The Resident VIEW in Community-Based Care Residential Settings

Area of Science:

• Gerontology
• Health Services Research
• Sociology

Background:

• Person-centered care (PCC) is crucial for quality of life in residential settings.
• The Resident VIEW previously assessed PCC in nursing homes.
• Its utility in community-based settings like assisted living, residential care (AL/RC), and adult foster homes (AFH) requires investigation.

Purpose of the Study:

• To present descriptive data on the Resident VIEW in AL/RC and AFH settings.
• To assess resident perspectives on PCC importance and experience.
• To identify potential gaps in PCC delivery.

Main Methods:

• A two-stage sampling design was used in Oregon.
• 227 residents from 31 AL/RC facilities and 195 residents from 119 AFH were interviewed.
• A 66-item survey assessed PCC importance and experience across eight domains.

Main Results:

• The Resident VIEW demonstrated good performance across diverse community-based settings.
• Many PCC items were associated with improved quality of life, resident satisfaction, and reduced depressive symptoms.
• Significant incongruence between perceived importance and experience indicated unmet resident needs, particularly in personalized care and respectful treatment.

Conclusions:

• The Resident VIEW is a valuable tool for evaluating PCC from residents' perspectives in AL/RC and AFH.
• Findings highlight opportunities to enhance resident well-being through targeted PCC improvements.
• Addressing unmet needs in personalized and respectful care is essential for improving resident outcomes.