Abstract
Objectives
Although assessing individual consumer preferences are an important first step in
providing person-centered care, the purpose of this study was to identify the top
10 shared preferences that are important to a majority of consumers receiving long-term
services and supports.
Design
A cross-sectional survey design was used.
Setting and participants
Preference assessment interviews were conducted with 255 nursing home (NH) residents
and 528 older adults receiving home and community-based services (HCBS).
Measurements
The Preferences for Everyday Living Inventory (PELI) was used to collect consumer
preference information. Two versions of the PELI were used—the PELI-NH for NH residents
and the PELI-HC for clients receiving HCBS and analysis focused on 41 shared items
between the 2 versions. All respondents answered PELI questions independently and
rated the importance of psychosocial preference items on a scale from not at all to
a lot/very important.
Results
Ten preferences were shared as being important or very important by NH residents and
older adults receiving HCBS. Most notably, more than 90% of respondents in each group
rated “having regular contact with family” as an important priority. Having privacy,
choices about what to eat, when to bathe, and activity options also were important
preferences for a majority (77%-93%) in both settings.
Conclusion
Providers seeking to incorporate preference-based care can utilize study results as
a foundation to incorporating important preferences into the care delivery process
at the organizational level across care settings. For example, assessing all consumers
on this core set of 10 shared preferences can assist with relationship building, transitions
in care, and quality improvement. However, preferences with aggregate low-rated levels
of importance in this study should not be discredited or eliminated. It is important
for providers to understand the unique preference inventory of each older adult, which
can then be targeted toward meeting goals for preference fulfillment. This can aid
in bringing preferences into practice to improve the quality of care and quality of
life to best meet the psychosocial needs of each person.
Keywords
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Article info
Publication history
Published online: November 14, 2017
Footnotes
The authors declare no conflicts of interest.
This work was made possible by generous funding from an NINR grant (R21NR011334: PI Van Haitsma) and the Patrick and Catherine Weldon Donaghue Medical Research Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research, the National Institutes of Health, or the Donaghue Foundation.
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© 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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- Person-Centered Care Planning: Preferences Are a PriorityJournal of the American Medical Directors AssociationVol. 19Issue 2
- PreviewIn their accompanying article on assessment of preferences and priorities of both community-dwelling and institutionalized elders, Abbott et al1 have compiled a practical “best-of” list of important quality-of-life determinants that we clinicians can use in our daily work. The notion of person-centered care has been a welcome guiding principle in general medical practice, and specifically in geriatrics and long-term care, for quite some time. In fact, a PubMed search reveals the notion of person-centered (as differentiated from patient-centered) care first mentioned almost 50 years ago in the nursing literature.
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