TY - JOUR
T1 - Examining Clinical Predictors of Change in Recreational Preference Congruence among Nursing Home Residents over Time
AU - Heid, Allison R.
AU - Van Haitsma, Kimberly
AU - Kleban, Morton
AU - Rovine, Michael J.
AU - Abbott, Katherine M.
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was made possible by generous funding from the Program for Person-Centered Living Systems of Care at The Pennsylvania State University, and an NINR grant (1R21NR011334; Principal Invesetigator: Kimberly Van Haitsma). Michael J. Rovine was further supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through Grant UL1 TR000127.
Publisher Copyright:
© The Author(s) 2015.
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Objective: There remains a significant gap in the field regarding the measurement of preference-based care over time in nursing homes (NHs). This study discusses the use of a quality indicator that tracks recreational preference congruence (PC; that is, the match between NH residents' important preferences in recreational activities and their weekly attendance in these preferred activities). Method: Using a sample of 199 older adults, we examine the change in PC over 52 weeks using multilevel-mixed effects regression analyses. Results: PC over time is highly variable and residents with greater functional limitations (vision, language comprehension, incontinence) and no diagnoses of mental health or neurological disorders have lower PC over time. Discussion: Certain clinical characteristics have greater impact on resident PC over time. Particular attention needs to be given to the recreational attendance of residents with incontinence, and visual and language comprehension difficulties.
AB - Objective: There remains a significant gap in the field regarding the measurement of preference-based care over time in nursing homes (NHs). This study discusses the use of a quality indicator that tracks recreational preference congruence (PC; that is, the match between NH residents' important preferences in recreational activities and their weekly attendance in these preferred activities). Method: Using a sample of 199 older adults, we examine the change in PC over 52 weeks using multilevel-mixed effects regression analyses. Results: PC over time is highly variable and residents with greater functional limitations (vision, language comprehension, incontinence) and no diagnoses of mental health or neurological disorders have lower PC over time. Discussion: Certain clinical characteristics have greater impact on resident PC over time. Particular attention needs to be given to the recreational attendance of residents with incontinence, and visual and language comprehension difficulties.
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U2 - 10.1177/0733464815617288
DO - 10.1177/0733464815617288
M3 - Article
C2 - 26620057
AN - SCOPUS:85031028051
SN - 0733-4648
VL - 36
SP - 1351
EP - 1369
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 11
ER -
