2013/05/16 by LISA CALLAGHAN, Lisa Callaghan, Ann‐Marie Towers +1 · 30 citations
Health Professions · Medicine · Psychology · Social Sciences · #Computer science #Control (management) #Feeling #Geriatric Care and Nursing Homes #Gerontology #Healthcare innovation and challenges #Medicine #Migration, Aging, and Tourism Studies #Older people #Psychology #Social psychology
paper · pdf · doi:10.1017/s0144686x13000184
published in Ageing and Society 34(8), 1427-1451 (Cambridge University Press)
crossref issued 2013/05/16 · crossref published 2013/05/16 · crossref published-online 2013/05/16 · openalex publication_date 2013/05/16 · crossref created 2013/05/16 · crossref published-print 2014/09/01 · crossref deposited 2019/04/22 · openalex created_date 2025/10/10 · crossref indexed 2026/08/01 · openalex updated_date 2026/08/04
ABSTRACT 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.