MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012

Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee

Research Agenda  How to assess the quality of life in neighborhoods?  How to compare perceptions of elders (residents) and staff?

Scope of Research  Develop survey instrument.  Conduct baseline measurement.  Periodic follow-up measurements.  Analyze survey data.  Kevin M

Limits to Scope  NOT applicable for medical or ADL assessment  NOT a substitute for supervision or other research method.  Kevin M.

Kevin D. Steps Taken  Consultation  Survey of literature  Pre-test of instrument and Informed Consent  Analysis of instrument

Research Process Kevin D Steps Taken  Consultation  Survey of literature  Pre-test of instrument and Informed Consent Form (ICF)  Analysis of Instrument

Analysis Measures  Validity  Reliability  Robustness  Criticality  Duplicates  Diana

Analysis by Topic _ Diana

Bathing and Dressing (Questions 1 – 4 & 2.1 – 2.2) Keiry Robust but:  Amend question 2 to serve as outcome questions  Delete question 2 for more concise instrument

Food (Questions 5 – 7 & 2.4 – 2.8)  Keiry  All variables are robust with the exception of staff_food This variable measures how polite/friendly staff are when serving food Recommend deleting question 6  Low variability  Weak reliability

Mobility (Questions 8 – 10, 2.3, 2.15, 2.25, 2.31, 2.32)  Delete two questions: “Satisfaction with staff assistance using restroom” ◦ Neither robust nor reliable  “Feeling of safety when alone in the halls” ◦ Zero variance Kevin D.

Living Areas (Questions 11 – 16, 2.24, & 2.26 – 2.30)  Questions since robust and reliable.  Diana

Environment Noise (Questions 17 and 2.17)  Looked at four variables  All questions robust and reliable.  Kevin M

(Questions 18 – 20, 2.9 – 2.11, 2.20, 2.22, & 2.23 ii) John B All variables prove robust with the exception of “activities by oneself" and “confidence of abilities” Quality of Life: Still measured by the variation in both items. Recommend retaining all variables to provide a comprehensive instrument

 Erika  We looked at 13 variables with regards to respect  Strongest variables were: ◦ Encouraging elders to chat ◦ Time to get elder’s directions ◦ Listening to what elder is saying Highly Reliable (Questions 21 – 23, 2.12, 2.14 – 2.16a, 2.18, 2.19, 2.23 i, 2.33, 2.34)

 Erika  Weakest variable was access to friends because it lacked variability  Frequency to mental health was also weak but will retain because may serve unique need. Challenges with survey questions

 Few additional remarks  One open ended question for “other positive or negative comments”.  Parker  Delete Tri-City questions

 Balancing Question Utility in Context of Regulations  Marginal utility in measuring quality of life. Parker

Conclusions  Revisions to survey instrument  Recommendations to survey process  Keiry

Recommendations – Cal Poly Based on class analysis  Modify survey instruments  Modify staff survey process  Summer 2012 – Survey staff  Fall 2012 – Survey residents ◦ John B.

Recommendations – Pilgrim Place  Delete regulatory and marginal QOL questions  Add questions to Staff survey  Separate Tri-City Wellbeing survey  Conduct HSC survey on rotating basis ◦ John B.

Dr. Emerson Thank you