Lawton M P
Philadelphia Geriatric Center, PA 19141.
Hum Factors. 1990 Oct;32(5):527-36. doi: 10.1177/001872089003200503.
Household behaviors must be understood in terms of a hierarchy of behavioral competence within which complexity determines the location of behaviors that can be evaluated in terms of basic health and social-normative criteria. Older people's household behaviors as well as higher-order behaviors are schematized in terms of physical and instrumental activities of daily living (ADL). Data on impairment rates for ADLs and time budget studies are cited to emphasize the importance of the home environment. Other behaviors that represent needs for autonomy, support, and proactivity are discussed, as are research needs, both for development of measures of microbehaviors and for the study of behaviors designed to achieve alternative routes to an instrumental goal whose preferred means of attainment has been disturbed by physical impairment.
必须从行为能力层次结构的角度来理解家庭行为,在这个层次结构中,行为的复杂性决定了哪些行为可以根据基本健康和社会规范标准进行评估。老年人的家庭行为以及更高级别的行为是根据日常生活中的身体和工具性活动(ADL)来进行模式化的。引用了ADL损伤率的数据和时间预算研究来强调家庭环境的重要性。还讨论了代表自主、支持和主动性需求的其他行为,以及研究需求,包括微观行为测量方法的开发,以及对旨在实现工具性目标的替代途径的行为的研究,这些行为的首选实现方式因身体损伤而受到干扰。