Adjustment to Congregate Living Environments: Older Adults and Privacy Regulation

The privacy needs of older adults were investigated in relation to older adults' adjustment to congregate living environments, as were the ways in which older adults regulate their privacy via environmental and behavioral mechanisms. Structured interviews were conducted with 71 adults residing in assisted living and independent living settings. Results revealed that older adults in these two settings differed in their use of environmental and behavioral mechanisms when regulating their privacy in these living spaces. Independent living residents achieved more privacy than assisted living residents. Older adults who felt crowded reported lower personal and overall adjustment than older adults whose achieved privacy level was greater than desired, or than those whose privacy level was optimized. It is suggested that in addition to facility policy and staff protocols, space planning and the manipulation of design elements may decrease perceived crowding and increase adjustment to the living environments.

[1]  D. Dobbs The Adjustment to a New Home , 2003 .

[2]  M. Palta,et al.  Risk Factors for Lack of Recovery of ADL Independence After Hospital Discharge , 1999, Journal of the American Geriatrics Society.

[3]  Cory K. Chen,et al.  Assisted living and nursing homes: apples and oranges? , 2003, The Gerontologist.

[4]  I. Firestone,et al.  Privacy and Solidarity: Effects of Nursing Home Accommodation on Environmental Perception and Sociability Preferences , 1980, International journal of aging & human development.

[5]  E. Higgins,et al.  Self-discrepancy: a theory relating self and affect. , 1987, Psychological review.

[6]  C. Pinet Distance and the Use of Social Space by Nursing Home Residents , 1999 .

[7]  Dorothy I. Jenkins,et al.  Housing for Louisiana’s Poor, Rural Elderly , 1997 .

[8]  Janice M. Morse,et al.  PERSONAL PRIVACY AND INTERACTIONAL PATTERNS IN A NURSING HOME , 1994 .

[9]  J. Gilderbloom,et al.  Housing Modification Needs of the Disabled Elderly , 1996 .

[10]  E. Badley,et al.  Adaptation to chronic illness and disability and its relationship to perceptions of independence and dependence. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[11]  H. Leino‐Kilpi,et al.  Perceptions of Autonomy in the Care of Elderly People in Five European Countries , 2003, Nursing ethics.

[12]  N. Stewart,et al.  The Physical Environment of Special Care Units: Needs of Residents with Dementia from the Perspective of Staff and Family Caregivers , 1999, Qualitative health research.

[13]  B. Kemp,et al.  Quality of life in assisted living homes: a multidimensional analysis. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[14]  Ernest T. Pascarella,et al.  Predicting Freshman Persistence and Voluntary Dropout Decisions from a Theoretical Model , 1980 .

[15]  Mark S. Redfern,et al.  The Influence of Flooring on Standing Balance among Older Persons , 1997, Hum. Factors.

[16]  Carol M. Werner,et al.  Privacy regulation and place attachment : Predicting attachments to a student family housing facility , 1996 .

[17]  R. Kane,et al.  Anatomy of a Choice: Deciding on Assisted Living or Nursing Home Care in Oregon , 2003 .

[18]  S. Petronio,et al.  Managing privacy boundaries: Health providers’ perceptions of resident care in Scottish nursing homes , 1997 .

[19]  A. Wister Living Arrangement Choices among the Elderly , 1985, Canadian Journal on Aging / La Revue canadienne du vieillissement.

[20]  Joan I. Dickinson,et al.  The Effect of Selected Residential Carpet and Pad on the Balance of Healthy Older Adults , 2001 .

[21]  R. Atchley A continuity theory of normal aging. , 1989, The Gerontologist.

[22]  Naz Kaya,et al.  Privacy Regulation and College Adjustment: A Comparison of American and Turkish Freshmen Living in Residence Halls , 2003 .

[23]  I. Altman,et al.  Privacy regulation, territorial displays, and effectiveness of individual functioning. , 1980 .