Quality-of-life Assessment

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FOUR TYPES OF QUESTIONS…

What are good alternatives to direct satisfaction questions? In two studies, we evaluated various interview strategies to identify questions that both tempered acquiescence response tendencies among residents and provided information useful for improving care (4, 7). We asked residents these four types of questions:
  • Direct satisfaction questions about Activities of Daily Living (ADL) care (e.g., "Overall, are you satisfied with how often someone helps you to walk?")
  • Discrepancy questions that compared residents' preferences for ADL care frequency to their perceptions of the ADL care actually delivered (e.g., "How many times during the day would you like staff to help you walk?" vs. "How many times during the day do staff help you to walk?")
  • A second type of discrepancy question that compared residents' preferences for ADL care frequency to how often they actually received care based on our research staff's observations
  • Open-ended questions that asked what residents wanted changed about ADL care.
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