title: Examining Clinical Predictors of Change in Recreational Preference Congruence Among Nursing Home Residents Over Time.
abstract: There remains a significant gap in the field regarding the measurement of preference-based care over time in nursing homes (NHs). This study discusses the use of a quality indicator that tracks recreational preference congruence (PC; that is, the match between NH residents' important preferences in recreational activities and their weekly attendance in these preferred activities).
  
  
  
  Using a sample of 199 older adults, we examine the change in PC over 52 weeks using multilevel-mixed effects regression analyses.
  
  
  
  PC over time is highly variable and residents with greater functional limitations (vision, language comprehension, incontinence) and no diagnoses of mental health or neurological disorders have lower PC over time.
  
  
  
  Certain clinical characteristics have greater impact on resident PC over time. Particular attention needs to be given to the recreational attendance of residents with incontinence, and visual and language comprehension difficulties.
authors.affiliation: 1 Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.
authors.forename: Allison R
authors.initials: AR
authors.lastname: Heid
authors.affiliation: 2 The Pennsylvania State University, University Park, USA.|3 The Madlyn and Leonard Abramson Center for Jewish Life, North Wales, PA, USA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Van Haitsma
authors.affiliation: 3 The Madlyn and Leonard Abramson Center for Jewish Life, North Wales, PA, USA.
authors.forename: Morton
authors.initials: M
authors.lastname: Kleban
authors.affiliation: 2 The Pennsylvania State University, University Park, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Rovine
authors.affiliation: 4 Miami University, Oxford, OH, USA.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Abbott
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000369:Aged, 80 and over; D003258:Consumer Behavior; D005260:Female; D006801:Humans; D008297:Male; D009735:Nursing Homes; D057240:Patient Preference; D018802:Patient-Centered Care / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration*; D011998:Recreation
keywords: assessment; consumer directed care; nursing home residents; person-centered care; recreational preferences