Evaluating the Impact of Elder Cottage Housing on Residents and Their Hosts

Journal of Clinical Geropsychology - Tập 8 - Trang 117-137 - 2002
Deborah E. Altus1, Pamela K. Xaverius2, R. Mark Mathews3, Karl D. Kosloski4
1School of Family Studies, Kansas State University, Manhattan
2Psychology Department, University of Missouri, Kansas City
3Department of Human Development and Gerontology Center, University of Kansas, Lawrence
4Gerontology Department, University of Nebraska, Omaha

Tóm tắt

Family members who wish to have their older relatives live with them often encounter obstacles that make such an arrangement unworkable. Proponents of the Elder Cottage, and its variant, the Homecare Suite, suggest that many of these obstacles can be avoided with Elder Cottage use. The purpose of this study was to evaluate the impact of Elder Cottages on a variety of resident and host outcomes. A nonequivalent comparison group design was used. Thirty-one treatment group residents and their hosts received Elder Cottages whereas 24 comparison group residents and their hosts remained on a waiting list. Results showed that residents using Elder Cottages reported significantly greater satisfaction with their housing, increased independence, more telephone contacts with friends and family, improved relationships with hosts, more accessible housing, and less formal service use than those in the comparison group. Similarly, hosts in the treatment group reported significantly greater satisfaction with the residents' housing and less stress in their caregiving roles than those in the comparison group. In addition, fewer Elder Cottage hosts than comparison group hosts engaged in caregiver-related driving. Answers to short-answer questions mirrored the quantitative findings. These results provide substantial optimism with respect to the Elder Cottage as a housing option for older adults, although interviews with housing specialists suggested that families will need financial and caregiving assistance for this option to be viable.

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Tài liệu tham khảo

Albert, M. S. (1994). Brief assessments of cognitive function in the elderly. In Lawton, M. P., and Teresi, J. A. (eds.), Annual Review of Gerontology and Geriatrics, Springer, New York, pp. 93–106.

Altus, D. E., and Mathews, R. M. (1999). A case study evaluation of the Homecare Suite: A new long-term care option for elders. J. Housing Elderly 13: 115–125.

Altus, D. E., Mathews, R. M., and Kolsloski, K. D. (1997). Examining attitudes toward the Homecare Suite: A new housing alternative for elders. J. Appl. Gerontol. 16: 459–476.

American Association of Retired Persons (1988). ECHO: A housing option waiting to happen. AARP Housing Rep. Aug./Sept.: 1–6.

American Association of Retired Persons (1998). Despite disappointing demonstration, ECHO still has a future, say advocates. AARP Housing Rep. Winter: 4–8.

Campbell, D. T., and Stanley, J. C. (1963). Experimental and Quasi-Experimental Designs for Research, Rand McNally, Chicago.

Elsley, M. (1988). Portable living units for seniors (PLUS) or “Granny Flat” demonstration project: Update. Interaction 63: 1, 4.

Fetterman, E. (1995). Housing and health care for rural communities using the Elder Cottage Housing Opportunity (ECHO) approach. Final Phase I Report to the United States Department of Agriculture (SBIR # 95-3361-1455).

Folstein, M., Folstein, S., and McHugh, P. (1975). 'Mini-Mental State': A practical method for grading cognitive state of patients for the clinician. J. Psychiatr Res. 12: 189–198.

Gillespie A. E., and Sloan, K. S. (1990). Housing Options and Services for Older Adults, ABC-CLIO, Santa Barbara, CA.

Lazarowich, N. M. (1991). Granny Flats as Housing for the Elderly: International Perspectives, Haworth, New York.

Ministry of Housing (1990). Portable Living Units for Seniors or ‘Granny Flat’ Demonstration Project, Ministry of Housing, Toronto, Ontario.

Montgomery, R. J. V. (1992). Caregiver Burden Scale. National Institute on Aging Collaborative Studies, Special Care Units for Alzheimer's Disease (Contact No. 5 U01 AG10318). Washington, DC; U.S. Department of Health and Human Services.

Reichardt, C. (1979). The statistical analysis of data from nonequivalent group designs. In Cook, T., and Campbell, D. (eds.), Quasi-Experimentation: Design and Analysis Issues forField Settings, Houghton Mifflin, Boston.

Watson, D., Clark, L. A., and Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. J. Pers. Soc. Psychol. 54: 1063–1070.