INDEPENDENCE AND AUTONOMY OF ELDERS IN ASSISTED LIVING

描述(改编自申请人的摘要)：主要目的 项目的目的是探索如何将独立性和自主性整合到 以尊重文化价值观、信仰和 所有居民的做法。这项研究的具体目的是：1)获得 理解独立和自治是如何在社会上构建的，以及 在辅助生活环境中的感知；2)了解如何 个人、社会文化和环境因素影响意义， 以及在辅助生活设施中享有独立和自主的机会； 3)确定居民、提供者和家庭成员的策略 使居民在ALF环境中优化独立性和自主性； 4)了解个人、社会文化和环境 影响居民、提供者和家庭成员应对策略的因素 支持ALF的独立性和自主性；5)确定社会和 ALF中居民独立性和自治权的个人障碍；以及6) 确定阻碍居民独立和发展的物质环境障碍 ALF的自主性。 亚特兰大大都会及其周围的五个辅助生活设施的样本将 被选中以表示大小、类型和位置的最大差异 居民的便利、族裔和社会经济地位包括：1)两 为中高收入居民服务的城市聚集之家，其中一家 大约有70名居民，其中大部分是高加索人，还有大约50名居民，大部分是非洲人 美国居民；2)一个人聚集在一个小镇上的家里，有一个 大约36名非裔美国人和高加索居民 中低收入；3)两套家庭样板房(4-6名居民)，其中一套 一个有高加索居民的农村地区，还有一个有高加索居民的小镇 和非洲裔美国居民 将使用定性方法来识别和描述强度 以及日常经验、活动、决策、感知和正式的范围 以及在辅助生活设施内发生的非正式互动。这个 数据收集的主要方法将是参与式观察、密集 采访居民、他们的家人和朋友以及工作人员，盘点 环境，以及对居民和设施记录和营销的审查 材料。数据将使用扎根的理论方法进行分析。

DESCRIPTION (Adapted from the Applicant's Abstract): The main goal of this project is to discover how independence and autonomy can be integrated into the ALF environment in ways that respect the cultural values, beliefs, and practices of all residents. The specific aims of this study are: 1) to gain understanding of how independence and autonomy are socially constructed and perceived in the assisted living environment; 2) to gain understanding of how individual, sociocultural, and environmental factors influence the meanings of, and opportunities for, independence and autonomy in assisted living facilities; 3) to identify strategies of residents, providers, and family members that enable residents to optimize independence and autonomy in the ALF environment; 4) to gain understanding of how individual, sociocultural, and environmental factors influence strategies of residents, providers, and family members to support independence and autonomy in ALFs; 5) to identify the social and individual barriers to residents' independence and autonomy in ALFs; and 6) to identify the physical environmental barriers to residents' independence and autonomy in ALFs. The sample of five assisted living facilities in and around metro Atlanta will be selected to represent maximum variation in size, type, and location of facility and ethnicity and socioeconomic status of residents to include: 1) two urban congregate homes serving moderate-to-high-income residents, one with around 70 mostly Caucasian residents and one with around 50 mostly African American residents; 2) one congregate home in a small-town setting with a mixture of approximately 36 African American and Caucasian residents with low-to-moderate incomes; and 3) two family model homes (4-6 residents), one in a rural area with Caucasian residents, and one in a small town with Caucasian and African American residents Qualitative methodology will be employed to identify and describe the intensity and range of daily experiences, activities, decisions, perceptions, and formal and informal interactions as they occur within assisted living facilities. The primary methods of data collection will be participant observation, intensive interviewing of residents, their families and friends, and staff, inventory of the environment, and review of resident and facility records and marketing materials. Data will be analyzed using the grounded theory method.