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- Title
Physical Functioning Among Older Adults New to Long-Term Services and Supports.
- Authors
Chase, Jo-Ana D; Hirschman, Karen B; Hanlon, Alexandra L; Huang, Liming; Bowles, Kathryn H; Naylor, Mary D
- Abstract
Background and Objectives To identify determinants of self-reported physical functioning (PF) among older adults new to long-term services and supports (LTSS). Research Design and Method Using the International Classification of Function, Disability, and Health (ICF) framework, we conducted a secondary analysis of self-reported data on symptoms, basic/instrumental activities of daily living, quality of life, assistive devices, physical therapy needs, prior healthcare utilization, health status, and demographics from 470 older adults new to LTSS (Home/Community-Based n = 156; Assisted Living n = 156; Nursing Home n = 158). Multiple linear regression was used to identify associations between ICF constructs and self-reported PF (SF-12 Physical Composite Summary score [SF12PCS], lower scores indicate worse PF). Results LTSS recipients were mostly female (71%) and over age 80 (Mean: 80.9 years, SD : 8.7). LTSS recipients' mean SF12PCS score was 37.3 (SD 11.0), indicating overall low self-reported PF. LTSS recipients living in their homes (b = −3.35, p =.003) or assisted living facilities (b = −2.93, p =.012) had significantly lower mean scores compared to recipients in nursing homes. Higher SF12PCS scores were associated with fewer activities of daily living deficits (p <.001), and better quality of life (p <.001). Lower scores were associated with more symptoms (p <.001), poorer nutrition (p =.013), ambulation aid use (p <.001), and physical therapy (p <.026). Discussion and Implications Diverse health, activity, and environmental factors may facilitate early identification of new LTSS recipients most in need of interventions to optimize self-reported PF. Several health conditions may be targets for such interventions. Additional research is needed to evaluate and compare PF trajectories among older adults receiving LTSS in diverse settings.
- Subjects
COMMUNITY health services; CONCEPTUAL structures; CONGREGATE housing; HEALTH status indicators; HOME care services; LONG-term health care; ORTHOPEDIC apparatus; MEDICAL care use; NOSOLOGY; NURSING care facilities; NUTRITION; PHYSICAL therapy; QUALITY of life; REGRESSION analysis; SELF-evaluation; ACTIVITIES of daily living; ASSISTIVE technology; SECONDARY analysis; SOCIAL support; PHYSICAL activity; DESCRIPTIVE statistics
- Publication
Gerontologist, 2018, Vol 58, Issue 6, p1147
- ISSN
0016-9013
- Publication type
Article
- DOI
10.1093/geront/gnx082