The article by Morris et al in this issue of JAMDA, entitled “Hearing the Voice of the Resident in Long-Term Care Facilities—An Internationally
Based Approach to Assessing Quality of Life,”
1
underscores the importance of including residents’ perspectives regarding the care
they receive. InterRAI, an international research collaborative, developed a Self-Report
Quality of Life Survey for Long-Term Care Facilities, which assesses resident perspectives
on subscales reflecting social life, personal control, food, caring staff, and staff
responsiveness. The results are based on reports of more than 16,000 residents who
resided in 355 long-term care facilities; 44% of the respondents are from Belgium
(residing in 70% of the long-term care facilities in the study), 32% are from Canada,
21% are from the United States, and fewer than 1% are from each of Poland, Estonia,
South Africa, the Czech Republic, and Australia. Based on the distributions of the
data, the researchers collapsed the scores (ie, never/rarely; sometimes; most of the
time; always); established benchmark standards for subscales; and compared scores
with a single item (home-likeness) that was considered to represent an overall measure
of “personal quality of life.” This study is valuable in its findings as well as in
the issues it raises inherent to cross-cultural research: with long-term care a reality
around the world, to what extent is research on care systems broadly generalizable?To read this article in full you will need to make a payment
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