ArticleJournal of the American Geriatrics Society2025
What Changed Your Mind? Influencers of Older Adults Changing Decisions About Aging-In-Place Versus Long-Term Care.
Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed.
- Phenotypes of Older Adults Planning for Alzheimer's Disease Support.Journal of the American Geriatrics Society · 2026Article
- Translation, cross-cultural adaptation and validation of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire in Japanese.Exploratory research in clinical and social pharmacy · 2026Article
- What Changed Your Mind? Influencers of Older Adults Changing Decisions About Aging-In-Place Versus Long-Term Care.Journal of the American Geriatrics Society · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundAs individuals experience age-related changes, such as cognitive decline or hospitalizations, their ability to live independently at home may be impacted. Decision-making and planning are essential in order to support successful aging-in-place (AIP), which is defined as continuing to live in one's home and community. Despite making plans at one single time-point, prior research has demonstrated that decision-making among older adults is not stagnant.
aimsThe objective of this qualitative study was to understand what influences older adults to change their plans about AIP versus living in long-term care (LTC) settings.
methodsWe analyzed a subset of the PlanYourLifespan study subjects (a longitudinal cohort study of community dwelling older adults) who have shown a fluctuation in their AIP/LTC decisions over a 6-month period and surveyed what influenced their decisions to change. Decisions related to support needed in the case of a hospitalization and Alzheimer's disease/memory loss (rehabilitation preferences, caregiver support, living preferences, and LTC facilities) were assessed. Three investigators individually coded open-ended survey responses to identify emerging themes using constant comparative analysis with triangulation of themes.
resultsOf the 293 PYL study subjects, 134 expressed a change to at least one of their decisions. Through a qualitative analysis of survey responses, five overarching themes emerged that influenced fluctuating decision-making: (1) personal health experience, (2) health experience of a loved one, (3) increased contemplation, (4) social support network influences, and (5) denying change. DISCUSSION: This study was the first to examine the factors that influence fluctuating AIP/LTC decision-making among older adults. The key influencers identified highlight the importance of ongoing discussions to revisit AIP/LTC planning in the case of changing or unexpected life events. Having a strong understanding of what influences seniors in their AIP/LTC decision-making processes will enable us to include these factors and people in decision-making discussions.
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Registered trials
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.