TY - JOUR
T1 - A preference-based model of care
T2 - An integrative theoretical model of the role of preferences in person-centered care
AU - Van Haitsma, Kimberly
AU - Abbott, Katherine M.
AU - Arbogast, Annabelle
AU - Bangerter, Lauren R.
AU - Heid, Allison R.
AU - Behrens, Liza L.
AU - Madrigal, Caroline
N1 - Funding Information:
This work was made possible in part by funding from The Patrick and Catherine Weldon Donaghue Medical Research Foundation and Award number R21NR011334 from the National Institute of Nursing Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research, the National Institutes of Health, or the Donaghue Foundation.
Publisher Copyright:
© 2019 The Author(s) 2019.
PY - 2020/4/2
Y1 - 2020/4/2
N2 - Knowledge of individuals' everyday preferences is a cornerstone of person-centered care (PCC). Initial evidence demonstrates the positive impact of honoring preferences in care for older adults receiving long-term services and supports (LTSS). Yet, the mechanisms through which preference-based care affects individual well-being remain poorly understood. This article proposes a theoretical model of PCC entitled the Preference-Based Model of Care that integrates the Theory of Human Motivation, Self-determination Theory, the Competence-Press Model of person and environment fit, the Living Systems Framework, and the Broaden-and-Build theory of positive emotions to deepen our understanding of the processes through which preference-based care affects well-being among older adults receiving LTSS. The Preference-Based Model of Care illustrates how goal-directed behaviors facilitate need fulfillment through the expression of individual preferences and how these behaviors mediate the relationship between person-environment fit and affect balance within a particular social, cultural, and political context. The Preference-Based Model of Care can advance research on PCC in LTSS and can inform LTSS clinical practice guidelines for older adults, regardless of functional or cognitive capacity.
AB - Knowledge of individuals' everyday preferences is a cornerstone of person-centered care (PCC). Initial evidence demonstrates the positive impact of honoring preferences in care for older adults receiving long-term services and supports (LTSS). Yet, the mechanisms through which preference-based care affects individual well-being remain poorly understood. This article proposes a theoretical model of PCC entitled the Preference-Based Model of Care that integrates the Theory of Human Motivation, Self-determination Theory, the Competence-Press Model of person and environment fit, the Living Systems Framework, and the Broaden-and-Build theory of positive emotions to deepen our understanding of the processes through which preference-based care affects well-being among older adults receiving LTSS. The Preference-Based Model of Care illustrates how goal-directed behaviors facilitate need fulfillment through the expression of individual preferences and how these behaviors mediate the relationship between person-environment fit and affect balance within a particular social, cultural, and political context. The Preference-Based Model of Care can advance research on PCC in LTSS and can inform LTSS clinical practice guidelines for older adults, regardless of functional or cognitive capacity.
UR - http://www.scopus.com/inward/record.url?scp=85082979349&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85082979349&partnerID=8YFLogxK
U2 - 10.1093/geront/gnz075
DO - 10.1093/geront/gnz075
M3 - Article
C2 - 31152589
AN - SCOPUS:85082979349
SN - 0016-9013
VL - 60
SP - 376
EP - 384
JO - Gerontologist
JF - Gerontologist
IS - 3
ER -