This study provides information on the development and factor scaling, validity, and reliability of a newly developed community service utilization measure (Older Adult Service Usage Assessment-OASUA). Analyzes indicate the OASUA can be used to assess current perceived community service use and satisfaction, as well as providing an indication for future service use and potential service needs with older persons. Additional data collection sites should be identified and a broader sample obtained so as to confirm the psychometric properties of the instrument in conjunction with further development of the OASUA.
Coburn, A.F., Griffin, E., Thayer, D., Croll, Z. and Ziller, E.C. (2016) Are Rural Older Adults Benefiting from Increased State Spending on Medicaid Home and Community-Based Services? Maine Rural Health Research Center: Research & Policy Brief, PB-65. 1-10.
Borders, T.F., Aday, L.A. and Xu, K.T. (2004) Factors Associated with Health-Related Quality of Life Among An Older Population in a Largely Rural Western Region. The Journal of Rural Health, 20, 67-75.
https://doi.org/10.1111/j.1748-0361.2004.tb00009.x
Bull, C.N., Krout, J.A., Rathbone-McCuan, E. and Shreffler, M.J. (2001) Access and Issues of Equity in Remote/Rural Areas. The Journal of Rural Health, 17, 356-359.
https://doi.org/10.1111/j.1748-0361.2001.tb00288.x
Li, H., Kyrouac, G.A., McManus, D.Q., Cranston, R.E. and Hughes, S. (2012) Unmet Home Care Service Needs of Rural Older Adults with Alzheimer’s Disease: A Perspective of Informal Caregivers. Journal of Gerontological Social Work, 55, 409-425. https://doi.org/10.1080/01634372.2011.650318
Baernholdt, M., Yan, G., Hinton, I., Rose, K. and Mattos, M. (2012) Quality of Life in Rural and Urban Adults 65 Years and Older: Findings from the National Health and Nutrition Examination Survey. Journal of Rural Health, 28, 339-347.
https://doi.org/10.1111/j.1748-0361.2011.00403.x
US Department of Health & Human Services (2016) Getting Care Where I’m Most Comfortable—At Home.
http://www.hhs.gov/blog/2016/03/11/getting-care-where-i-m-most-comfortable-home.html
Sonnega, A., Robinson, K. and Levy, H. (2016) Home and Community-Based Service and Other Senior Service Use: Prevalence and Characteristics in a National Sample. Home Health Care Services Quarterly, 36, 16-28.
http://dx.doi.org/10.1080/01621424.2016.1268552
Li, H. (2006) Rural Older Adults’ Access Barriers to In-Home and Community-Based Services. Social Work Research, 30, 109-118.
https://doi.org/10.1093/swr/30.2.109
Geron, S.M., Smith, K., Tennstedt, S., Jette, A., Chassler, D. and Kasten, L. (2000) The Home Care Satisfaction Measure: A Client-Centered Approach to Assessing the Satisfaction of Frail Older Adults With Home Care Services. Journal of Gerontology B: Psychological Sciences and Social Sciences, 55, S259-S270.
https://doi.org/10.1093/geronb/55.5.S259
Andersen, R. (1995) Revisiting the Behavioral Model and Access to Medical Care: Does It Matter? Journal of Health and Social Behavior, 36, 1-10.
https://doi.org/10.2307/2137284
U.S. Department of Health & Human Services (2016) Administration on Aging (AoA) Older Americans Act Reauthorization Act of 2016.
https://aoa/acl/gov/AoA_Programs/OAA/Reauthorization/2016/Index.aspx
Colorado Rural Health Center (2014) Snapshot of Rural Health in Colorado.
http://coruralhealth.org/wp-content/uploads/2014/09/2014.RuralHealth.Snapshot.pdf
