Selective optimization with compensation strategies utilized by older adults newly-transitioned to assisted living.

Selective optimization with compensation strategies utilized by older adults newly-transitioned to assisted living.
复制标题

新过渡到辅助生活的老年人所采用的补偿策略的选择性优化。

DOI:
10.1080/13607863.2020.1856776
复制
发表时间:
2021-10
影响因子:
3.4
通讯作者:
Parmelee PA
Parmelee PA
中科院分区:
医学2区
文献类型:
--
作者:
Regier NG;Parmelee PA

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在美国,接受辅助生活(AL)的人数正在上升,对老年人来说,适应这种新环境可能是一个挑战。到目前为止,很少有研究探讨老年人可能能够通过最大限度地减少搬迁相关损失来缓解向AL过渡的方式。因此,我们探讨了潜在的框架选择性优化与补偿(SOC)的组成部分,以促进成功调整AL。九十一个最近搬迁的居民在亚拉巴马和马里兰州的八个辅助生活设施进行了采访,他们的过渡和调整AL。使用SOC框架作为一个分析透镜,定向内容分析确定了新兴的主题。五十六参与者被确定为使用SOC为基础的战略。出现了五个主要主题:与他人的关系,健康和健康,正常,娱乐,成长和意义。近一半的SOC用户报告了健康和健康的主题。55%的人报告了至少一次选择性选择,51.8%的人报告了基于损失的选择,48.2%的人报告了优化,41.1%的人报告了补偿。这些研究结果提供了深入的战略,可能有助于成功适应AL和其他长期护理环境。这是确定老年人如何科普从私人住宅搬到辅助生活所带来的不同形式的损失和角色调整的重要的第一步。
Admission to assisted living (AL) is on the rise in the United States, and adjustment to this new environment can be challenging for older adults. To date, few studies have explored the ways in which older adults may be able to ease the transition to AL by minimizing relocation-related losses. Consequently, we explored the potential for the components of the framework Selective Optimization with Compensation (SOC) to facilitate successful adjustment to AL. Ninety-one recently-relocated residents of eight assisted living facilities in Alabama and Maryland were interviewed about their transition and adjustment to AL. Using the SOC framework as an analytical lens, directed content analysis identified emergent themes. Fifty-six participants were identified as using SOC-based strategies. Five major themes emerged: Relationships with Others, Health and Wellness, Normalcy, Entertainment, and Growth and Meaning. The theme of Health and Wellness was reported by nearly half of SOC users. Fifty-five percent reported at least one instance of elective selection, 51.8% reported loss-based selection, 48.2% reported optimization, and 41.1% reported compensation. These findings offer insight into strategies that may facilitate successful adaptation to AL and other long-term care settings. This represents an important first step in identifying ways older adults might cope with the different forms of loss and role adjustment that accompany the move from a private residence to assisted living.
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