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Langer and Rodin (1976). Choice and Personal Responsibility in Older People. Context. Researchers conducted research on choice, self-determination, and health. They found that people would take greater risks when they perceived more choice
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Langer and Rodin (1976) Choice and Personal Responsibility in Older People
Context • Researchers conducted research on choice, self-determination, and health. • They found that people would take greater risks when they perceived more choice • Langer looked at how choice could reduce stress for surgical patients. • Interested in whether decline in abilities as we age is due to physiological reasons or a lack of choice in the environment.
Aim • To investigate whether giving greater choice and personal responsibility to residents of a residential home has a positive effect.
Procedure- Sample • 91 residents on 2 floors of a residential home. • Floors had little contact. • Quasi-experimental design- participants were the residents of each floor. They were not assigned to a floor. The groups were not matched. • Experimental group: Floor 4. 39 women, 8 men. • Control group: Floor 2. 35 women, 9 men. • Age range: 65-90yrs.
Procedure-Method • Field experiment- carried out in a residential home. • Both groups called to a residents meeting by the hospital director. Given a plant and told of regular film screenings and a new complaints procedure.
Procedure- Method cont. • Experimental group: • Given a choice of plant and the options of being responsible for it’s care. • Told they could rearrange the furniture. • Allowed to choose which films are screened. • Complaints: Told it was their responsibility to make the home as they wanted it.
Procedure-Method • Control group: • Given a plant- no choice. Told a nurse would water it for them. • Told their rooms had been arranged for them for maximum comfort. • Told what films would be shown. • No mention made of their responsibility to make the care home as they wanted.
Procedure- Method cont. • DV- self-report using a rating scale. (0= none to 8= total). • Happiness • Activity • Perceived control over their lives. • Tested one week prior to director’s talk and 3 weeks after. • Nurse giving the questionnaire rated each resident for alertness on the same scale. • Nurses also recorded resident behaviour, e.g. time spent visiting others.
Findings • Enhanced choice condition • reported feeling happier and more active, and were rated as more alert. • 93% rated by nurses to have improved in overall functioning. • Control condition • Less happy, active and alert. • Higher perceived control scores. • Many residents reported that they did not understand this question so the contrary finding was disregarded. • 21% rated by nurses as having improved in overall functioning.
Conclusions • Welfare of elderly in residential homes strongly affected by the amount of personal choice and responsibility they are given. • Only the way in which intervention was given differed- both groups received the same things- it shows that personal choice was the cause of resident’s improvements.
Evaluation- Strengths • Ecological validity- conducted in a real nursing home with real residents given a realistic intervention. • Applicable to the care environment. Useful. • Good experimental control- both groups had a very similar experience. • External and internal reliability- easily replicable. • Controlled for bias with double-blind procedure- nurses were not aware of the purpose of the study so unbiased by their own opinions of the outcome.
Evaluation- Weaknesses • Quasi-experiment- participants not randomly allocated to condition (floor). • Avoided separating residents for ethical reasons. • Greater sociability in the experimental group who spent more time visiting friends. • Generalisability- unrepresentative sample. Few men. Single residential home may not apply to other settings. • Poor validity of the measure- question on perceived control poorly worded. Residents did not understand this measure.
Past Exam Questions Section A • Outline the procedures of Langer and Rodin’s (1976) research ‘The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting’. [12] 2011. Section B • Evaluate the methodology of Langer and Rodin’s (1976) research ‘The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting’. [12] 2010. • With reference to alternative evidence, critically assess Gibson & Walk’s (1960) research ‘TheVisual Cliff’. [12] 2009.
Additional Resources • Check out this study video on YouTube: • http://www.youtube.com/watch?v=P8oAlPW86aw