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What the resident meant to say: use of cognitive interviewing techniques to develop questionnaires for nursing home residents
- Authors:
- HOUSEN Patricia, et al
- Journal article citation:
- Gerontologist, 48(2), April 2008, pp.158-169.
- Publisher:
- Oxford University Press
Emphasis on consumer-centred care for frail and institutionalized older adults has increased the development and adaptation of surveys for this population. Conventional methods used to pretest survey items fail to investigate underlying sources of measurement error. However, the use of the cognitive interview (CI), a method for studying how respondents answer survey items, is not well established or documented in this population. This study demonstrates how CIs can be used to improve questionnaires intended for nursing home residents. CIs were conducted with 29 nursing home residents in order to identify potential problems with prospective survey items. Scripted probes were used to standardise the interviews and adapted the Question Appraisal System to enumerate and classify the problems discovered. Between one and five versions of each item were fielded in an iterative process that identified 61 item-specific problems. Additionally, residents' cognitive responses suggested that some screened their answers on the basis of perceived physical and environmental limitations, and some had difficulty answering items about preferences that fluctuate day to day. These findings led us to modify the items and response set to simplify the respondents' cognitive task. This study illustrates how CI techniques can be used to understand residents' comprehension of and response to survey items.
Researching age-friendly communities: stories from older people as co-investigators
- Author:
- BUFFEL Tine
- Publisher:
- University of Manchester Library
- Publication year:
- 2015
- Pagination:
- 144
- Place of publication:
- Manchester
This guide evaluates the experience of involving older people in a research study that explored the age-friendliness of three areas of Manchester. It offers practical tips and critical reflections to help rethink how older people can be involved in research and social action to improve the physical and social environment of their neighbourhood. For the project a group 18 older residents were recruited and trained in designing interview questions, interviewing, data collection, and sharing the findings. The guide outlines the aims of the study, the methodology of the research and a summary of research activities undertaken. It then covers: what 'age-friendly means'; the co-researchers' motivations to participate in the study; the advantages and challenges of involving older residents; skills and knowledge acquired through the project; key findings; and suggested improvements to the age-friendliness of neighbourhoods. The guide includes contributions from older co-interviewers and representatives of community organisations who were involved in the project. The guide concludes by suggesting three principles for developing age-friendly neighbourhoods: that they should empower older people and enable social participation; they are a reminder about the rights of all citizens to full use of resources in their neighbourhood; and the importance of recognising both the social and physical dimensions which make up age-friendly communities. (Edited publisher abstract)
Measuring resident satisfaction in residential aged care
- Authors:
- CHOU Shu-Chiung, BOLDY Duncan P., LEE Andy H.
- Journal article citation:
- Gerontologist, 41(5), October 2001, pp.623-631.
- Publisher:
- Oxford University Press
Assess the factor structure, reliability, and validity of an existing Resident Satisfaction Questionnaire (RSQ) and develops a short-form RSQ for regular use in residential aged care settings. A cross-sectional survey design was adopted to collect the required information, with facilities being selected using stratified random sampling. Both exploratory and confirmatory factor analyses were conducted on a sample of 1,146 residents in 70 residential caged care facilities in Western Australia. The RSQ is confirmed to be reliable, valid context-relevant, and easy-to-use instrument for assessing residents' satisfaction with their residential aged care facilities. Residents satisfaction, as assessed via the RSQ, was found to be multi dimensional construct comprising six factors-room, home, social interaction, meals service, staff care, and involvement. A 24-item short version of the RSQ can constructed based on the six-factor resident satisfaction measurement model and used as a regular monitoring tool of resident satisfaction for quality improvement purposes.
Not knowing where I am doesn't mean I don't know what I like: cognitive impairment and quality of life responses in elderly people
- Authors:
- MOZLEY Caroline Godlove, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(9), September 1999, pp.776-783.
- Publisher:
- Wiley
This study sought to elucidate the extent to which elderly people with cognitive impairment are able to answer questions about their quality of life. 308 elderly residents were interviewed within 2 weeks of admission to one of 30 residential or nursing homes in north-west England. The findings suggest that a high proportion of elderly people can answer questions about their quality of life, even in the presence of significant cognitive deficits.
A qualitative study of the experiences of long-term care for residents with dementia, their relatives and staff
- Authors:
- TRAIN G. H., et al
- Journal article citation:
- Aging and Mental Health, 9(2), March 2005, pp.119-128.
- Publisher:
- Taylor and Francis
Most older people living in 24-hour care settings have dementia. The authors employed qualitative interviews to explore positive and negative aspects of the experience of family carers, staff and people with dementia living in 10 homes in London and West Essex, selected to cover the full range of 24-hour long-term care settings. The interview used open semi-structured questions. We interviewed 21 residents, 17 relatives and 30 staff and five main themes were identified: Privacy and choice; relationships (abuse and vulnerability); activities; physical environment; and expectations of a care environment by carers, should they one day live in long-term care themselves. Despite being no longer responsible for the day-to-day care of the residents there was a continuing level of psychological distress among some relatives. We found that residents with a range of severity of dementia were able to participate. The most striking theme from their interviews was the need for choice. All groups talked about improving lines of communication amongst residents, relatives and staff and about the importance of activities. We recommend that homes should set up formal structures for engaging with user and carer views at all levels. This would mean relatives on the board, and regular meetings for residents, relatives, advocates and staff. This should lead to cultural changes where residents are perceived as individuals and care is provided in a more flexible way. There should be a programme of activities in each 24-hour care setting, which all care staff are given time to implement. These activities need to be tailored to the individual resident rather than the whole group.
The identification of residents capable of accurately describing daily care: implications for evaluating nursing home care quality
- Authors:
- SIMMONS Sandra F, SCHNELLE John F.
- Journal article citation:
- Gerontologist, 41(5), October 2001, pp.605-611.
- Publisher:
- Oxford University Press
This American study aims to develop a method of identifying incontinent nursing home (NH) residents capable of providing accurate interview information about daily NH care. In 177 incontinent NH residents from four facilities, selected Minimum Data Set (MDS) ratings were compared with two standardised, performance-based, cognitive screening instruments to predict which residents could accurately answer questions concerning receipt of daily incontinence and mobility care practices. MDS ratings of activity of daily living performance and cognition significantly predicted residents' ability to accurately describe daily care practices. Performance-based measures of cognitive functioning did not outperform the MDS ratings. Concludes that the MDS-based criteria identified are a promising, objective method for selecting incontinent NH residents for interview to verity the occurrence of specific daily care practices.