻照顾者的负担和搬迁后的调整之间的关系的中介作用。参与者是亚拉巴马和马里兰州的91名新过渡的ALF居民。通过面对面访谈和问卷调查收集数据。中介分析使用SPSS的PROCESS宏进行,应用5,000个bootstrap重新采样,估计间接效应的95%偏倚校正置信区间。搬到AL,以防止/减轻照顾者的负担搬迁后抑郁和社会化的影响是间接的,并依赖于程度的决策控制。知觉的决策控制可能是一个关键因素,在调整到AL,即使是这样一个复杂的和充满情感的结构作为照顾者的负担催化的举动。对可能搬迁的更大的决策控制可能有助于更好地调整,参与决策过程的其他各方应努力尽可能让有关老年人参与这一过程。
The rapid growth of the older population in the United States has led to increased utilization of assisted living facilities (ALFs), and it is important to understand what factors may facilitate better adjustment. This study examined the mediating role of perceived decisional control in the relationship between moving to assisted living (AL) to prevent/alleviate caregiver burden and post-relocation adjustment. Participants were 91 newly-transitioned residents of ALFs in Alabama and Maryland. Data were gathered through in-person interviews and questionnaires. Mediation analyses were done using the PROCESS macro for SPSS, applying 5,000 bootstrap resamples with 95% bias-corrected confidence intervals estimated around the indirect effect. The effect of moving to AL to prevent/alleviate caregiver burden on post-relocation depression and socialization was indirect and dependent on the degree of perceived decisional control. Perceived decisional control may be a key factor in adjusting to AL, even when the move is catalyzed by such a complex and emotionally laden construct as caregiver burden. Greater perceived decisional control over potential relocation may facilitate better adjustment, and other parties involved in the decision-making process should strive to involve the older adult in question in this process to the greatest extent possible.
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