A Description of Board and Care Facilities, Operators, and Residents. Section 2: Overview of Study Methods


The goals of this project were to describe the quality of care in board and care homes and how it varies across licensure and regulatory systems. Accomplishment of these objectives required a study design that incorporated several activities, including a major collection of new data. The study design included:

  • Review of current State regulatory approaches, using information from studies by the Office of the Inspector General and RTI’s 50-State survey for AARP, to create a ranking of State regulatory environment
  • Implementation of a sampling plan with the following key features:
    • Selection of 10 study States that represent the extremes of a continuum of regulatory systems ranging from very extensive to very limited
    • Selection of homes, staff, and residents using a complex, multistage cluster design
  • Creation of a sampling frame of unlicensed homes using the Social Security Administration’s State Data Exchange Tapes (SDX) and discussions with State and local agencies to identify eligible homes
  • Primary data collection in 385 licensed and 129 unlicensed board and care homes, including interviews with 490 operators, 1,138 staff, 3,257 residents, and observations of the physical environment and care of residents.

This section of the report provides an overview of these study methods, which are described in more detail in the technical report Project Study Methods (RTI, 1995).

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