Journal articles: 'Long-term community living'

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Koltz, Daniel, and Rebecca Koltz. "SUCCESSFUL TRANSITIONS TO LONG-TERM CARE COMMUNITIES." Innovation in Aging 6, Supplement_1 (November 1, 2022): 701. http://dx.doi.org/10.1093/geroni/igac059.2566.

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Abstract Older adults who transition to independent and assisted-living communities perceive their transition experience differently. This research focused on understanding what factors were predominant for a successful transition from a long-time home to a dependent living community. A constructivist grounded theory method was used to explore the experiences of 18 older adults who had relocated within the past year. The participants of this study were aged 65-95 years and are equally represented by gender. Equal numbers of respondents transitioned into independent and assisted-living accommodations. Five factors related to a central concept of behavioral attitude were found to be key for a successful transition. When an older adult reported a successful transition, their behavioral attitude was positive about their new living environment. The five factors that contributed to their positive attitude are creating a new place, increased community integration, sense of safety and security, independence while dependent, and accepting a new life stage. The theory that emerged from the research emphasizes that when an older adult has increased awareness about the five factors associated with adapting to a dependent living community, this awareness will promote a positive behavioral attitude and increase the opportunity for success during and after a transition. Family members, LTC community administrators and social workers could all benefit from understanding these factors for a successful transition. Enhancing a positive experience for an older adult and improving their behavioral attitude toward the new transition.

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Bentley, David W. "Tuberculosis in Long-Term Care Facilities." Infection Control & Hospital Epidemiology 11, no. 1 (January 1990): 42–46. http://dx.doi.org/10.1086/646077.

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Persons age 65 and over constitute the largest reservoir of Mycobacterium tuberculosis infection in the United States today. During 1987, 6,150 tuberculosis cases were reported among this high-risk group. These cases represent 27% of the total US tuberculosis morbidity, although this age group constitutes only 12% of the US population. Tuberculosis case rates in the United States are higher among the elderly (20.6 per 100,000) than among all other age groups (average 9.3 per 100,000).More Americans live in nursing homes than in any other type of residential institution; on any given day approximately 5% of all elderly persons are living in a nursing home. Elderly nursing home residents are at greater risk for tuberculosis than elderly persons living in the community. In a Centers for Disease Control (CDC)-sponsored survey of 15,379 routinely-reported tuberculosis cases from 29 states, 8% of the 4,919 cases that occurred among elderly persons occurred among residents of nursing homes. The incidence of tuberculosis among nursing home residents was 39.2 per 100,000 person years, whereas the incidence of tuberculosis among elderly persons living in the community was 21.5 per 100,000. The observed rate of tuberculosis among nursing home employees was three times the rate expected in employed adults of similar age, race and sex (CDC, unpublished data).

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Hobbs, Coletta, Lesley Newton, Christopher Tennant, Alan Rosen, and Kate Tribe. "Deinstitutionalization for Long-Term Mental Illness: A 6-Year Evaluation." Australian & New Zealand Journal of Psychiatry 36, no. 1 (February 2002): 60–66. http://dx.doi.org/10.1046/j.1440-1614.2002.00984.x.

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Objective: Forty-seven patients with long-term mental illness were transferred to the community following the closure of a psychiatric hospital in Sydney. This 6-year evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-years of community transition. Method: Quantitative evaluation was conducted using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Assessments were completed prior to discharge and at two- and 6-year intervals following community transfer. Repeated measures analysis was utilized to determine changes in outcome variables over time. The residents' perception of 6-years of community living was explored in qualitative semistructured interviews. Details of accommodation, level of care, readmissions, incidents and medication were also documented. Results: During the 6 years following community relocation a total of seven residents returned to hospital for long-term care, three residents died from medical causes and one resident required detention in a corrective services facility. The 36 residents who remained in the community at the 6-year follow-up no longer required intensive 24-h supervision. Living semi-independently, 23 residents resided in two to three person accommodation with either daily or weekly case manager visits. Clinically, community residents remained stable over the 6 years without significant changes in psychiatric symptoms, depression, living skills or social behaviour problems. Clinical stability was achieved with significant reduction in medication levels over the 6 years. Community-based residents continued to experience improved quality of life and reported their marked preference for living in the community. Conclusion: The residents maintained community tenure with significant improvement in quality of life and a reduction in medication, supported by a mental health system with adequate community resources. Issues regarding continuing rehabilitation and social integration need to be addressed. Further deinstitutionalization will require 24-h supervision for most initially and for some on a continuing basis. An ageing population will require specific age related medical and psychiatric services.

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Jorm, Anthony F., David Grayson, Helen Creasey, Louise Waite, and G. A. Broe. "Long-term benzodiazepine use by elderly people living in the community." Australian and New Zealand Journal of Public Health 24, no. 1 (February 2000): 7–10. http://dx.doi.org/10.1111/j.1467-842x.2000.tb00715.x.

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Kinney, Eleanor D., Jay A. Freedman, and Cynthia A. Loveland Cook. "Quality Improvement in Community-Based, Long-Term Care: Theory and Reality." American Journal of Law & Medicine 20, no. 1-2 (1994): 59–77. http://dx.doi.org/10.1017/s0098858800006432.

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Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.

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Panes, Vanessa Clivelaro Bertassi, Magali de Lourdes Caldana, Maria José Sanches Marin, Patricia Ribeiro Mattar Damiance, and Patrick Alexander Wachholz. "Perceived quality of life and frailty among older people living in different settings." Geriatrics, Gerontology and Aging 14, no. 4 (2020): 244–51. http://dx.doi.org/10.5327/z2447-212320202000070.

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OBJECTIVE: To analyze the perceived quality of life of older people living in the community and long-term care facilities, and correlate it with the presence of frailty. METHODS: This is a quantitative, analytical, cross-sectional study in which 136 older people were interviewed, half were living in the community and the other half were living in long-term care facilities. The Edmonton Frail Scale was used to identify frailty, and the World Health Organization Quality of Life – Bref (WHOQOL-BREF) and World Health Organization Quality of Life Assessment for Older Persons (WHOQOL-OLD) questionnaires were used to measure quality of life. Analysis of variance and Pearson correlation coefficients were used for intragroup analyses. RESULTS: A greater proportion of older people living in long-term care facilities were frail. Perceived quality of life was better among people living in the community, according to both questionnaires, particularly in the domains social relations, environment, and death and dying. The worst scores were observed in the autonomy domain, particularly among older people living in long-term care facilities. In the majority of domains, older people with frailty had worse perceived quality of life scores. CONCLUSIONS: The absence of frailty favors a better perception of the quality-of-life domains, as does living in the community.

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O’Donohue, Diane, Georgie Winsor, Robyn Gallagher, Judy Maughan, Katherine Dooley, and Joan Walsh. "Issues for people living with long-term urinary catheters in the community." British Journal of Community Nursing 15, no. 2 (February 2010): 65–70. http://dx.doi.org/10.12968/bjcn.2010.15.2.46392.

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Thomas, Kali S., Danielle Cote, Rajesh Makineni, Orna Intrator, Bruce Kinosian, Ciaran S. Phibbs, and Susan M. Allen. "Change in VA Community Living Centers 2004–2011: Shifting Long-Term Care to the Community." Journal of Aging & Social Policy 30, no. 2 (January 8, 2018): 93–108. http://dx.doi.org/10.1080/08959420.2017.1414538.

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Marrie, Thomas J. "Pneumonia in the Long-Term-Care Facility." Infection Control & Hospital Epidemiology 23, no. 3 (March 2002): 159–64. http://dx.doi.org/10.1086/502030.

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AbstractPneumonia is a common infection among residents of long-term-care facilities (LTCFs), with an incidence of 1.2 episodes per 1,000 patient-days. This rate is believed to be six- to tenfold higher than the rate of pneumonia among elderly individuals living in the community. The risk factors for pneumonia among residents of LTCFs are profound disability, bedridden state, urinary incontinence, difficulty swallowing, malnutrition, tube feedings, contractures, and use of benzodiazepines and anticholinergic medications. An elevated respiratory rate is often an early clue to pneumonia in this group of patients. Staphylococcus aureus (including methicillin-resistant S. aureus) and aerobic gram-negative bacilli (including multidrug-resistant isolates) are more frequent causes of pneumonia in this setting than in the community. Criteria have been developed that help identify patients for treatment in their LTCFs.

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Robinson, Patricia. "Long-term conditions and severe acute respiratory syndrome SARS-CoV-2 (COVID-19)." British Journal of Community Nursing 25, no. 5 (May 2, 2020): 247–51. http://dx.doi.org/10.12968/bjcn.2020.25.5.247.

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Observation of infection trends through the course of the ongoing COVID-19 pandemic has indicated that those with certain pre-existing chronic conditions, such as hypertension, chronic obstructive pulmonary disease and obesity, are particularly likely to develop severe infection and experience disastrous sequelae, including near-fatal pneumonia. This article aims to outline how SARS-CoV-2 affects people and to consider why individuals living with long-term conditions are at increased risk from infection caused by this virus. A summary of available clinical guidelines with recommendations is presented, to provide community nurses with the up-to-date information required for protecting individuals living with a number of long-term conditions. Additionally, special measures required are outlined, so that community nurses may reflect on how to best provide nursing care for individuals living with long-term conditions and understand protection measures for individuals at increased risk from severe COVID-19.

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Spirgienė, Lina, Pirkko Routasalo, and Jūratė Macijauskienė. "Resources of Residents for Potential Transition from Long-Term Care to Community." Medicina 49, no. 12 (January 4, 2014): 82. http://dx.doi.org/10.3390/medicina49120082.

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Background and Objective. Transition from long-term care to the community can have positive effects on residents’ health and quality of life and promote the feelings of happiness, safety, and independence. The aim of this study was to examine residents’ resources for potential transition to the community after residing in long-term care facilities. Material and Methods. The study was conducted in 8 long-term care institutions for older persons of Kaunas county. The study population comprised 252 residents. The items contained in the interRAI Long-Term Care Facility assessment instrument were used to evaluate a consistent positive outlook, social activities, and discharge potential. Cognitive impairment was measured using the Cognitive Performance Scale. Activities of daily living were measured using the Activities of Daily Living Hierarchy Scale. Results. More than 10% of the residents exhibited no cognitive impairment. One-third of the residents preferred to transition back to the community from their long-term care facility. Twothirds expressed that they had familiar surroundings, which could be assumed to increase their feeling of safety at home. Social activities prevalent among residents included taking care of plants and walking outdoors. About 40% of the residents were physically independent in the activities of daily living. In spite of these resources, no residents were involved in a discharge process due to the lack of established nursing and social care services and transitional care plans. Conclusions. With well-organized community services, some residents in long-term care facilities may have enough resources to live in the community.

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Quarry, Andrew, and Rosemary Rayner. "Assessing Needs in the Community." Bulletin of the Royal College of Psychiatrists 12, no. 1 (January 1988): 19–21. http://dx.doi.org/10.1192/s0140078900018988.

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We were asked to do some research into the needs of people with long-term mental health problems who were living in the community. The main questions which sprang to mind were WHO, WHAT, and HOW to approach this.

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Wilson, K. C. M., P. G. Mottram, L. Ashworth, and M. T. Abou-Saleh. "Older community residents with depression: long-term treatment with sertraline." British Journal of Psychiatry 182, no. 6 (June 2003): 492–97. http://dx.doi.org/10.1192/bjp.182.6.492.

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BackgroundDespite a growing use of selective serotonin reuptake inhibitors in older people, only one trial has examined their prophylactic efficacy in people aged 65 years and over.AimsTo examine the efficacy of sertraline in preventing the recurrence of depression in older people living in the community.MethodParticipants were openly treated with sertraline and then randomised into a double-blind, placebo-controlled continuation/maintenance study of about 2 years duration. Drug dosage was maintained at levels that achieved remission.ResultsNo significant difference between the sertraline and placebo groups was found in the proportion of recurrences (–7.9%; 95% CI –28.06 to 12.23). Increased age and minor residual symptoms during the continuation phase were associated with recurrence.ConclusionsSertraline at therapeutic dosage does not provide significant protection against recurrence.

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Wallis, Stephen J., and Gordon A. Campbell. "Preventing falls and fractures in long-term care." Reviews in Clinical Gerontology 21, no. 4 (April 18, 2011): 346–60. http://dx.doi.org/10.1017/s0959259811000104.

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SummaryThe prevalence of falls and associated injuries increases with age and dependency. The highest occurs among individuals living in long-term care institutions. Preventing falls results in reduced physical and psychological morbidity as well as having cost-saving implications. This review explores both uni- and multifactorial approaches to reducing fall rates and risk in individuals in long-term care, as well as highlighting the differences in this group from community-dwelling individuals.

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Hobbs, Coletta, Christopher Tennant, Alan Rosen, Lesley Newton, Helen M. Lapsley, Kate Tribe, and Judith E. Brown. "Deinstitutionalisation for Long-Term Mental Illness: A 2-Year Clinical Evaluation." Australian & New Zealand Journal of Psychiatry 34, no. 3 (June 2000): 476–83. http://dx.doi.org/10.1080/j.1440-1614.2000.00734.x.

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Objective: The closure of a long-stay psychiatric hospital in Sydney caused the transfer of an initial 40 very long-term patients to four community residences, each with 10 beds, for a continuing process of deinstitutionalisation. Community psychiatric service support and 24-h supervision were provided. This paper describes the residents' clinical progress which was assessed over a 2-year period. Method: This study employed a quasi-experimental longitudinal design. Evaluation commenced prior to discharge and continued for 2 years following community relocation using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Readmission, demographic, case history and medication data were also collected. Results: Of the 40 patients initially transferred to the community, seven required long-term readmission to hospital (either prior to or after amalgamation) and one patient died of medical causes. Additional patients transferred from the hospital to the community following the readmissions. Three of these additional patients had achieved a 2-year community tenure during the study period and were included in the clinical evaluation. The 35 residents in total who remained in the community for 2 years, demonstrated a significant improvement in psychotic symptoms, without significant change in the level of neuroleptic medication. Importantly, the 2 years of community living resulted in a significant increase in the residents' life satisfaction. There were no statistically significant changes in residents' living skills, depressive symptoms or social behaviour problems over the 2 years, indicative of the need for supervision and community service support following deinstitutionalisation. Over the 2-year period, some 37% of the residents required temporary readmission. Conclusion: This study demonstrates the clinical effectiveness of deinstitutionalisation, when planned within a mental health system with adequate community resources.

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Hahn, Ellen J., Kathy Rademacher, Amanda Bucher, Karlee Sine, Amanda T. Wiggins, and Mary Kay Rayens. "Smoke-Free Policy Disparities in Long-Term Care Facilities." American Journal of Health Promotion 36, no. 3 (January 23, 2022): 403–9. http://dx.doi.org/10.1177/08901171211051333.

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Older adults in long-term care (LTC) facilities suffer disproportionately from health conditions caused or worsened by secondhand smoke. Long-term care facilities in many states and municipalities permit smoking. Americans for Nonsmokers’ Rights compiles data on smoke-free policies only in institutional facilities (e.g., nursing homes), but not in transitional (e.g., independent living) or community-based settings (e.g., adult day). A cross-sectional, observational study was conducted of smoke-free policies using cluster random sampling in Kentucky to compare differences in policy location of coverage and strength of smoke-free policies in institutional, transitional, and community-based LTC facilities by rural/urban status. Online or phone surveys of LTC administrators representing 306 facilities were conducted. Of the facilities sampled, 35.5% were institutional, 33.4% transitional, 25.1% community-based, and 6.0% multi-type. Only one in five (19.6%) facilities restricted smoking indoors and outdoors. Only 17.3% of the policies were comprehensive (i.e., prohibiting use of all tobacco products by all persons living, frequenting, or working in LTC facilities). Compared to transitional facilities, institutional and community-based facilities were more likely to have comprehensive policies and restrict smoking indoors and outdoors. Facilities located in rural communities were less likely to restrict smoking indoors or outdoors and less likely to have comprehensive smoke-free policies, reflecting a disparity in policy protections. Strong, consistent smoke-free policies and policy enforcement are needed to reduce the disparity in smoke-free protections for older adults, LTC employees, and visitors. More research is needed to investigate the best strategies for implementing and enforcing policies that completely restrict smoking in all LTC facilities.

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Pan, F., X. Han, N. B. McLaughlin, X. Han, C. Li, D. Zhao, L. Zhan, and Y. Xu. "Effect of long-term fertilization on free-living nematode community structure in Mollisols." Journal of soil science and plant nutrition, ahead (2015): 0. http://dx.doi.org/10.4067/s0718-95162015005000011.

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Sharp, Nancy. "NP Ownership of Home Care, Long-term Care, Assisted Living, and Community Care." Nurse Practitioner 24, no. 12 (December 1999): 51???59. http://dx.doi.org/10.1097/00006205-199912000-00005.

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Morin, Diane, Louise Saint-Laurent, Clémence Dallaire, Gisèle Boucher-Dancause, Sylvie Lalancette, and Nancy Leblanc. "Living in the Community While Waiting for an Admission in Long-term Care." Journal of Nursing Care Quality 22, no. 1 (January 2007): 66–72. http://dx.doi.org/10.1097/00001786-200701000-00013.

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Nadash, Pamela, Pamela Doty, Kevin J. Mahoney, and Matthias Von Schwanenflugel. "European Long-Term Care Programs: Lessons for Community Living Assistance Services and Supports?" Health Services Research 47, no. 1pt1 (October 18, 2011): 309–28. http://dx.doi.org/10.1111/j.1475-6773.2011.01334.x.

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Friedmann, Erika, Sue A. Thomas, and Heesook Son. "Pets, Depression and Long-term Survival in Community Living Patients Following Myocardial Infarction." Anthrozoös 24, no. 3 (September 2011): 273–85. http://dx.doi.org/10.2752/175303711x13045914865268.

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Yao, Ching-Teng, Chien-Hsing Tseng, and Yu-Ming Chen. "From Needs and Dilemmas Facing View of Elderly People Living with HIV/AIDS Long-Term Care Measures in Taiwan." Asian Social Science 13, no. 10 (September 27, 2017): 18. http://dx.doi.org/10.5539/ass.v13n10p18.

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The life of people living with HIV has been prolonged with HAART, and since 1997 the introduction of antiretroviral HAART in Taiwan has increased the survival rate of infected people to 85.9%. Therefore, with the extension of the life of people living with HIV and the entry into the old age, how to provide suitable long-term care services is an issue that Taiwan policy needs to face and think. This research through surveys and interviews to find Taiwan elderly people living with HIV in Taiwan needs and plight of the contains (1) diseases and health care issues, (2) social prejudice and discrimination (3) psychology and adjustment of the identity and reflection (4) adjustment of interpersonal relationships. According to the empirical data shows Taiwan's long-term care measures in difficulties arising in the care for older people living with HIV (1) non-suitable for elderly people living with HI community long-term care services; (2) long-term care institution the exclusion of people living with HIV (3) lack of financial resources of older living with HIV with using institutional long term care. (4) the incoherence of HIV medical and long-term care measures. (5) course focuses on long-term care health care, neglect the psychosocial dimensions of older people living with HIV. This study attempts to present long-term care of the elderly people living with HIV needs and challenges and dilemmas facing in Taiwan.

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Fabius, Chanee, and Philippa Clarke. "Social and Physical Contexts of Long-Term Services and Supports." Innovation in Aging 4, Supplement_1 (December 1, 2020): 711. http://dx.doi.org/10.1093/geroni/igaa057.2501.

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Abstract In the coming years, inevitably growing numbers of older populations will yield more older Americans with extensive medical and long-term care needs. This will lead to an increasing need for long-term services and supports (LTSS) to assist older adults with routine daily activities (e.g., bathing, dressing, medication management). There is a growing interest in understanding how social and physical environments contribute to health outcomes and the provision of services and resources for older persons with disabilities requiring assistance from LTSS. Decisions about care and subsequent experiences are likely a result of factors that extend beyond personal preference or individual factors, such as neighborhood quality, housing context, and living situations (i.e., homebound status) among community-dwelling older adults. Given population aging and the shift of LTSS from nursing homes toward community settings, there is a pressing need for more information about contextual factors that might help better develop supports for vulnerable older adults. This symposium will feature four presentations that provide novel insight regarding social and physical contextual factors contributing to LTSS. Presentations leverage data from the National Health and Aging Trends Study (NHATS), a nationally representative survey of Medicare beneficiaries aged 65 and older, and will describe: 1) associations between individual and home environment risk-factors, neighborhood-level social deprivation, and falls; 2) the relationship between neighborhood-level social deprivation and caregiving intensity (number of hours of caregiving per week) among community-dwelling older adults; 3) associations between living in single-family vs. multi-unit housing and social networks; and 4) community tenure among homebound older adults.

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Boamah, Sheila A., Rachel Weldrick, Tin-Suet Joan Lee, and Nicole Taylor. "Social Isolation Among Older Adults in Long-Term Care: A Scoping Review." Journal of Aging and Health 33, no. 7-8 (March 27, 2021): 618–32. http://dx.doi.org/10.1177/08982643211004174.

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Objectives: A wealth of literature has established risk factors for social isolation among older people; however, much of this research has focused on community-dwelling populations. Relatively little is known about how risk of social isolation is experienced among those living in long-term care (LTC) homes. We conducted a scoping review to identify possible risk factors for social isolation among older adults living in LTC homes. Methods: A systematic search of five online databases retrieved 1535 unique articles. Eight studies met the inclusion criteria. Results: Thematic analyses revealed that possible risk factors exist at three levels: individual (e.g., communication barriers), systems (e.g., location of LTC facility), and structural factors (e.g., discrimination). Discussion: Our review identified several risk factors for social isolation that have been previously documented in literature, in addition to several risks that may be unique to those living in LTC homes. Results highlight several scholarly and practical implications.

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Abrahamson, David. "Shared housing and long-term mental illness." Housing, Care and Support 17, no. 1 (March 12, 2014): 41–47. http://dx.doi.org/10.1108/hcs-12-2013-0026.

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Purpose – The purpose of this paper is to give an account by a rehabilitation psychiatrist of many years of involvement in shared housing for former long-stay hospital residents and other long-term mental health service users. Design/methodology/approach – The paper offers a personal view based on developments in one locality of East London, blending case study narrative with cited earlier published papers that confirm and/or give greater detail on specific aspects of the experience gained. Findings – Long-term mental health service users, given the opportunity via shared housing to develop more lasting and natural relationships, proved to have social and interactive capacity that was obscured by both the conditions of hospital wards and by isolating accommodation “in the community”. The experience provides lessons for a better understanding of patients’ problems. Practical implications – Shared housing is often seen as simply a poor substitute for independent living; but the experience recounted here suggests that shared living may have particular value for some client groups. Originality/value – The housing developments and the associated research remain unusual and of potential value for planners of long-term services.

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Murray, Laura A., and Melinda Heinz. "QUALITY OF CARE IN A LONG-TERM CARE COMMUNITY." Innovation in Aging 3, Supplement_1 (November 2019): S506. http://dx.doi.org/10.1093/geroni/igz038.1871.

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Abstract Older adults may need to reside in long-term care facilities for additional assistance. However, research indicates differences in the quality of care. The purpose of this study was to conduct a naturalistic observation, recording factors affecting the quality of care residents received in a long-term care community. Over a three-week period, observations took place in the nursing home, assisted living, and memory care portions of the community. We predicted that there would be more issues negatively impacting quality of care in the nursing home area due to its medical model philosophy. Open-observations were recorded, coded, and analyzed for themes. Results indicated that the most significant issue influencing quality of care in all areas of the long-term care facility was communication (N = 57 recorded instances). Approximately 66% of recorded communication issues in the nursing home were negative compared to positive (25%) or neutral (8%) instances. Elderspeak was prevalent with staff using high pitched voices or saying “hun” to residents. At times, staff spoke too loudly to residents who did not have hearing impairment or would talk about residents in front of other residents, not taking into consideration privacy. In the memory care environment, positive examples were noted. Staff was friendly and worked together as a team, creating a positive work environment. Overall, results indicated staff members may need professional development in the area of communication, particularly staff working in the nursing home. In addition, reminding staff while it is their workplace it is also the resident’s home would be beneficial.

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Trieman, Noam, and Julian Leff. "Long-term outcome of long-stay psychiatric in-patients considered unsuitable to live in the community." British Journal of Psychiatry 181, no. 5 (November 2002): 428–32. http://dx.doi.org/10.1192/bjp.181.5.428.

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BackgroundWhereas the majority of long-stay in-patients have been successfully resettled in the community there is a group of such patients who are too disturbed or disturbing to be managed in standard community homes.AimsTo study the long-term outcome of a group of 72 long-stay psychiatric inpatients, regarded as unsuitable for community placement.MethodA prospective cohort study with follow-ups at 1 year and 5 years.ResultsThe patients' mental state remained unchanged after 1 year and 5 years. The level of functioning and social behaviour showed minimal change after 1 year, but then improved over the next 4 years. The profile of problematic behaviours changed significantly over 5 years, with a reduction of 50% in their frequency Physical aggression practically disappeared. The improvements in behaviour enabled 29 patients (40% of the study group) finally to be resettled in various care homes, gaining better access to community amenities and living more independently.ConclusionsA high proportion of patients with severe disabilities, designated as difficult to place’ in the community, could benefit from slow-stream rehabilitation within specialised facilities, enabling them to move into ordinary community homes.

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Mowbray, Carol T., and Philip Chamberlain. "Sex Differences Among the Long-Term Mentally Disabled." Psychology of Women Quarterly 10, no. 4 (December 1986): 383–92. http://dx.doi.org/10.1111/j.1471-6402.1986.tb00763.x.

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Although the “chronically mentally ill” have become a subject of national concern and although differences among the young, old, and minorities have been recognized, sex differences have been largely ignored. The authors describe the experientially determined problems of long-term mentally disabled women. Research is presented from a review of 320 hospital records of patients served in seven community and state hospitals throughout Michigan, encompassing client variables and service information. Significant sex differences were found for client age, marital status, living arrangement, diagnosis, functioning level, voluntary/involuntary status, admission information, medications, medical care and destination post-discharge. Many of the results confirm stereotypes of sex differences in institutionalized populations (age, diagnosis, and so forth). Other results, such as more women living independently and no sex differences in violent behaviors, are contrary to popular assumptions. Using case studies, the authors further discuss the important issues suggested by the results, e.g., why women become psychiatric patients, discharge planning, and over-medications. A plea is made for a greater amount and intensity of research on women with long-term mental disabilities.

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SANYAL, USHA, and SUMBUL FARAH. "Discipline and Nurture: Living in a girls’ madrasa, living in community." Modern Asian Studies 53, no. 2 (September 5, 2018): 411–50. http://dx.doi.org/10.1017/s0026749x17000166.

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AbstractThis article presents an ethnography of a contemporary residential madrasa for teenage Muslim girls in a North Indian town undertaken by a team of two researchers. We focused on different aspects of the overall study, with Sanyal conducting participant observation within the madrasa and Farah interviewing a select number of graduates and former students in their home environments. The result is a comprehensive picture of the madrasa's transformative role in the socio-religious lives of its students, which highlights the importance of the connections between the madrasa and the home.Of significance are the religious and denominational orientation of the madrasa—Barelwi Sunni Muslim—as well as the working-class status of the girls and their parents’ low level of education. With limited resources, the madrasa inculcates in the students, and by extension their neighbourhoods and wider communities, a new awareness of religious duties and mutual obligations, and gives its students confidence and a voice within both their families and communities. The long-term potential impact of madrasas such as this one appears to be significant in contemporary North India.

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Carey, Elise C., Kenneth E. Covinsky, Li-Yung Lui, Catherine Eng, Laura P. Sands, and Louise C. Walter. "Prediction of Mortality in Community-Living Frail Elderly People with Long-Term Care Needs." Journal of the American Geriatrics Society 56, no. 1 (January 2008): 68–75. http://dx.doi.org/10.1111/j.1532-5415.2007.01496.x.

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Bonifas, Robin P., Kelsey Simons, Barbara Biel, and Christie Kramer. "Aging and Place in Long-Term Care Settings." Journal of Aging and Health 26, no. 8 (December 2014): 1320–39. http://dx.doi.org/10.1177/0898264314535632.

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Objective: This article presents results of a qualitative research study that examined how living in a long-term care (LTC) home influences the quality of residents’ relationships with peers, family members, and outside friends. Method: Semistructured interviews using a phenomenological approach were conducted with 23 residents of a LTC home. Thematic analysis was employed to illuminate residents’ perspectives on the nature of social relationships in this setting. Results: Four key themes were identified that highlight the role of place in social relationships. Residing in a LTC home influences the context of social interactions, impacts their quality and process, clusters individuals with health and functional declines that hinder socialization, and poses structural and cultural barriers that impede social interactions. Health and functional limitations posed the greatest challenge to socialization relative to characteristics of the facility itself. Discussion: Residents’ insights emphasize how personal characteristics influence community culture and the experience of place.

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BURCHARDT, TANIA, EMILY JONES, and POLINA OBOLENSKAYA. "Formal and Informal Long-Term Care in the Community: Interlocking or Incoherent Systems?" Journal of Social Policy 47, no. 3 (January 19, 2018): 479–503. http://dx.doi.org/10.1017/s0047279417000903.

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AbstractHelp with activities of daily living for people in the community is provided through formal services (public and private) and informal (often unpaid) care. This paper investigates how these systems interlock and who is at risk of unmet need. It begins by mapping differences between OECD countries in the balance between formal and informal care, before giving a detailed breakdown for the UK. New analysis of UK Family Resources Survey data for 2012/13 and 2013/14 suggests high levels of unmet need. We investigate who receives formal and informal care, and who receives neither, among the working-age and older populations. We find that while informal care fills some gaps left by the lack of availability of formal services (and vice versa), not all older or working-age disabled people are protected in these ways. Adults living alone and those with high but not the highest levels of difficulty are most likely to have unmet need. Means-tested public entitlements ameliorate but do not remove the increased risk among people in low-income households. The paper concludes that public policy needs to integrate its support for formal and informal modes of care, with particular attention to those groups most at risk of unmet need.

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Rich, Margaret, Mary Ness, and Tom Smyth. "Co-ordinating care for people disabled by long-term mental illness living in the community." Psychiatric Bulletin 13, no. 6 (June 1989): 290–91. http://dx.doi.org/10.1192/pb.13.6.290.

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The Community Psychiatry Research Unit at Hackney Hospital have established a support team for the care of people disabled by long-term mental illness living in the community. The work of the support team in coordinating and managing the care of their clients in supportive accommodation using a review system and an information package is described.

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Loh, F. Ellen, Bruce Stuart, Deborah Sturpe, Amy Davidoff, Eberechukwu Onukwugha, and Marc Hochberg. "Osteoporosis Medication Use: A Comparison of Elderly Females Living in Long-term Care Facilities Versus Community Dwellers." Senior Care Pharmacist 34, no. 2 (February 1, 2019): 109–26. http://dx.doi.org/10.4140/tcp.n.2019.109.

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OBJECTIVE: This study compares patterns of evidence-based osteoporosis medication use among females in community and long-term care settings enrolled in Medicare Part D. DESIGN: Pooled cross-sectional study. SETTING: Medicare beneficiaries enrolled in Medicare Parts A and B, and Part D stand-alone prescription drug plans from January 1, 2006, through December 31, 2008, or death. PARTICIPANTS: Female Medicare Part D enrollees 70 years of age and older with osteoporosis or prior hip fracture. INTERVENTIONS: NA. MAIN OUTCOME MEASUREMENTS: Use of bisphosphonates, calcitonin, teriparatide, and raloxifene was tracked by residential status over the three-year period. RESULTS: The study sample comprised 96,408 female Part D enrollees with osteoporosis. Prevalence of evidence-based medication use was 42.3% in 2006 and dropped slightly to 40.4% in 2008. In unadjusted comparisons, long-term care residents were significantly less likely to use any osteoporosis medication compared with community dwellers (40.6% vs. 53.1%). After adjustment for differences in individual characteristics, utilization was still lower among long-term care residents (relative risk [RR] = 0.89, 95% confidence interval [CI] 0.87-0.91). Bisphosphonates were the top choice among medication users, but were prescribed much less often to long-term care residents (RR = 0.79, 95% CI 0.75-0.83) compared with community residents. CONCLUSION: Prevalence of evidence-based osteoporosis medication use is low in older women enrolled in Part D whether community-dwelling or long-term care residents, but long-term nursing facility residents are more likely to be treated with nonbisphosphonates. Many events that may affect osteoporosis medication use occurred after 2008; therefore, future studies using more recent data are warranted to examine osteoporosis medication use after 2008.

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Mitchell, Rebecca, Brian Draper, Lara Harvey, Henry Brodaty, and Jacqueline Close. "56 Examining Fall-Related HIP Fractures in Long-Term Residential Aged Care and the Community: Trends, Health Outcomes and Treatment Costs." Age and Ageing 48, Supplement_4 (December 2019): iv13—iv17. http://dx.doi.org/10.1093/ageing/afz164.56.

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Abstract Background Hip fracture risk is higher for older adults living in residential aged care facilities (RACF) and their health outcomes worse compared to older adults living in the community. Pre-hip fracture residential status is not well recorded within hospital records, necessitating linkage of hospital and residential aged care data to better ascertain residential location pre-fracture. Aim To examine temporal trends, characteristics and health outcomes following a fall-related hip fracture hospitalisation of people living in RACFs to those living in the community. Method A retrospective analysis of fall-related hip fracture hospitalisations of people aged ≥65 years during 2008-2013 in New South Wales, Australia. Linked hospitalisation and RACF data were examined. Negative binomial regression examined the significance of hospitalisation temporal trends. Results There were 28,897 hip fracture hospitalisations and 32.5% were living in RACFs at time of fracture. The hospitalisation rate was 2,180 per 100,000 (95%CI: 2,097.0-2,263.7) for RACF residents and 390 per 100,000 (95%CI 384.8-395.8) for the community-living. Over 5 years, the hospitalisation rate for RACF residents declined by 2.9% annually (95%CI: -4.3 to -1.5). Hospital treatment cost for hip fractures was $958.5 million. Compared to older people living in the community, a higher proportion of RACF residents were aged ≥90 years (36.1% vs 17.2%), were female (75.3% vs 71.8%), had >1 Charlson comorbidity (37.6% vs 35.6%), and had dementia (58.2% vs 14.4%). RACF residents had fewer in-hospital rehabilitation episodes (18.7% vs 60.9%) and a higher proportion of unplanned readmissions (10.6% vs 9.1%) and in-hospital mortality (5.9% vs 3.3%) compared to older people living in the community. Conclusions RACF residents are a vulnerable cohort of older people who experience worse health outcomes and survival post-hip fracture than older people living in the community. Whether access to individualised hip fracture rehabilitation for RACF residents could improve health outcomes should be examined.

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Cai, Li Jia, Yong Gang Xu, and Wan Tai Yu. "Effects of Long-Term Fertilization Regimes on N₂-Fixing Bacteria in a Luvisol Soil of Northeast China." Advanced Materials Research 599 (November 2012): 23–26. http://dx.doi.org/10.4028/www.scientific.net/amr.599.23.

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Long-term fertilization significantly inhibited the free-living N2-fixation rate (FNR) mainly because of the increased NO3–-N. DGGE profiles and redundancy analysis (RDA) plots clearly revealed that long-term fertilizations changed the community structures of N2-fixing bacteria (NFB) due to differences in N availability and pH. In addition, the differences in community composition were correlated with the changes in process rates for NFB (P < 0.05).

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Farrell, Charles F. "Tai Chi Adapted: Assisted Living, Long-Term Care, and Nursing Homes." Home Health Care Management & Practice 16, no. 6 (October 2004): 487–93. http://dx.doi.org/10.1177/1084822304265848.

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Kallert, Thomas W., Matthias Leisse, and Peter Winiecki. "Suicidality of Chronic Schizophrenic Patients in Long-Term Community Care." Crisis 25, no. 2 (March 2004): 54–64. http://dx.doi.org/10.1027/0227-5910.25.2.54.

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Summary: In the provision of mental health care for chronic schizophrenic patients, the specific problems and requirements of long-term community care of suicidal behavior is an area of research not yet fully explored. This study focuses on a 4 ½-year prospective assessment of normative and subjective needs for care related to this specific area for a cohort living in the Dresden region (Germany). One significant result of this study shows the constant high level of needs for care in the area of suicidal behavior imposed on community services by 30-40% of this diagnostic group. Furthermore, the study identified a special high-risk subgroup for suicides as well as specific needs for care. This subgroup is characterized by clinical reasons for the index hospitalization (suicidal risk or attempt) as well as by psychopathological features (suicidal thoughts and higher levels of anxiety/depression) 1 month after release from index hospitalization. Four items of care were rated as potentially effective for addressing suicidality in the community setting: clinical assessment, increased supervision or systematic recording of (suicidal) behavior, medication, and a sheltered environment. Because these care measures are provided, the percentage of unmet normative needs for the area of suicidal behavior was rather low. Due to limitations of the instrument used for assessment of normative needs, the Needs for Care Assessment (NFCAS), the care measures most frequently provided do not define a quality standard of community care for this problem. A subjective needs assessment differing from the normative approach has to be integrated in establishing guidelines for effective community care.

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Koltz, Daniel. "A Model of Successful Transition from Home to a Long-Term Care Community: A Grounded Theory Study." Gerontology and Geriatric Medicine 9, no. 1 (February 23, 2023): 1–9. http://dx.doi.org/10.24966/ggm-8662/100163.

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The transition process and experience for older adults who move to independent and assisted-living communities is unique to each person but a universal issue. This research focused on understanding what the predominant factors are for a successful transition to a Dependent Living Environment (DLE).

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Langi, F. L. Fredrik G., and Fabricio Balcazar. "Long-Term Outcomes of a Home- and Community-Based Services Program: Competing Risk Models." Rehabilitation Research, Policy, and Education 37, no. 4 (December 1, 2023): 266–82. http://dx.doi.org/10.1891/re-22-23.

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Purpose:The purpose of this study is to investigate the incidence of all-cause mortality, institutionalization, and condition improvement among participants of a state home- and community-based services program (HCBS).Methods:We evaluated the follow-up data of 11,444 individuals with disabilities aged 45–59 years at application who received services from the HCBS program from the state of Illinois. Statistical analysis was conducted using the cause-specific hazard and the subdistribution hazard regression models.Results:In all, 4,900 (42.8%) individuals died, 1,005 (8.8%) were institutionalized, and 1,980 (17.3%) improved at service closure. Males of older age, living with others, with a medical referral, a general physical debilitation, and receiving more service hours increased the risk of all-cause mortality. Middle-aged women with a physical orthopedic disability and a low number of service hours showed greater improvement.Conclusions:The risk of the outcomes was related to baseline characteristics, types of disabilities, and service factors. We also observed that demographic factors such as gender, race, and living arrangements affected the risks of the outcomes.

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Degenholtz, Howard. "MANDATORY MEDICAID MANAGED LONG-TERM SERVICES AND SUPPORTS IN PENNSYLVANIA: EVALUATING POLICY CHANGE." Innovation in Aging 3, Supplement_1 (November 2019): S230. http://dx.doi.org/10.1093/geroni/igz038.849.

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Abstract The Commonwealth of Pennsylvania is implementing a mandatory Medicaid managed Long-Term Services and Supports (LTSS) program that covers people age 21 and older who are fully eligibly for both Medicare and Medicaid, living in a nursing facility paid for by Medicaid, or in an aged or physical disability home and community based services (HCBS) waiver. The overall program goals are to: Enhance Opportunities for Community Living; Improve Service Coordination; Enhance Quality and Accountability; Advance Program and Innovation; and Increase Efficiency. The program will be administered by 3 managed care organizations (MCOs) that are obligated to coordinate with Medicare Advantage and D-SNP plans. This major policy change affects the traditional roles and responsibilities of the aging network by shifting the locus of control to insurance companies. This presentation will describe the policy change, the implications for the aging network, and the multi-method evaluation designed to assess the implementation and outcomes.

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Kastner, Keri. "THE EFFECT OF COMMUNITY HEALTHCHOICES ON USE OF HOME AND COMMUNITY-BASED SERVICES." Innovation in Aging 6, Supplement_1 (November 1, 2022): 142. http://dx.doi.org/10.1093/geroni/igac059.563.

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Abstract Medicaid claims data for the years 2013 to 2020 were analyzed to examine use of common categories of home and community-based services (HCBS) as well as the proportion of people living in nursing homes as opposed to receiving long-term services and supports in the community. There was a long-term trend prior to Community HealthChoices of a shift the locus of LTSS away from nursing homes. The implementation of managed care to deliver LTSS continued, but did not appear to accelerate this trend. However, MLTSS did appear to control to growth in hours of personal care per person both in the aggregate and longitudinally within the same individuals over time. There were decreases in the use of adult day services and home delivered meals. However, the decline in home delivered meals was more than offset by an increase in uptake of the supplementary nutritional assistance program (SNAP).

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French, Jill. "Training in Life Skills for Community-Based People with a Mental Handicap." British Journal of Occupational Therapy 51, no. 7 (July 1988): 236–38. http://dx.doi.org/10.1177/030802268805100706.

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This article is an account of a unit which provides facilities for assessment and training in skills of independent living for mentally handicapped people who are already living in the community. Many of these people have never been long-term hospital residents but have lived in the community with little or no training facility available to meet their specific needs.

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Howarth, Michelle, and Liz Burns. "Social prescribing in practice: community-centred approaches." Practice Nursing 30, no. 7 (July 2, 2019): 338–41. http://dx.doi.org/10.12968/pnur.2019.30.7.338.

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More people are living longer with multimorbidities, many of which are handled in general practice. Michelle Howarth and Liz Burns highlight the contribution that general practice nurses can make to providing person-centred approaches to improving health and wellbeing The NHS Long Term Plan recognised the need to understand that ’what matters to someone’ is not the same as ‘what's the matter with someone’. Conversations that focus on what is the matter with someone typically draw out the patient's needs, with assessment and care planning based on classic principles of pathogenesis and accompanying clinical solutions. Conversations that consider what matters to someone draw out a person's individual assets and what is important to them, with personalised care and support planning based on principles of salutogenesis and non-medical solutions, such as social prescribing. This article explores the pivotal role that practice nurses have in maximising their impact on personalised care and population health for all, including for people living with long-term physical and mental health conditions. It highlights the unique contribution that practice nurses can make in strengthening community-centred approaches to health and wellbeing in primary care.

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Han, Eun-Jeong, JungSuk Lee, Eunhee Cho, and Hyejin Kim. "Socioeconomic Costs of Dementia Based on Utilization of Health Care and Long-Term-Care Services: A Retrospective Cohort Study." International Journal of Environmental Research and Public Health 18, no. 2 (January 6, 2021): 376. http://dx.doi.org/10.3390/ijerph18020376.

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This study examined the socioeconomic costs of dementia based on the utilization of healthcare and long-term care services in South Korea. Using 2016 data from two national insurance databases and a survey study, persons with dementia were categorized into six groups based on healthcare and long-term care services used: long-term care insurance users with home- and community-based services (n = 93,346), nursing home services (n = 69,895), and combined services (n = 16,068); and long-term care insurance non-users cared for by family at home (n = 192,713), living alone (n = 19,526), and admitted to long-term-care hospitals (n = 65,976). Their direct and indirect costs were estimated. The total socioeconomic cost of dementia was an estimated US$10.9 billion for 457,524 participants in 2016 (US$23,877 per person). Among the six groups, the annual per-person socioeconomic cost of dementia was lowest for long-term care insurance users who received home- and community-based services (US$21,391). It was highest for long-term care insurance non-users admitted to long-term care hospitals (US$26,978). Effective strategies are necessary to promote long-term care insurance with home- and community-based services to enable persons with dementia to remain in their communities as long as possible while receiving cost-efficient, quality care.

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NYMAN, SAMUEL R., and CHRISTINA R. VICTOR. "Use of personal call alarms among community-dwelling older people." Ageing and Society 34, no. 1 (August 15, 2012): 67–89. http://dx.doi.org/10.1017/s0144686x12000803.

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ABSTRACTHaving a fall and then lying on the floor for an hour or more is known as a ‘long lie’, which is associated with serious injury and an elevated risk of admission to hospital, long-term care and death. Personal call alarms are designed to prevent long lies, although little is known about their use. Using cross-sectional data from the English Longitudinal Study on Ageing, this study investigated the proportion of self-reported users of personal call alarms among 3,091 community-dwelling adults aged 65+ who reported difficulties of mobility or activities of daily living. The characteristics of users were then explored through logistic regressions comparing those living alone with those living with others. One hundred and eighty people self-reported using a personal call alarm (6%). Multivariate regression found the following to significantly predict personal call alarm use among both those living alone and with others: greater difficulty with activities/instrumental activities of daily living, older age, and for those living with others only: lower score on the quality of life subscale for control. Personal call alarm use may be markedly lower than the 30 per cent annual incidence of falls among community-dwelling older people. Better understanding is needed of the reasons for low usage, even amongst those at highest falls risk for whom such alarms are most likely to be beneficial.

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Morales, Meghan Jenkins, and Stephanie Robert. "Examining Consequences Related to Unmet Care Needs Across the Long-Term Care Continuum." Innovation in Aging 4, Supplement_1 (December 1, 2020): 90. http://dx.doi.org/10.1093/geroni/igaa057.296.

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Abstract At some point in our lives, approximately 70% of us will need support to help with daily care. Without adequate assistance we may experience unmet care need consequences (UCNC) – such as skipping meals, going without clean clothes, or taking the wrong medication. This study examines the likelihood of experiencing UCNC related to gaps in assistance with activities of daily living (ADL) and instrumental activities of daily living (IADL) across long-term care arrangements: informal community care, paid community care, residential care, and nursing homes. We examine a sample of older adults receiving assistance in a care arrangement (N=2,499) from the nationally representative 2015 National Health and Aging Trends Study. Cross-sectional and longitudinal regression models, adjusting for differences in demographic and health/functioning characteristics, examine if type of care arrangement in 2015 is associated with UCNC in 2015 and change in UCNC by 2017. Holding all else constant, there were no significant differences in UCNC related to ADLs in 2015 across care arrangements. However, those receiving paid community care were more likely to experience UCNC related to IADLs (going without clean clothes, groceries, or a hot meal and making medication errors) compared to those receiving only informal care (OR=1.64, p<.05) or residential care (OR=2.19, p<.01). By 2017, paid care was also significantly associated with continued UCNC, but older adults in informal care arrangements were most likely to experience a new UCNC. Results suggest improving/expanding assistance with IADLs among community-dwelling older adults, and promoting equitable access to residential care, to reduce UCNC.

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Mara, Cynthia M., and James T. Ziegenfuss. "Creating the Strategic Future of Long-Term-Care Organizations." Care Management Journals 2, no. 2 (January 2000): 116–24. http://dx.doi.org/10.1891/1521-0987.2.2.116.

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The operating environment in the health care industry is turbulent—organizations are expected to adapt or die. This paper addresses the structure of a strategic planning process for long-term-care organizations. Nursing homes, assisted living (personal care) facilities, continuing care retirement communities, adult day services centers, hospice programs and home-and community-based agencies face both opportunities and threats. The authors recommend an eight-step process for strategy making: plan to plan; external analysis; internal analysis; vision; matching current and future strategies; strategy choice; action and linkage to operations and budget. A case example illustrates the concepts. Long-term-care leaders are encouraged to plan for their future or face a future planned by competitors and regulators.

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Stewart, Greig M., and Barry C. Gregory. "Themes of a Long-Term AIDS Support Group for Gay Men." Counseling Psychologist 24, no. 2 (April 1996): 285–303. http://dx.doi.org/10.1177/0011000096242009.

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Support groups are established psychosocial treatment modalties in which clients address issues resulting from particular problems or diagnoses. In the past decade, the support group format has been widely adopted by community health clinics for persons diagnosed with the acquired immunodeficiency syndrome (AIDS). As mainstream health systems assist more people with AlDS, initial expertise developed from the gay and lesbian health care response to the human immunodeficiency virus (HIR believed to be the cause of AlDS) provides valuable information for all health care practitioners. This discussion of a long-term (5-year) AIDS support group examines 6 content themes: marginity,making choices, coping with the emotional roller coaster, premature confrontation of life issues, living with a chronic illness versus dying with a terminal disease, and death and dying. The authors inform their observations through examining the support group literature for persons living with HIV and other chronic or terminal illnesses.

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Jensen, Mark P., Hillary C. Devlin, Kevin E. Vowles, and Ivan R. Molton. "Assessing Perceived Success in Valued Living in Individuals With Long-Term Physical Health Conditions." Journal of Aging and Health 31, no. 10_suppl (July 9, 2019): 195S—213S. http://dx.doi.org/10.1177/0898264319861006.

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Objective: To evaluate the reliability and validity of a brief measure of successful aging in a sample of adults with long-term health conditions. Method: The brief (eight-item) version of the valued living scale (VLS) and measures of pain intensity, pain interference, and depression were administered to 1,457 adults aging with one of four long-term health conditions. Results: Analyses indicated that the VLS items assessed two types of valued living domains: (a) a social and relational domain and (b) a health and productivity domain. The findings also supported the construct validity for the VLS items, in that both domains were associated significantly (and negatively) with the measures of pain intensity, pain interference, and depression. Discussion: The results provide preliminary support for the reliability and validity of the VLS items for assessing two important domains of successful aging in individuals with long-term health conditions.

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Journal articles on the topic 'Long-term community living'

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