Abstract Assisted living programs (ALPs) embed licensed assisted living services within independent housing. To advance nascent research on this type of housing plus services, this study aimed to develop empirically grounded program theory on the processes through which ALPs benefit residents within independent housing. Eighteen in-depth interviews were conducted with current and prospective consumers of an ALP in northern New Jersey, including residents and family caregivers. The setting for the ALP was a federally subsidized independent housing building, which had introduced the ALP approximately 1 year prior to the study. Themes emerging from an iterative coding process indicated the most valued aspects of the ALP’s service delivery, including the comprehensiveness of the service options, the flexible timing for their delivery, and the relational aspects of care. Participants further described the ways in which the structure of the ALP facilitated prevention, such as preventing the occurrence and escalation of adverse health events. The study concludes by presenting a program model that integrates these findings, which suggests that ALPs deliver care in ways that make long-term services and supports more accommodating and acceptable to consumers. This, in turn, can enhance their preventive value to facilitate aging in place among independent housing residents in clinical need of such supports.

中文翻译：

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独立住房许可辅助生活服务的推进计划理论

摘要 辅助生活计划 (ALP) 将获得许可的辅助生活服务嵌入到独立住房中。为了推进对此类住房加服务的新兴研究，本研究旨在开发以经验为基础的计划理论，探讨 ALP 使独立住房中的居民受益的过程。对新泽西州北部 ALP 的当前和潜在消费者进行了 18 次深入访谈，包括居民和家庭护理人员。ALP 的设置是联邦政府资助的独立住房建筑，它在研究前大约 1 年引入了 ALP。迭代编码过程中出现的主题表明了 ALP 服务交付中最有价值的方面，包括服务选项的全面性、交付的灵活时间、以及护理的相关方面。参与者进一步描述了 ALP 结构促进预防的方式，例如防止不良健康事件的发生和升级。该研究最后提出了一个整合了这些发现的计划模型，这表明 ALP 以提供长期服务和支持更容易为消费者所接受和接受的方式提供护理。反过来，这可以提高他们的预防价值，以促进临床需要此类支持的独立住房居民的就地老龄化。这表明 ALP 以提供长期服务的方式提供护理，并为消费者提供更包容和可接受的支持。反过来，这可以提高他们的预防价值，以促进临床需要此类支持的独立住房居民的就地老龄化。这表明 ALP 以提供长期服务的方式提供护理，并为消费者提供更包容和可接受的支持。反过来，这可以提高他们的预防价值，以促进临床需要此类支持的独立住房居民的就地老龄化。