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General Article

Long-Term Care Preferences Among Older Adults: A Moving Target?

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Pages 182-200 | Received 01 Jul 2006, Accepted 01 Jan 2007, Published online: 11 Oct 2008
 

ABSTRACT

This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n = 420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.

Funding for the WHAS was provided by the National Institute on Aging under contract NO1–AG–1–2112. The WHAS Caregiving Study was supported by a grant from The Commonwealth Fund of New York, NY.

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