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Perceived control in older adults li...
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Mahan, Tyrae Lee.
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Perceived control in older adults living in long-term care facilities.
Record Type:
Electronic resources : Monograph/item
Title/Author:
Perceived control in older adults living in long-term care facilities./
Author:
Mahan, Tyrae Lee.
Description:
229 p.
Notes:
Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1784.
Contained By:
Dissertation Abstracts International66-03B.
Subject:
Psychology, Social. -
Online resource:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3169416
ISBN:
9780542051791
Perceived control in older adults living in long-term care facilities.
Mahan, Tyrae Lee.
Perceived control in older adults living in long-term care facilities.
- 229 p.
Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1784.
Thesis (Ph.D.)--Portland State University, 2005.
Despite the well established link between perceived control and well-being, a reliable and valid measure of perceived control applicable to residents of long-term care facilities is lacking. The purpose of this study, then, was to develop a measure of perceived control and test it in four different long-term care (LTC) environments, assisted living, residential care, nursing homes, and adult foster care, by examining the relationship between perceived control and psychological well-being.
ISBN: 9780542051791Subjects--Topical Terms:
529430
Psychology, Social.
Perceived control in older adults living in long-term care facilities.
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Perceived control in older adults living in long-term care facilities.
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229 p.
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Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1784.
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Adviser: Nancy Chapman.
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Thesis (Ph.D.)--Portland State University, 2005.
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Despite the well established link between perceived control and well-being, a reliable and valid measure of perceived control applicable to residents of long-term care facilities is lacking. The purpose of this study, then, was to develop a measure of perceived control and test it in four different long-term care (LTC) environments, assisted living, residential care, nursing homes, and adult foster care, by examining the relationship between perceived control and psychological well-being.
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A cross-sectional survey design, a two-stage stratified sampling approach, and structured interviews with 183 older adults living in 39 different LTC facilities were adopted to collect data.
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Confirmatory factor analyses identified a 19-item, five-factor model of perceived control with evidence of reliability and validity in this population. The perceived control measure ascertained the amount of choice and control residents had regarding decisions about their food, social activities, daily routines, privacy and sense of self. Models of person-environment fit and transactional stress and coping were applied to test for moderating and mediating effects.
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Analyses indicated that residents with greater perceived control experienced significantly greater psychological well-being. In addition, person- and environment-factors significantly interacted to predict perceived control. Specifically, the effects of length of stay and functional status on perceived control differed by facility type, with longer stays and better functional status related to greater control in assisted living facilities but less control in nursing homes. Structural equation modeling indicated that perceived control fully mediated the effect of facility type on well-being; that is, the effect of the facility type on positive well-being or depression occurred only through residents' perceptions of control. Finally, there was a stronger relationship between perceived control and well-being in residents with a greater desire for control and better cognitive health.
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A valid and reliable measure of perceived control in LTC facilities will help researchers, policy makers, and the LTC industry identify areas in which improvements are needed, along with interventions to maximize quality of life for residents. This study shows the important role that perceived control plays in the psychological well-being of those living in long-term care facilities.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3169416
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