title: Frailty determinants in two long-term care settings: Assistant living facilities and home and community-based programs.
abstract: There is limited knowledge on differences in frailty among residents in assisted living facilities (ALF) and home and community-based services (HCBS). This study used a retrospective cross-sectional design to compare frailty determinants in two long-term care settings. The HCBS setting had a greater proportion of positive responses to 9 of 14 frailty indicators. The ALF setting had a greater proportion to only 2 of the 14 frailty indicators. The finding that the HCBS setting had a significantly greater proportion of participants with positive frailty indicators as compared to the ALF setting suggests the degree of frailty risk is different by health care setting.
authors.affiliation: a Duke University School of Nursing , Durham , North Carolina , USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Tocchi
authors.affiliation: b Yale University School of Nursing , West Haven , Connecticut , USA.
authors.forename: Ruth
authors.initials: R
authors.lastname: McCorkle
authors.affiliation: b Yale University School of Nursing , West Haven , Connecticut , USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Dixon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities / Q000458:organization & administration; D016009:Chi-Square Distribution; D003153:Community Health Services / Q000379:methods / Q000458:organization & administration; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis; D005260:Female; D000073496:Frailty / Q000145:classification / Q000175:diagnosis*; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D008134:Long-Term Care / Q000379:methods*; D008297:Male; D008484:Medicaid; D009518:New York; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies; D012307:Risk Factors; D014481:United States
keywords: Community and home care; geriatrics; long-term care; research