@article{
 title = {Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports},
 type = {article},
 year = {2015},
 identifiers = {[object Object]},
 keywords = {Long-term care,assisted living,home- and community-based services,nursing home,quality of life},
 month = {9},
 publisher = {AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc},
 day = {26},
 city = {NewCourtland Center for Transitions and Health; University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania. Electronic address: naylor@nursing.upenn.edu.; NewCourtland Center for Transitions and Health; University of Pennsylvania School of N},
 id = {e33603e0-2a9e-328e-a28c-b476aa536ef0},
 created = {2016-08-20T16:52:14.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {LR: 20151007; CI: Copyright (c) 2015; GR: R01 AG025524/AG/NIA NIH HHS/United States; JID: 100893243; OTO: NOTNLM; 2015/02/02 [received]; 2015/07/29 [revised]; 2015/07/31 [accepted]; aheadofprint},
 folder_uuids = {f1983289-bfcc-4bbc-aa58-64df97457698},
 private_publication = {false},
 abstract = {OBJECTIVES: Advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. DESIGN: A prospective, observational, longitudinal cohort design. SETTING: Nursing homes (NHs), assisted living facilities (ALFs), community. PARTICIPANTS: A total of 470 older adults who were first-time recipients of LTSS. MEASUREMENT: Single-item quality-of-life measure assessed every 3 months over 2 years. HRQoL domains of emotional status, functional status, and social support were measured using standardized instruments. RESULTS: Multivariable mixed effects model with time varying covariates revealed that quality-of-life ratings decreased over time (P < .001). Quality-of-life ratings were higher among enrollees with fewer depressive symptoms (P < .001), higher general physical function (P < .001), enhanced emotional well-being (P < .001), and greater social support (P = .004). Ratings also were higher among those with increased deficits in activities of daily living (P = .02). Ratings were highest among enrollees who received LTSS from ALFs, followed by NHs, then home and community-based services (H&CBS), but only findings between ALFs and H&CBS were statistically significant (P < .001). Finally, ratings tended to decrease over time among enrollees with greater cognitive impairment and increase over time among enrollees with less cognitive impairment (P < .001). CONCLUSIONS: Findings advance knowledge regarding what is arguably the most important outcome of elderly LTSS recipients: quality of life. Understanding associations between multiple HRQoL domains and quality of life over time and directly from LTSS recipients represents a critical step in enhancing care processes and outcomes of this vulnerable population.},
 bibtype = {article},
 author = {Naylor, M D and Hirschman, K B and Hanlon, A L and Abbott, K M and Bowles, K H and Foust, J and Shah, S and Zubritsky, C},
 journal = {Journal of the American Medical Directors Association}
}

{"_id":"H9BpekpJALmJGEHR6","bibbaseid":"naylor-hirschman-hanlon-abbott-bowles-foust-shah-zubritsky-factorsassociatedwithchangesinperceivedqualityoflifeamongelderlyrecipientsoflongtermservicesandsupports-2015","downloads":0,"creationDate":"2017-11-23T19:05:18.331Z","title":"Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports","author_short":["Naylor, M., D.","Hirschman, K., B.","Hanlon, A., L.","Abbott, K., M.","Bowles, K., H.","Foust, J.","Shah, S.","Zubritsky, C."],"year":2015,"bibtype":"article","biburl":null,"bibdata":{"title":"Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports","type":"article","year":"2015","identifiers":"[object Object]","keywords":"Long-term care,assisted living,home- and community-based services,nursing home,quality of life","month":"9","publisher":"AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc","day":"26","city":"NewCourtland Center for Transitions and Health; University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania. Electronic address: naylor@nursing.upenn.edu.; NewCourtland Center for Transitions and Health; University of Pennsylvania School of N","id":"e33603e0-2a9e-328e-a28c-b476aa536ef0","created":"2016-08-20T16:52:14.000Z","file_attached":false,"profile_id":"217ced55-4c79-38dc-838b-4b5ea8df5597","group_id":"408d37d9-5f1b-3398-a9f5-5c1a487116d4","last_modified":"2017-03-14T09:54:45.334Z","read":false,"starred":false,"authored":false,"confirmed":"true","hidden":false,"source_type":"JOUR","notes":"LR: 20151007; CI: Copyright (c) 2015; GR: R01 AG025524/AG/NIA NIH HHS/United States; JID: 100893243; OTO: NOTNLM; 2015/02/02 [received]; 2015/07/29 [revised]; 2015/07/31 [accepted]; aheadofprint","folder_uuids":"f1983289-bfcc-4bbc-aa58-64df97457698","private_publication":false,"abstract":"OBJECTIVES: Advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. DESIGN: A prospective, observational, longitudinal cohort design. SETTING: Nursing homes (NHs), assisted living facilities (ALFs), community. PARTICIPANTS: A total of 470 older adults who were first-time recipients of LTSS. MEASUREMENT: Single-item quality-of-life measure assessed every 3 months over 2 years. HRQoL domains of emotional status, functional status, and social support were measured using standardized instruments. RESULTS: Multivariable mixed effects model with time varying covariates revealed that quality-of-life ratings decreased over time (P < .001). Quality-of-life ratings were higher among enrollees with fewer depressive symptoms (P < .001), higher general physical function (P < .001), enhanced emotional well-being (P < .001), and greater social support (P = .004). Ratings also were higher among those with increased deficits in activities of daily living (P = .02). Ratings were highest among enrollees who received LTSS from ALFs, followed by NHs, then home and community-based services (H&CBS), but only findings between ALFs and H&CBS were statistically significant (P < .001). Finally, ratings tended to decrease over time among enrollees with greater cognitive impairment and increase over time among enrollees with less cognitive impairment (P < .001). CONCLUSIONS: Findings advance knowledge regarding what is arguably the most important outcome of elderly LTSS recipients: quality of life. Understanding associations between multiple HRQoL domains and quality of life over time and directly from LTSS recipients represents a critical step in enhancing care processes and outcomes of this vulnerable population.","bibtype":"article","author":"Naylor, M D and Hirschman, K B and Hanlon, A L and Abbott, K M and Bowles, K H and Foust, J and Shah, S and Zubritsky, C","journal":"Journal of the American Medical Directors Association","bibtex":"@article{\n title = {Factors Associated With Changes in Perceived Quality of Life Among Elderly Recipients of Long-Term Services and Supports},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n keywords = {Long-term care,assisted living,home- and community-based services,nursing home,quality of life},\n month = {9},\n publisher = {AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc},\n day = {26},\n city = {NewCourtland Center for Transitions and Health; University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania. Electronic address: naylor@nursing.upenn.edu.; NewCourtland Center for Transitions and Health; University of Pennsylvania School of N},\n id = {e33603e0-2a9e-328e-a28c-b476aa536ef0},\n created = {2016-08-20T16:52:14.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {LR: 20151007; CI: Copyright (c) 2015; GR: R01 AG025524/AG/NIA NIH HHS/United States; JID: 100893243; OTO: NOTNLM; 2015/02/02 [received]; 2015/07/29 [revised]; 2015/07/31 [accepted]; aheadofprint},\n folder_uuids = {f1983289-bfcc-4bbc-aa58-64df97457698},\n private_publication = {false},\n abstract = {OBJECTIVES: Advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. DESIGN: A prospective, observational, longitudinal cohort design. SETTING: Nursing homes (NHs), assisted living facilities (ALFs), community. PARTICIPANTS: A total of 470 older adults who were first-time recipients of LTSS. MEASUREMENT: Single-item quality-of-life measure assessed every 3 months over 2 years. HRQoL domains of emotional status, functional status, and social support were measured using standardized instruments. RESULTS: Multivariable mixed effects model with time varying covariates revealed that quality-of-life ratings decreased over time (P < .001). Quality-of-life ratings were higher among enrollees with fewer depressive symptoms (P < .001), higher general physical function (P < .001), enhanced emotional well-being (P < .001), and greater social support (P = .004). Ratings also were higher among those with increased deficits in activities of daily living (P = .02). Ratings were highest among enrollees who received LTSS from ALFs, followed by NHs, then home and community-based services (H&CBS), but only findings between ALFs and H&CBS were statistically significant (P < .001). Finally, ratings tended to decrease over time among enrollees with greater cognitive impairment and increase over time among enrollees with less cognitive impairment (P < .001). CONCLUSIONS: Findings advance knowledge regarding what is arguably the most important outcome of elderly LTSS recipients: quality of life. Understanding associations between multiple HRQoL domains and quality of life over time and directly from LTSS recipients represents a critical step in enhancing care processes and outcomes of this vulnerable population.},\n bibtype = {article},\n author = {Naylor, M D and Hirschman, K B and Hanlon, A L and Abbott, K M and Bowles, K H and Foust, J and Shah, S and Zubritsky, C},\n journal = {Journal of the American Medical Directors Association}\n}","author_short":["Naylor, M., D.","Hirschman, K., B.","Hanlon, A., L.","Abbott, K., M.","Bowles, K., H.","Foust, J.","Shah, S.","Zubritsky, C."],"bibbaseid":"naylor-hirschman-hanlon-abbott-bowles-foust-shah-zubritsky-factorsassociatedwithchangesinperceivedqualityoflifeamongelderlyrecipientsoflongtermservicesandsupports-2015","role":"author","urls":{},"keyword":["Long-term care","assisted living","home- and community-based services","nursing home","quality of life"],"downloads":0},"search_terms":["factors","associated","changes","perceived","quality","life","elderly","recipients","long","term","services","supports","naylor","hirschman","hanlon","abbott","bowles","foust","shah","zubritsky"],"keywords":["long-term care","assisted living","home- and community-based services","nursing home","quality of life"],"authorIDs":[]}