Polisher Research Institute, Madlyn and Leonard Abramson Center for Jewish Life, 1425 Horsham Road, North Wales, PA 19454, USA.
Gerontologist. 2013 Aug;53(4):582-95. doi: 10.1093/geront/gns102. Epub 2012 Aug 30.
Assessing preferences for daily life is the foundation for person-centered care delivery. This study tested a new measure, the Preferences for Everyday Living Inventory (PELI), with a large sample of community-dwelling older adults. We sought to evaluate the tool's convergent and divergent validity, identify the most commonly held preferences within the sample, and explore relationships between gender and race and strength of preferences.
Randomly selected African American and Caucasian home health agency clients (N = 437) were interviewed using the PELI. Respondents self-reported functional ability, physical health, affect, mental health, and five domains of psychosocial preferences. The study examined correlations among descriptive variables and preference items and used logistic regression to estimate relationships between gender and race and 55 PELI items and 10 descriptive covariates.
The study found support for the PELI's construct validity, identified seniors' most strongly held preferences across domains, and revealed significant differences in preferences by gender and race.
The PELI captures strongly held personal preferences and shows promise as a practical tool that allows providers to document client preferences and customize care accordingly.
评估日常生活偏好是实现以患者为中心的护理服务的基础。本研究使用大量社区居住的老年人样本对一种新的评估工具，即日常生活偏好量表（PELI）进行了测试。我们旨在评估该工具的收敛和发散有效性，确定样本中最普遍的偏好，并探讨性别和种族与偏好强度之间的关系。
采用随机抽样方法选取了 437 名非裔美国人和白人家庭保健机构客户进行 PELI 访谈。受访者自我报告了功能能力、身体健康、情绪、心理健康和五个心理社会偏好领域。该研究检验了描述性变量和偏好项目之间的相关性，并使用逻辑回归估计了性别和种族与 55 个 PELI 项目和 10 个描述性协变量之间的关系。
该研究支持了 PELI 的结构有效性，确定了老年人在各个领域的最强烈偏好，并揭示了性别和种族偏好的显著差异。
PELI 捕捉到了强烈的个人偏好，有望成为一种实用工具，使提供者能够记录患者的偏好并相应地定制护理。
