Evidence map›Paper›PMID 28549107›Full record

ArticleThe Gerontologist2018

Physical Functioning Among Older Adults New to Long-Term Services and Supports.

Jo-Ana D Chase, Karen B Hirschman, Alexandra L Hanlon, Liming Huang, Kathryn H Bowles, Mary D Naylor

Abstract read
In one paragraph

Article in The Gerontologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jo-Ana D ChaseSchool of Nursing, University of Pennsylvania, Philadelphia.
Karen B HirschmanNewCourtland Term Chair in Health Transitions Research, School of Nursing, University of Pennsylvania, Philadelphia.
Alexandra L HanlonSchool of Nursing, University of Pennsylvania, Philadelphia.
Liming HuangSchool of Nursing, University of Pennsylvania, Philadelphia.
Kathryn H BowlesCenter for Home Care Policy and Research, Visiting Nurse Service of New York, Nursing Excellence, University of Pennsylvania, Philadelphia.
Mary D NaylorNewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia.

Funding

Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
Health Related Quality of Life: Elders in Long-Term CareR01AG025524 · NIA · UNIVERSITY OF PENNSYLVANIA · PI NAYLOR, MARY D · 2006 to 2010
$2.8M
NIA NIH HHS R01 AG025524NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

Background and Objectives: To identify determinants of self-reported physical functioning (PF) among older adults new to long-term services and supports (LTSS). Research Design and Method: Using the International Classification of Function, Disability, and Health (ICF) framework, we conducted a secondary analysis of self-reported data on symptoms, basic/instrumental activities of daily living, quality of life, assistive devices, physical therapy needs, prior healthcare utilization, health status, and demographics from 470 older adults new to LTSS (Home/Community-Based n = 156; Assisted Living n = 156; Nursing Home n = 158). Multiple linear regression was used to identify associations between ICF constructs and self-reported PF (SF-12 Physical Composite Summary score [SF12PCS], lower scores indicate worse PF). Results: LTSS recipients were mostly female (71%) and over age 80 (Mean: 80.9 years, SD: 8.7). LTSS recipients' mean SF12PCS score was 37.3 (SD 11.0), indicating overall low self-reported PF. LTSS recipients living in their homes (b = -3.35, p = .003) or assisted living facilities (b = -2.93, p = .012) had significantly lower mean scores compared to recipients in nursing homes. Higher SF12PCS scores were associated with fewer activities of daily living deficits (p < .001), and better quality of life (p < .001). Lower scores were associated with more symptoms (p < .001), poorer nutrition (p = .013), ambulation aid use (p < .001), and physical therapy (p < .026). Discussion and Implications: Diverse health, activity, and environmental factors may facilitate early identification of new LTSS recipients most in need of interventions to optimize self-reported PF. Several health conditions may be targets for such interventions. Additional research is needed to evaluate and compare PF trajectories among older adults receiving LTSS in diverse settings.

Indexed as

Activities of Daily LivingLong-Term CareQuality of LifeAged, 80 and overAssisted Living FacilitiesBuilt EnvironmentCross-Sectional StudiesEnvironmentFemaleHome Care ServicesHumansMaleNursing Homes

Identifiers

PMID28549107
PMCPMC6215465

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.