Examining Clinical Predictors of Change in Recreational Preference Congruence Among Nursing Home Residents Over Time

Heid, Allison R.; Haitsma, Kimberly Van; Kleban, Morton H.; Rovine, Michael J.; Abbott, Katherine

doi:10.1177/0733464815617288

Cited by 6 publications

(3 citation statements)

References 35 publications

(48 reference statements)

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“…For instance, previous work using the PELI in the nursing home environment found varying levels of congruence between importance ratings for preferences related to recreation and leisure activities and actual participation in those activities. 23 Changes over time in individual core human values appear to be mediated by both age and gender differences. 24 For instance, older women were found to have more variability in ranking of values related to "conservation" (e.g., preserving traditional practices) over a 3-year period compared with older men.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal differences in everyday preferences: Comparisons between people with cognitive impairment and their care partners

Wilkins

Locascio

Gunther

et al. 2021

Int J Geriat Psychiatry

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Objectives: Persons with progressive cognitive impairment (CI) increasingly rely on surrogate decision-makers for everyday activities. Yet, little is known about changes in everyday preferences over time or about concordance between persons with CI and their care partners regarding longitudinal changes. Methods:The sample included 48 dyads of persons with CI (Clinical Dementia Rating Scale score ≥0.5) and their care partners. The Preferences for Everyday Living Inventory was used to assess importance of preferences among persons with CI at baseline and follow-up (mean 486 days). Care partners separately completed concurrent proxy assessments. Mixed random and fixed effects longitudinal models were used to evaluate changes in ratings and concordance levels between persons with CI and care partners.Results: There were significant gender differences regarding importance ratings of "autonomous choice" and "social engagement" preferences over time: women with CI rated these preferences as more important across time as a whole. Higher levels of neuropsychiatric symptoms were associated with less importance of "social engagement" preferences across time as a whole for persons with CI and a more negative discrepancy between persons with CI and care partner proxy assessments as time went on. Conclusion:This study yields new insights into predictors of longitudinal change in everyday preferences among persons with CI and their care partners. Although preferences were largely stable over time, there is increasing support for the relationship between differences in "social engagement" preferences and neuropsychiatric symptoms, which may have implications for monitoring and/or treatment in the context of cognitive impairment.

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Section: Discussionmentioning

confidence: 99%

Longitudinal differences in everyday preferences: Comparisons between people with cognitive impairment and their care partners

Wilkins

Locascio

Gunther

et al. 2021

Int J Geriat Psychiatry

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“…Prior work has also found that for specific autonomy-based preferences (e.g., "Choose when to get up in the morning"), older age, lower positive affect, being male, greater depressive symptoms, and lower perceived health are associated with higher levels of change in importance ratings across 3-months (Heid et al, 2020). Further, one's current state of functioning (i.e., vision, language comprehension, continence) can impact the delivery of preference congruent care over time (Heid et al, 2017). Thus, it is important to determine the length of time importance ratings remain stable, and if there is change what attributes of the individual are associated with change.…”

Section: Preferences Over Timementioning

confidence: 99%

The Stability of Nursing Home Residents’ Ratings of Importance of Recreation Preferences Over One Year

Heid¹,

Abbott

Rovine

et al. 2022

J Appl Gerontol

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Long-term stability of nursing home (NH) residents’ everyday preference remains unknown. We examined 1-year stability in reports of importance of 34-recreational activity preferences (8-MDS 3.0 Section F items; 26- Preferences for Everyday Living Inventory-NH items) by NH residents ( N = 161). We examined mean differences on demographic and clinical characteristics of residents for preferences showing change. Importance ratings of preferences were highly stable over 1-year, with 91% of items retaining the same valence of importance for the majority of the sample (<20% change). Three preferences showed greater change. More functionally able residents were more likely to change their importance on “being with groups of people,” and older residents were more likely to change their preferences for being “involved in religious practices” and “around animals such as pets”. Overall, annual assessments of recreational activity preferences capture an accurate representation of preferences with reassessment only needed in a few circumstances.

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“…Methods of tracking recreational preference congruence have been developed and tested (Van Haitsma et al, 2016) and prior research has found that having more important preferences is associated with greater preference-congruent care. However, individual clinical characteristics, such as visual limitations, language comprehension, and incontinence were found to negatively impact preference-congruent care (Heid, Van Haitsma, Kleban, Rovine, & Abbott, 2017).…”

Section: Introductionmentioning

confidence: 95%

Evaluating the Implementation of a Pragmatic Person-Centered Communication Tool for the Nursing Home Setting: PAL Cards

Abbott

Heppner

Fabius

et al. 2021

Clinical Gerontologist

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Objectives: The purpose of this quality improvement project was to evaluate the implementation of a person-centered communication tool in nursing homes (NH). The Preferences for Activity and Leisure (PAL) Cards were developed to communicate residents' preferences for activities across care team members. Methods: Providers were recruited to assess resident important preferences and create PAL Cards for 15-20 residents and collected data aligned with the RE-AIM framework. Results: Reach and Adoption: A total of 43 providers registered and 26 (60%) providers completed the project. Effectiveness and Implementation: Participants attempted 424 PAL Cards and completed 406. For the 26 providers, the average acceptability of the intervention measure was 4.7 (SD 0.4), intervention appropriateness measure was 4.5 (SD 0.5), and feasibility of intervention measure was 4.6 (SD 0.5) (all out of 5). Maintenance: Providers were able to complete 82% of PAL Card placement over the course of 5 months. Conclusions: The majority of providers were successful in implementing PAL Cards for residents and reported the intervention as highly acceptable, appropriate, and feasible providing necessary data to inform future effectiveness trials. Clinical Implications:The intervention can assist nursing home providers in meeting PCC regulations and contribute to building relationships between residents, family, and staff.

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Examining Clinical Predictors of Change in Recreational Preference Congruence Among Nursing Home Residents Over Time

Abstract: 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.

Cited by 6 publications

References 35 publications

Longitudinal differences in everyday preferences: Comparisons between people with cognitive impairment and their care partners

Longitudinal differences in everyday preferences: Comparisons between people with cognitive impairment and their care partners

The Stability of Nursing Home Residents’ Ratings of Importance of Recreation Preferences Over One Year

Evaluating the Implementation of a Pragmatic Person-Centered Communication Tool for the Nursing Home Setting: PAL Cards

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