VALIDATING THE RESIDENT VIEW: RESIDENT PERSPECTIVES ABOUT PERSON-DIRECTED CARE IN NURSING HOMES

摘要

Person-directed care (PDC) presumes individuals are the primary decision makers for all aspects of their lives, regardless of their living situations and abilities. Knowing what is important to a resident is essential for providing PDC support. The Resident VIEW (Voicing Importance, Experience, and Well-being) is a measure to learn directly from residents what is important to them and what they actually experience. This poster presents results of validation research conducted with a random sample of residents living in 32 randomly selected Oregon nursing homes stratified by number of survey deficiencies, rural/urban setting, and profitonprofit status. Interviews were completed with 253 residents: 59% female, 93% non-Hispanic white, 47% seventy-five and older, 69% long-stay, and 42% with private rooms. First, various goodness-of-fit indices from confirmatory factor analyses indicate a good fit for the original 8-factor model for the importance domains and for a revised 7-factor model for the experience domains. Second, results provide further evidence for convergent and discriminant validity through associations between domain scores and the Quality of Life Scale-Alzheimer’s Disease, Patient Health Questionnaire (PHQ-9), and general satisfaction. Third, residents’ experience reports on physical environment and personalized care exhibited the strongest associations with quality of life, depressive symptoms, and general satisfaction. Fourth, the large variance in Montreal Cognitive Assessment (MoCA) scores among residents with complete interviews suggests that the Resident VIEW can be used successfully with residents with varying levels of cognitive impairment. Finally, cross-tabulations present congruence and incongruence between residents’ ratings of importance and experience for items within each domain.