Individual and institutional factors associated with functional disability in nursing home residents: An observational study with multilevel analysis

High prevalence of functional limitations has been previously observed in nursing homes. Disability may depend not only on the characteristics of the residents but also on the facility characteristics. The aims of this study were: 1, to describe the prevalence of functional disability in older peopl...

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Published in:PloS one 2017-08, Vol.12 (8), p.e0183945-e0183945
Main Authors: Serrano-Urrea, Ramón, Gómez-Rubio, Virgilio, Palacios-Ceña, Domingo, Fernández-de-Las-Peñas, César, García-Meseguer, María José
Format: Article
Language:English
Subjects:
Activities of daily living
Aged
Aged, 80 and over
Aging
Biology and Life Sciences
Cross-Sectional Studies
Disability
Disabled Persons
Female
Frailty
Humans
Inpatients
Institutionalization
Institutions
Long term health care
Male
Medicine and Health Sciences
Multilevel
Nursing Homes
Observational studies
Occupational therapy
Older people
Organizational aspects
People and Places
Perception
Physical therapy
Population
Rehabilitation
Religion
Social Sciences
Spain
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description High prevalence of functional limitations has been previously observed in nursing homes. Disability may depend not only on the characteristics of the residents but also on the facility characteristics. The aims of this study were: 1, to describe the prevalence of functional disability in older people living in Spanish nursing homes; and 2, to analyze the relationships between individual and nursing home characteristics and residents' functional disability. A cross-sectional study with data collected from 895 residents in 34 nursing homes in the province of Albacete (Spain) was conducted. Functional status was assessed by the Barthel Index. Taking into account both levels of data (individual and institutional characteristics) we resorted to a multilevel analysis in order to take different sources of variability in the data. The prevalence of functional disability of the total sample was 79.8%. The best fitting multilevel model showed that female gender, older age, negative self-perception of health, and living in private nursing homes were factors significantly associated with functional disability. After separating individual and institutional effects, the institutions showed significant differences. In line with previous findings, our study found high levels of functional dependence among institutionalized elders. Gender, age, self-perception of health, and institution ownership were associated with functional status. Disentangling individual and institutional effects by means of multilevel models can help evaluate the quality of the residences.
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Disability may depend not only on the characteristics of the residents but also on the facility characteristics. The aims of this study were: 1, to describe the prevalence of functional disability in older people living in Spanish nursing homes; and 2, to analyze the relationships between individual and nursing home characteristics and residents' functional disability. A cross-sectional study with data collected from 895 residents in 34 nursing homes in the province of Albacete (Spain) was conducted. Functional status was assessed by the Barthel Index. Taking into account both levels of data (individual and institutional characteristics) we resorted to a multilevel analysis in order to take different sources of variability in the data. The prevalence of functional disability of the total sample was 79.8%. The best fitting multilevel model showed that female gender, older age, negative self-perception of health, and living in private nursing homes were factors significantly associated with functional disability. After separating individual and institutional effects, the institutions showed significant differences. In line with previous findings, our study found high levels of functional dependence among institutionalized elders. Gender, age, self-perception of health, and institution ownership were associated with functional status. 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subjects Activities of daily living
Aged
Aged, 80 and over
Aging
Biology and Life Sciences
Cross-Sectional Studies
Disability
Disabled Persons
Female
Frailty
Humans
Inpatients
Institutionalization
Institutions
Long term health care
Male
Medicine and Health Sciences
Multilevel
Nursing Homes
Observational studies
Occupational therapy
Older people
Organizational aspects
People and Places
Perception
Physical therapy
Population
Rehabilitation
Religion
Social Sciences
Spain
title Individual and institutional factors associated with functional disability in nursing home residents: An observational study with multilevel analysis
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