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Feeling in control: comparing older people’s experiences in different care settings

Callaghan, Lisa, Towers, Ann-Marie (2014) Feeling in control: comparing older people’s experiences in different care settings. Ageing and Society, 34 (8). pp. 1427-1451. ISSN 0144-686X. (doi:10.1017/S0144686X13000184) (KAR id:35251)


The promotion of choice and control for older people is a policy priority for social care services in the United Kingdom and is at the heart of recent drives to personalise services. Increasingly, we are seeing a move away from institutionalised care (e.g. in care homes) towards enablement, with more services being delivered in community-based settings. Extra care housing has been promoted as a purpose-built, community-based alternative to residential care for older people. However, whilst accounts of users' experiences in particular service types are plentiful, the use of different instrumentation and measures makes comparison between settings difficult. We combined data from four studies where participants were older people either living in care homes or extra care housing or receiving care at home. All of these studies asked participants to rate their control over daily life, using the Adult Social Care Outcomes Toolkit (ASCOT). This paper presents the results of an ordinal logistic regression analysis indicating that, after controlling for differences in age, ability to perform activities of daily living and self-rated health, setting had a significant effect on older people's sense of control. Residents in care homes and extra care housing report similar levels of control over daily life but consistently report feeling more in control than older people receiving care at home. Implications for policy and practice are discussed.

Item Type: Article
DOI/Identification number: 10.1017/S0144686X13000184
Uncontrolled keywords: control; older people; care homes; extra care housing; home care; Adult Social Care Outcomes Toolkit (ASCOT)
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Depositing User: R. Bass
Date Deposited: 17 Sep 2013 10:29 UTC
Last Modified: 16 Feb 2021 12:47 UTC
Resource URI: (The current URI for this page, for reference purposes)

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