Assessment & Research

Correlation between subjective and objective measures of outcome in staffed community housing.

Perry et al. (2005) · Journal of intellectual disability research : JIDR 2005
★ The Verdict

Objective housing quality and resident satisfaction give different pictures—collect both or risk blind spots.

✓ Read this if BCBAs who consult on residential services or quality reviews for adults with ID.
✗ Skip if Clinicians focused solely on in-home early intervention.

01Research in Context

01

What this study did

The team visited 40 staffed community homes for adults with intellectual disability.

They scored each home on an objective checklist: room size, privacy, staff ratio, safety.

Each resident also filled out a satisfaction survey about happiness, choice, and comfort.

Finally, staff rated each resident’s daily living skills. The goal: see if better living conditions line up with happier residents.

02

What they found

Objective scores and satisfaction scores barely matched. A home could look great on paper yet leave residents lukewarm.

Even after accounting for adaptive behavior, the two measures stayed unrelated. Good bricks do not guarantee good vibes.

03

How this fits with other research

Berástegui et al. (2021) asked transition-age youth and their parents to rate quality of life. Self and proxy reports also disagreed, showing the split is not just about age.

Hassin-Herman et al. (1992) and Pilowsky et al. (1998) proved that smaller, community-based homes boost adaptive skills. Their positive results focus on what outsiders can see, not how residents feel inside.

Together these papers create a simple rule: objective features and subjective feelings are two different data sets. You need both to judge a program fairly.

04

Why it matters

If you only track facility audits, you may miss quiet unhappiness. If you only ask clients, you may miss real safety risks. Collect one objective score and one satisfaction score every quarter. Compare them side-by-side before you renew a contract or move a resident.

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Add one satisfaction question to your next residential visit checklist and plot it against the facility audit score.

02At a glance

Intervention
not applicable
Design
other
Sample size
47
Population
intellectual disability
Finding
null

03Original abstract

BACKGROUND: A distinction is made between objective and subjective assessment when quality of life evaluation is considered. The aim was to explore the association between objective and subjective appraisals within similar quality of life domains. METHODS: Correlations between scores on objective and subjective quality of life measures concerning choice, activity and integration were investigated by administering measures to the residents of a random sample of 47 small community housing services. Correlations between the measures and resident adaptive behaviour were also investigated. RESULTS: All objective measures were significantly correlated with adaptive behaviour but only one subjective measure was. With level of adaptive behaviour controlled, 6/7 correlations between pairs of objective measures were significant. Fifteen of the 16 correlations between objective and subjective measures were insignificant. CONCLUSIONS: Assessments of objective life conditions and personal satisfaction appear to be distinct. Their suitability for different purposes and the notion that subjective appraisal of life may be under homeostatic regulation are discussed.

Journal of intellectual disability research : JIDR, 2005 · doi:10.1111/j.1365-2788.2005.00652.x