Negotiating Sexuality and Intimacy of Older Adults in Assisted Living

描述（由申请人提供）：这项为期两年的定性研究的目的是研究如何在辅助生活设施（ALFs）中进行性行为和亲密行为的谈判。具体目标是：1）了解AL管理和护理人员、居民和居民家庭成员对居民性行为和亲密行为的看法和知识; 2）了解个人、设施和社区因素如何影响个人对居民性行为和亲密行为的看法和知识; 3）了解住客、家庭成员、设施管理和护理人员如何协商和管理住客的性行为和亲密行为;以及4）了解个人、设施与社区因素如何影响居民性与亲密行为的协商策略。这个项目将提供更多的理解和知识，关于老年人的性行为，以及如何在AL设置性管理。它将有助于长期护理中的性研究的更大的机构。最后，本研究希望能借由本研究之发现，在未来设计有效的员工培训计划，以及发展实务上的建议。这些研究工作也将有助于通过信息会议或其他培训对居民及其家庭进行干预。我们将使用定性的方法来研究10个ALF（2个小型家庭，16-25张病床，3个中型家庭，26-50张病床，5个大型家庭，超过50张病床）的性和亲密的谈判。120名受访者将参加焦点小组或深入访谈。我们将使用有目的的，最大变异抽样选择48名参与者在8个焦点小组与AL工作人员在中型和大型家庭。我们将与每个设施的管理人员、12名工作人员、25名家庭成员和25名居民进行面谈。所有访谈和焦点小组将被数字记录和转录。将使用扎根理论方法分析数据（Charmaz，2006; Strauss & Corbin，1998）。这项拟议的研究重点是辅助生活，一种老年人的支持性住房，旨在防止或延迟快速增长的体弱老年人口的养老院安置。本研究关注的是AL居民在性与亲密需求和行为这一敏感领域的协商与冲突。此外，这项研究将为未来的项目提供信息，例如AL工作人员的有效培训计划和居民及其家人的信息会议。公共卫生相关性：这项拟议的研究重点是辅助生活，一种老年人的支持性住房，旨在防止或延迟快速增长的体弱老年人口的养老院安置。本研究关注的是AL居民在性与亲密需求和行为这一敏感领域的协商与冲突。此外，这项研究将为未来的项目提供信息，例如AL工作人员的有效培训计划和居民及其家人的信息会议。

DESCRIPTION (provided by applicant): The purpose of this two-year qualitative study is to examine how sexuality and intimacy are negotiated in assisted living facilities (ALFs). The specific aims are: 1) to gain understanding of perceptions and knowledge of AL administrative and care staff, residents, and residents' family members regarding residents' sexuality and intimacy; 2) To gain understanding of how individual, facility, and community factors influence individuals' perceptions and knowledge of residents' sexuality and intimacy; 3) To gain understanding of how residents, family members, and facility administrative and care staff negotiate and manage sexual and intimate behaviors of residents; and 4) to gain understanding of how individual, facility, and community factors influence strategies for negotiation of sexual and intimate behaviors of residents. This project will provide an increased understanding of perceptions and knowledge regarding older adult sexuality and how sexuality is managed in AL settings. It will contribute to the larger body of research on sexuality in long term care. Finally, we hope to use the findings of this research in the future to design effective training programs for staff, as well as develop recommendations for practice. These research efforts also will contribute to interventions for residents and their families through information sessions or other training. We will use qualitative methods to study the negotiation of sexuality and intimacy in 10 ALFs (2 small homes with 16-25 beds, 3 medium homes with 26-50 beds, 5 large homes with over 50 beds). One hundred and twenty respondents will participate in focus groups or in-depth interviews. We will use purposive, maximum variation sampling to select 48 participants in 8 focus groups with AL staff in medium and large homes. We will conduct interviews with administrators in each facility, 12 staff members 25 family members and 25 residents. All interviews and focus groups will be digitally recorded and transcribed. Data will be analyzed using a grounded theory approach (Charmaz, 2006; Strauss & Corbin, 1998). This proposed research focuses on assisted living, a type of supportive housing for older adults, intended to prevent or delay nursing home placement for a rapidly growing frail elderly population. This study is concerned with the negotiation and conflict surrounding the sensitive area of AL residents' sexual and intimate needs and behaviors. Moreover, this research will inform future projects, such as effective training programs for AL staff and informational sessions for residents and their families. PUBLIC HEALTH RELEVANCE: This proposed research focuses on assisted living, a type of supportive housing for older adults, intended to prevent or delay nursing home placement for a rapidly growing frail elderly population. This study is concerned with the negotiation and conflict surrounding the sensitive area of AL residents' sexual and intimate needs and behaviors. Moreover, this research will inform future projects, such as effective training programs for AL staff and informational sessions for residents and their families.