Physical Functioning Among Older Adults New to Long-Term Services and Supports
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...
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| Veröffentlicht in: | The Gerontologist 2018-11, Vol.58 (6), p.1147-1155 |
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| creator | Chase, Jo-Ana D Hirschman, Karen B Hanlon, Alexandra L Huang, Liming Bowles, Kathryn H Naylor, Mary D |
| description | 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. |
| doi_str_mv | 10.1093/geront/gnx082 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6215465</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/geront/gnx082</oup_id><sourcerecordid>2135088234</sourcerecordid><originalsourceid>FETCH-LOGICAL-c448t-ce884accb631e942acce6b3dbe52a04af68d79ed37c3e7111dbbde7fde705a153</originalsourceid><addsrcrecordid>eNqFkU1P3DAQhi3UqizQI9fKUi-9BDy2kziXSitUaKUVVALOlmPPLkGJndoJH_8eo6XQ9tLDfGkevZrRS8ghsCNgjTjeYAx-Ot74B6b4DllAXaqiFBLekQVjUBUNA7FL9lK6ZXnmvP5AdrkqZQOsXpDznzePqbOmp6ezt1MXfOc3dDmEnC96h5Eu3dxPiZ7jPZ0CXeVFcYVxoJcY7zqLiRrv6OU8jiFO6YC8X5s-4ceXuk-uT79dnXwvVhdnP06Wq8JKqabColLSWNtWArCRPLdYtcK1WHLDpFlXytUNOlFbgTUAuLZ1WK9zsNJAKfbJ163uOLcDOot-iqbXY-wGEx91MJ3-e-O7G70Jd7riUMrqWeDLi0AMv2ZMkx66ZLHvjccwJw0NE1DJCiCjn_9Bb8McfX5PcxAlU4oLmaliS9kYUoq4fj0GmH52Sm-d0lunMv_pzw9e6d_WvF0Y5vE_Wk_OoqDB</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2135088234</pqid></control><display><type>article</type><title>Physical Functioning Among Older Adults New to Long-Term Services and Supports</title><source>MEDLINE</source><source>Sociological Abstracts</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Chase, Jo-Ana D ; Hirschman, Karen B ; Hanlon, Alexandra L ; Huang, Liming ; Bowles, Kathryn H ; Naylor, Mary D</creator><creatorcontrib>Chase, Jo-Ana D ; Hirschman, Karen B ; Hanlon, Alexandra L ; Huang, Liming ; Bowles, Kathryn H ; Naylor, Mary D</creatorcontrib><description>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.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/gnx082</identifier><identifier>PMID: 28549107</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Activities of Daily Living ; Aged, 80 and over ; Assisted Living Facilities ; Built Environment ; Classification ; Cross-Sectional Studies ; Environment ; Environmental aspects ; Female ; Health services utilization ; Health status ; Home Care Services ; Humans ; Illnesses ; Long term health care ; Long-Term Care ; Male ; Mobility ; Nursing Homes ; Nutrition ; Older people ; Physical therapy ; Quality of care ; Quality of Life ; Research design ; Self-Rated Health ; Symptoms</subject><ispartof>The Gerontologist, 2018-11, Vol.58 (6), p.1147-1155</ispartof><rights>The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2017</rights><rights>Copyright Oxford University Press Dec 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-ce884accb631e942acce6b3dbe52a04af68d79ed37c3e7111dbbde7fde705a153</citedby><cites>FETCH-LOGICAL-c448t-ce884accb631e942acce6b3dbe52a04af68d79ed37c3e7111dbbde7fde705a153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925,33774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28549107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chase, Jo-Ana D</creatorcontrib><creatorcontrib>Hirschman, Karen B</creatorcontrib><creatorcontrib>Hanlon, Alexandra L</creatorcontrib><creatorcontrib>Huang, Liming</creatorcontrib><creatorcontrib>Bowles, Kathryn H</creatorcontrib><creatorcontrib>Naylor, Mary D</creatorcontrib><title>Physical Functioning Among Older Adults New to Long-Term Services and Supports</title><title>The Gerontologist</title><addtitle>Gerontologist</addtitle><description>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.</description><subject>Activities of Daily Living</subject><subject>Aged, 80 and over</subject><subject>Assisted Living Facilities</subject><subject>Built Environment</subject><subject>Classification</subject><subject>Cross-Sectional Studies</subject><subject>Environment</subject><subject>Environmental aspects</subject><subject>Female</subject><subject>Health services utilization</subject><subject>Health status</subject><subject>Home Care Services</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Long term health care</subject><subject>Long-Term Care</subject><subject>Male</subject><subject>Mobility</subject><subject>Nursing Homes</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Physical therapy</subject><subject>Quality of care</subject><subject>Quality of Life</subject><subject>Research design</subject><subject>Self-Rated Health</subject><subject>Symptoms</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkU1P3DAQhi3UqizQI9fKUi-9BDy2kziXSitUaKUVVALOlmPPLkGJndoJH_8eo6XQ9tLDfGkevZrRS8ghsCNgjTjeYAx-Ot74B6b4DllAXaqiFBLekQVjUBUNA7FL9lK6ZXnmvP5AdrkqZQOsXpDznzePqbOmp6ezt1MXfOc3dDmEnC96h5Eu3dxPiZ7jPZ0CXeVFcYVxoJcY7zqLiRrv6OU8jiFO6YC8X5s-4ceXuk-uT79dnXwvVhdnP06Wq8JKqabColLSWNtWArCRPLdYtcK1WHLDpFlXytUNOlFbgTUAuLZ1WK9zsNJAKfbJ163uOLcDOot-iqbXY-wGEx91MJ3-e-O7G70Jd7riUMrqWeDLi0AMv2ZMkx66ZLHvjccwJw0NE1DJCiCjn_9Bb8McfX5PcxAlU4oLmaliS9kYUoq4fj0GmH52Sm-d0lunMv_pzw9e6d_WvF0Y5vE_Wk_OoqDB</recordid><startdate>20181103</startdate><enddate>20181103</enddate><creator>Chase, Jo-Ana D</creator><creator>Hirschman, Karen B</creator><creator>Hanlon, Alexandra L</creator><creator>Huang, Liming</creator><creator>Bowles, Kathryn H</creator><creator>Naylor, Mary D</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181103</creationdate><title>Physical Functioning Among Older Adults New to Long-Term Services and Supports</title><author>Chase, Jo-Ana D ; Hirschman, Karen B ; Hanlon, Alexandra L ; Huang, Liming ; Bowles, Kathryn H ; Naylor, Mary D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-ce884accb631e942acce6b3dbe52a04af68d79ed37c3e7111dbbde7fde705a153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Activities of Daily Living</topic><topic>Aged, 80 and over</topic><topic>Assisted Living Facilities</topic><topic>Built Environment</topic><topic>Classification</topic><topic>Cross-Sectional Studies</topic><topic>Environment</topic><topic>Environmental aspects</topic><topic>Female</topic><topic>Health services utilization</topic><topic>Health status</topic><topic>Home Care Services</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Long term health care</topic><topic>Long-Term Care</topic><topic>Male</topic><topic>Mobility</topic><topic>Nursing Homes</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Physical therapy</topic><topic>Quality of care</topic><topic>Quality of Life</topic><topic>Research design</topic><topic>Self-Rated Health</topic><topic>Symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chase, Jo-Ana D</creatorcontrib><creatorcontrib>Hirschman, Karen B</creatorcontrib><creatorcontrib>Hanlon, Alexandra L</creatorcontrib><creatorcontrib>Huang, Liming</creatorcontrib><creatorcontrib>Bowles, Kathryn H</creatorcontrib><creatorcontrib>Naylor, Mary D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chase, Jo-Ana D</au><au>Hirschman, Karen B</au><au>Hanlon, Alexandra L</au><au>Huang, Liming</au><au>Bowles, Kathryn H</au><au>Naylor, Mary D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical Functioning Among Older Adults New to Long-Term Services and Supports</atitle><jtitle>The Gerontologist</jtitle><addtitle>Gerontologist</addtitle><date>2018-11-03</date><risdate>2018</risdate><volume>58</volume><issue>6</issue><spage>1147</spage><epage>1155</epage><pages>1147-1155</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><abstract>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.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>28549107</pmid><doi>10.1093/geront/gnx082</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Sociological Abstracts; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Activities of Daily Living Aged, 80 and over Assisted Living Facilities Built Environment Classification Cross-Sectional Studies Environment Environmental aspects Female Health services utilization Health status Home Care Services Humans Illnesses Long term health care Long-Term Care Male Mobility Nursing Homes Nutrition Older people Physical therapy Quality of care Quality of Life Research design Self-Rated Health Symptoms |
| title | Physical Functioning Among Older Adults New to Long-Term Services and Supports |
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