Do not hear, see, or speak: views of older residents and their adult children about the nursing unit in the continuing care retirement community

Ayalon, Liat

doi:10.1017/s1041610216000788

Cited by 10 publications

(8 citation statements)

References 30 publications

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“…Contrary to our expectations, demographic variables, health, and subjective social location did not play consistent roles in determining the presence of close ties between individuals. This finding is surprising given past research that emphasized the role of CCRC residents’ health in the presence of close social ties [62], as health is a scarce resource in the CCRC [9, 25]. Other demographic and subjective social position characteristics also did not have a consistent role in determining the presence of social ties.…”

Section: Discussionmentioning

confidence: 67%

“…Consistently, a higher level of cognitive functioning has also been shown to be associated with a larger social network [27, 28]. These findings obtained from an analysis of the entire social network of CCRC residents are supported by qualitative research that has identified physical and cognitive functioning as valuable assets of CCRC residents [9, 25, 29].…”

Section: Introductionmentioning

confidence: 73%

“…Because the CCRC is considered the “last stop,” assisted living services are often available on the premises, with no need for the older adults to relocate, so that they can enjoy continuity. The nursing unit is also located on-site, but is usually somewhat remote from the independent unit [9].…”

Section: Introductionmentioning

confidence: 99%

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Location, location, location: Close ties among older continuing care retirement community residents

Ayalon

Yahav

2019

PLoS ONE

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This study examines two theoretical explanations for the existence of close ties among continuing care retirement community residents: the attractiveness theory, which suggests that residents who possess certain attributes are more likely to be perceived as appealing to others; and the homophily theory, which argues that individuals are more likely to have close ties with people who share similar attributes. As a variant of the homophily theory, we also examined whether sharing a physical location makes the existence of certain connections more likely. Data from four continuing care retirement communities were used. To test the attractiveness theory, correlations between the number of individuals who named a person as a significant contact (ego’s in-degree) and ego attributes were examined. To test the homophily theory, the median value of existing ties was compared against all possible social ties as though they were randomly formed. Finally, to further test the role of the institutional culture against various motivations that drive social ties—attractiveness and homophily—we used link prediction models with random forests. In support of the homophily theory, beyond the institutional culture, the only consistent predictor of the existence of close ties among residents was sharing a wing in the retirement community (geographic proximity). Therefore, we discuss the role of the physical location in the lives of older adults.

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Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 73%

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Location, location, location: Close ties among older continuing care retirement community residents

Ayalon

Yahav

2019

PLoS ONE

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“…While their health condition remained the same through the year, they probably were exposed to other older adults with poorer health conditions. While the presence of older adults with poor health can be bothersome (Ayalon, 2016), this could also lead to a positive result, as older adults tend to rate their health based on their comparisons to others (Smith and Goldman, 2011). This comparison could serve as evidence supporting their decision to move, thereby increasing satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Should I've stayed or should I've gone? What residents of continuing care retirement communities and former candidates think and feel one year after their decision: a quantitative longitudinal comparison

Green

Gum

Greene³

et al. 2018

Ageing and Society

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The aim of this study was to compare satisfaction with residence, wellbeing and physical health of continuing care retirement community (CCRC) residents with people who considered enrolling in the same CCRCs but elected not to move. A total of 101 participants were recruited from 13 CCRCs located in multiple cities in the United States of America. A phone interview was conducted with participants three months or less from enrolment and one year later. Compared with those who chose not to move, CCRC residents reported lower satisfaction at baseline, but higher satisfaction at one year. Wellbeing declined from baseline to follow-up for both groups, but was higher in CCRC residents both at baseline and at one year. CCRCs might consider giving new residents a longer cancellation period in order to allow sufficient time for the adjustment process. This, in turn, might both prevent an early departure and affect the decision of potential CCRC residents to move into the community.

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“…The selection of settings was fueled by past research ( Ayalon & Green, 2015 ; Ayalon, 2016b ), which has stressed the importance of the CCRC’s features in shaping older residents’ social lives. In selecting the settings, we specifically aimed for geographic diversity (center, south, Jerusalem) as well as for variations in size (40–299), socioeconomic status and cultural background.…”

Section: Methodsmentioning

confidence: 99%

From a Bird’s Eye View: Whole Social Networks in Adult Day Care Centers and Continuing Care Retirement Communities

Ayalon

Yahav

Lesser

2018

Innovation in Aging

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Background and ObjectivesThe present study describes whole social networks in 4 adult day care centers (ADCCs) and 4 continuing care retirement communities (CCRCs) in Israel.MethodEach respondent received a list of names of all individuals receiving services in the respective ADCC or CCRC and was asked to indicate whom he/she knows from the list. We derived whole social network properties and used hierarchical cluster analysis to group network settings. We further examined the ability of the social network data to classify respondents as members of either an ADCC or a CCRC.ResultsMany social network properties were more favorable in CCRCs than in ADCCs. A striking finding of the present study is that one can classify with a relatively high degree of accuracy a respondent as belonging to an ADCC or a CCRC, simply based on his or her social properties (specifically, number of people who know the participant and are known by the participant).ImplicationsDespite some similarities between CCRCs and ADCCs, CCRCs likely allow for more inclusive and active social relations. This information should be valuable to administrators and care providers.

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Do not hear, see, or speak: views of older residents and their adult children about the nursing unit in the continuing care retirement community

Abstract: The findings point to the ambivalence expressed by CCRC residents and their adult children concerning the NU, even though to some degree, the NU represents the main reason for the transition to a CCRC.

Cited by 10 publications

References 30 publications

Location, location, location: Close ties among older continuing care retirement community residents

Location, location, location: Close ties among older continuing care retirement community residents

Should I've stayed or should I've gone? What residents of continuing care retirement communities and former candidates think and feel one year after their decision: a quantitative longitudinal comparison

From a Bird’s Eye View: Whole Social Networks in Adult Day Care Centers and Continuing Care Retirement Communities

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