TY - JOUR
T1 - Predictors of entry to the nursing home
T2 - Does length of follow-up matter?
AU - Cohen-Mansfield, Jiska
AU - Wirtz, Philip W.
N1 - Funding Information:
We thank the day care participants, their relatives, and the staff members and administration of the day care centers for all of their help, without which this study would not have been possible. This research was supported in part by grants AG00547 and AG08675 from the National Institute on Aging, Bethesda MD .
PY - 2011/11
Y1 - 2011/11
N2 - This study examined the extent to which predictors of nursing home entry vary in their salience as a function of length of follow-up. Participants were 201 persons attending five senior day care centers. The impact of baseline assessment on nursing home entry was examined at one, two, and three-year follow-up periods. Analysis revealed that MMSE, IADL, physical non-aggressive agitated behavior, and 4 indicators of caregiver burden had significantly changing impacts on time to nursing home entry. Only depressed affect and age remained significant predictors at all three follow-up periods in the multivariate analysis. Physical and verbal aggressive agitation and declining caregiver health were significant predictors in the short term. Socializing and ethnicity became predictors at year three. We have demonstrated that while some predictors of nursing home placement are robust over varying follow-up times, the predictive value of others changes with length of the follow-up period. Length of follow-up needs to be taken into account in clarifying the processes that predict nursing home entry.
AB - This study examined the extent to which predictors of nursing home entry vary in their salience as a function of length of follow-up. Participants were 201 persons attending five senior day care centers. The impact of baseline assessment on nursing home entry was examined at one, two, and three-year follow-up periods. Analysis revealed that MMSE, IADL, physical non-aggressive agitated behavior, and 4 indicators of caregiver burden had significantly changing impacts on time to nursing home entry. Only depressed affect and age remained significant predictors at all three follow-up periods in the multivariate analysis. Physical and verbal aggressive agitation and declining caregiver health were significant predictors in the short term. Socializing and ethnicity became predictors at year three. We have demonstrated that while some predictors of nursing home placement are robust over varying follow-up times, the predictive value of others changes with length of the follow-up period. Length of follow-up needs to be taken into account in clarifying the processes that predict nursing home entry.
KW - Institutionalization
KW - Nursing home entry
KW - Predictors, Follow-up
UR - http://www.scopus.com/inward/record.url?scp=80051666355&partnerID=8YFLogxK
U2 - 10.1016/j.archger.2010.12.009
DO - 10.1016/j.archger.2010.12.009
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C2 - 21251719
AN - SCOPUS:80051666355
SN - 0167-4943
VL - 53
SP - 309
EP - 315
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
IS - 3
ER -