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Abstract Objectives Nursing home (NH) residents' preferences for everyday living are the foundation for delivering individualized person-centered care. Yet, work has not examined what the most and least important preferences of nursing home residents are and if those preferences change over time. Design This study examined the change in nursing home residents' (n = 255) preferences for everyday living over a 3-month period. Participants were recruited from 28 NHs in the suburbs of a major metropolitan East Coast area of the United States. Measures Residents were interviewed face-to-face using the Preferences for Everyday Living Inventory–Nursing Home version at baseline (T1) and 3 months later (T2). Change was analyzed in 2 ways: (1) percentage exact agreement (eg, respondent stated "very important" at both time points) and (2) percentage of preferences that remained either important or not important between T1 and T2. Results Sixteen preferences were rated as very or somewhat important by 90% or more of NH residents. With regard to the stability of preference ratings, findings demonstrate an average exact agreement of 59%, and an average important versus not important agreement of 82%. In addition, 68 of the 72 preferences had 70% or higher stability over time. In other words, the preference either remained "important" or "not important" to the NH resident 3 months later. Preferences in the domain of enlisting others in care had the least amount of change. Conclusion/Implications This study highlights the most important everyday living preferences of NH residents and provides assurance to care providers that the majority of preferences assessed via the PELI are both important to NH residents and stable over time. Preference-based care plans can be designed and used over a 3-month period with confidence by providers. [ABSTRACT FROM AUTHOR]

Objectives: This article examines the natural history of changes in emotional status as measured through emotional well-being and depressive symptoms over a two-year period among older adults new to long-term services and supports (LTSS). Method: In-person interviews were conducted with 470 older adults within sixty days of entry into LTSS and then quarterly through twenty-four months. Results: Multivariate generalized estimating equation models indicate improvements in emotional status, with depressive symptoms decreasing and overall emotional wellbeing improving. Independent predictors of depressive symptoms and emotional well-being are described. Discussion: Older adults who have transitioned to LTSS experience changes in emotional status over time. Significant contributors to emotional status are identified that can be addressed and supported through LTSS programs. [ABSTRACT FROM AUTHOR]