title: Longitudinal Changes in Nursing Home Resident-Reported Quality of Life: The Role of Facility Characteristics.
abstract: Improving quality of nursing homes (NHs) is a major social priority, yet few studies examine the role of facility characteristics for residents' quality of life (QOL). This study goes beyond cross-sectional analyses by examining the predictors of NH residents' QOL on the facility level over time. We used three data sources, namely resident interviews using a multidimensional measure of QOL collected in all Medicaid-certified NHs in Minnesota (N = 369), resident clinical data from the minimum data set, and facility-level characteristics. We examined change in six QOL domains from 2007 to 2010, using random coefficient models. Eighty-one facilities improved across most domains and 85 facilities declined. Size, staffing levels (especially activities staff), and resident case mix are some of the most salient predictors of QOL over time, but predictors differ by facility performance status. Understanding the predictors of facility QOL over time can help identify facility characteristics most appropriate for targeting with policy and programmatic interventions.
authors: Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA tshippee@umn.edu.
authors: Tetyana P
authors: TP
authors: Shippee
authors: Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN, USA.
authors: Hwanhee
authors: H
authors: Hong
authors: Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
authors: Carrie
authors: C
authors: Henning-Smith
authors: Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
authors: Robert L
authors: RL
authors: Kane
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008134:Long-Term Care / Q000523:psychology* / Q000706:statistics & numerical data*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008910:Minnesota / Q000453:epidemiology; D009735:Nursing Homes / Q000706:statistics & numerical data*; D011788:Quality of Life / Q000523:psychology*; D012111:Residence Characteristics / Q000706:statistics & numerical data*
keywords: long-term care; longitudinal analysis; nursing homes
references: Gerontologist. 2008 Oct;48(5):584-92
references: 18981275
references: J Aging Health. 2013 Jun;25(4):574-88
references: 23511654
references: Med Care. 2011 Jun;49(6):545-52
references: 21577182
references: Am J Public Health. 2001 Sep;91(9):1452-5
references: 11527781
references: Arch Gerontol Geriatr. 2013 Sep-Oct;57(2):127-42
references: 23623273
references: Health Aff (Millwood). 2010 Jan-Feb;29(1):74-80
references: 20048363
references: Br J Ophthalmol. 2009 Feb;93(2):240-3
references: 18971236
references: J Am Geriatr Soc. 2007 Jun;55(6):832-9
references: 17537082
references: J Gerontol B Psychol Sci Soc Sci. 2000 Mar;55(2):P117-27
references: 10794190
references: J Gerontol A Biol Sci Med Sci. 2003 Mar;58(3):240-8
references: 12634291
references: Gerontologist. 2012 Oct;52(5):632-40
references: 22230491
references: Gerontologist. 2011 Oct;51(5):610-6
references: 21602292
references: Gerontologist. 2015 Aug;55(4):643-55
references: 24352532
references: Res Nurs Health. 1990 Aug;13(4):263-70
references: 2374834
references: Gerontologist. 2004 Oct;44(5):633-43
references: 15498839
references: Gerontologist. 2001 Jun;41(3):293-304
references: 11405425
references: BMC Geriatr. 2011 May 03;11:20
references: 21539731
references: QRB Qual Rev Bull. 1992 Nov;18(11):356-60
references: 1465293
references: Med Care. 2003 Dec;41(12):1318-30
references: 14668664
references: Health Aff (Millwood). 2013 Sep;32(9):1631-8
references: 24019369
references: J Rural Health. 2002;18 Suppl:256-69
references: 12061518
references: Gerontologist. 2003 Apr;43 Spec No 2:28-36
references: 12711722
references: Health Serv Res. 2006 Apr;41(2):335-56
references: 16584452
references: Gerontologist. 2014 Jun;54(3):434-45
references: 23514674
references: J Gerontol B Psychol Sci Soc Sci. 2000 Sep;55(5):S278-87
references: 10985299
references: J Am Geriatr Soc. 2006 Sep;54(9):1325-33
references: 16970638
references: Gerontologist. 1999 Jun;39(3):345-55
references: 10396892
references: Gerontologist. 2013 Apr;53(2):205-10
references: 22859435
references: Health Aff (Millwood). 2010 Feb;29(2):312-7
references: 20056692
references: Gerontologist. 2010 Aug;50(4):426-42
references: 20631035
references: J Aging Soc Policy. 2007;19(2):125-51
references: 17409050
references: Int J Geriatr Psychiatry. 2005 Mar;20(3):232-7
references: 15717339
references: BMJ. 2003 Mar 15;326(7389):580
references: 12637404
references: J Am Med Dir Assoc. 2012 Jan;13(1):48-53
references: 21450203
references: Int J Geriatr Psychiatry. 2000 Feb;15(2):181-9
references: 10679850
references: J Aging Soc Policy. 2009 Oct-Dec;21(4):318-37
references: 20092125
references: Gerontologist. 2007 Oct;47(5):650-61
references: 17989407
references: J Gerontol Nurs. 1996 Aug;22(8):36-45
references: 8826283
references: Med Care. 2010 Apr;48(4):357-64
references: 20220535
references: Gerontologist. 2004 Oct;44(5):624-32
references: 15498838