Using photographs to explore what quality of life means to assisted living residents.

Dr Amy Burton


Dr Amy Burton has recently published a paper detailing a project conducted by one of our graduates as part of their MSc Health Psychology.

Riana Mansfield’s project was supervised by Dr Amy Burton and explored assisted living residents’ experiences of quality of life.


Assisted living is a popular form of housing care for older adults. Residents benefit from their own living spaces within a supportive environment including a range of services such as domiciliary care, health care and social activities.

Understanding quality of life for these older adults is important for ensuring assisted living residences provide the best possible service. However, little work had been conducted to uncover what quality of life means to older adults or how it is experienced on a day to day basis.

Riana’s project used a unique approach of collecting photographs taken by seven assisted living residents to better understand their lives. The residents collected images that captured their own personal meanings and experiences of quality of life. Riana then discussed these pictures with the residents through research interviews.

Stock photo from Pixabay of a woman holding a camera to take a photo.

A form of qualitative analysis called Interpretative Phenomenological Analysis (IPA) was then used to identify common themes and experiences in the residents’ accounts. Riana’s work highlighted three themes that helped to explain and understand quality of life in assisted living.

  1. Firstly, the residents believed it was important to have continuity in their lives and found new ways to continue with activities that they enjoyed or were important to them prior to assisted living.
  2. Secondly, they discussed how social events and opportunities to make new friends within assisted living were essential for ensuing good quality of life. Several enjoyed supporting other less confident residents to be part of the community.
  3. Finally, the residents spoke about the supportive environment provided by the assisted living facility. This helped them to feel safe and provided access to services and support that would aid them as they became older.

Riana and Amy’s paper concludes by making recommendations to enable assisted living facilities to help their residents maintain good quality of life. These included: supporting residents to continue with valued and meaningful activities following a move to assisted living; setting up peer support buddy systems to assist new residents with becoming part of the community and to engage them in social activities; and discussing quality of life with residents and tailoring care and support to reflect the needs and wants of individual residents.

The research paper has been published in Geriatric Nursing and can be accessed here if you would like to read about the research in more detail (https://doi.org/10.1016/j.gerinurse.2020.03.021).


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