The structure of social engagement among nursing home residents

TitleThe structure of social engagement among nursing home residents
Publication TypeJournal Article
Year of Publication1995
AuthorsMor V., Branco K., Fleishman J., Hawes C., Phillips C., Morris J., Fries B.
JournalJournals of Gerontology Series B-Psychological Sciences & Social Sciences
Date PublishedJan
Accession Number7757818
Keywords*Inpatients/px [Psychology], *Interpersonal Relations, *Nursing Homes, Activities of Daily Living, Affect, Aged, Aged, 80 and over, Factor Analysis, Statistical, Female, Human, Inpatients/cl [Classification], Male, Nursing Assessment, Nursing Homes/st [Standards], Psychiatric Status Rating Scales, Quality of Health Care/lj [Legislation & Jurisprudence], Quality of Health Care/st [Standards], Quality of Life, Reproducibility of Results, Social Behavior Disorders, Support, U.S. Gov't, Non-P.H.S., Support, U.S. Gov't, P.H.S., United States

This research tests the reliability and construct validity of social engagement, a new quality of life measure embedded in the federally mandated Resident Assessment Instrument (RAI) for the nursing home population. The sample consisted of 1,848 residents from 268 homes in 10 states with data collected by trained research nurses. Three resident groups were formed based on residents' cognitive and ADL functioning. Social engagement was significantly related to average time spent in activities across all three groups. We hypothesized a four-factor model with social engagement distinct from mood problems, conflicted relationships, and behavior problems. LISREL confirmatory factor analysis found the data to be consistent with this hypothesis (Fit Index > .98). Intercorrelations between factors showed that for high-functioning residents, engagement was negatively related to conflict but was positively related to conflict among the most impaired. The validity of the social engagement measure and its stability across types of residents suggest its potential utility as a marker of nursing home quality.

Short TitleJ Gerontol B Psychol Sci Soc SciThe journals of gerontology. Series B, Psychological sciences and social sciences
Alternate JournalJ Gerontol B Psychol Sci Soc Sci