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Older people -- Housing -- Oregon -- Portland, Older people -- Services for


In 2015, Portland State University Institute on Aging (PSU/IOA) received a grant from the Quality Care Fund to develop the Resident VIEW (Voicing Importance, Experience, and Well-being), a measure of person-centered care (PCC) from the perspective of residents. Structured open-ended interviews were conducted with residents living in nursing homes (NH), assisted living (AL/RC), and adult foster homes (AFH) settings to learn more about their everyday concerns, values, and preferences. Each interview focused on one of eight domains of PCC. These domains had been identified from the literature and in prior research. Personhood, or as described by residents as being “treated as a person,” is central. Then come five areas that directly affect the quality of daily life of residents: opportunities for residents to engage in meaningful activity, relationships with staff, personalized care, staff knowing the person, and autonomy and choice. The organizational and physical environments provide the immediate context in which residents live and people work. This framework recognizes the importance of the physical space and the culture of the organization.

This initial project resulted in 63 items, or close-ended statements, across the eight domains. These were tested with a small sample of residents in each type of setting (NH, AL/RC, AFH). This feasibility project indicated that a large-scale validation study was feasible. The Resident VIEW is unique in that residents are asked about both the importance of an item as well as whether they experience the practice reflected by the item. Understanding both what residents view as important as well as what they experience allows for more individualized planning and assessment of PCC services. As an example, an item from the physical environment domain asks: “how important is it that your room is arranged and decorated the way that you want it?” and “Is your room arranged and decorated the way that you want it?” In a person-centered environment, we would expect consistency between responses to these questions.

In 2017, PSU/IOA received funding through the Civil Money Penalties Fund to test the validity of the Resident VIEW in Nursing Homes. In 2018, the team was awarded funds from the Oregon Quality Care Fund to replicate the validity of the Resident VIEW in AL/RC and AFC settings. This report describes both validation projects, including the methods used to develop the samples and collect data, the analyses conducted with resident data, results, and the final Resident VIEW measure.

In addition to validating the Resident VIEW, a goal of the research was to reduce the length of the final measure by identifying the best items. A short form of the Resident VIEW is necessary to make it practical for use in quality improvement efforts and in research, and, importantly, to be less burdensome for residents and organizations to administer.

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