Katherine Marie Abbott

Katherine Marie Abbott
Miami University | MU · Department of Sociology and Gerontology

PhD, MGS

About

99
Publications
7,879
Reads
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872
Citations
Additional affiliations
October 2012 - July 2014
Polisher Research Institute
Polisher Research Institute
Position
  • Senior Researcher

Publications

Publications (99)
Article
Nursing home (NH) providers would benefit from adopting evidence-based measures for gathering and utilizing resident preference information in their daily care activities. However, providers face barriers when implementing assessment tools used to promote person-centered care (PCC). Although Agile methodology is not commonly used in NH settings, th...
Article
Long-term stability of nursing home (NH) residents’ everyday preference remains unknown. We examined 1-year stability in reports of importance of 34-recreational activity preferences (8-MDS 3.0 Section F items; 26- Preferences for Everyday Living Inventory-NH items) by NH residents ( N = 161). We examined mean differences on demographic and clinica...
Article
The Centers for Medicare and Medicaid Services mandate the provision of person-centered care (PCC), but there is limited evidence on how PCC impacts nursing home (NH) residents' care experiences. This study examined the relationship between n = 163 NH residents' ratings of satisfaction with care related to their preferences and their satisfaction w...
Article
Purpose: Preference assessment is integral to person-centered treatment planning for older adults with communication impairments. There is a need to validate photographs used in preference assessment for this population. Therefore, this study aimed to establish preliminary face validity of photographs selected to enhance comprehension of questions...
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Considering the preferences for everyday living of older people with various care needs across different care settings is important in nursing care. Currently, there is no systematic overview of the various instruments, and it is unclear what instruments exist, and which preferences they measure. We systematically searched for studies in the electr...
Article
Objectives The Preferences for Everyday Living Inventory (PELI-NH) assesses psychosocial preferences of nursing home (NH) residents. This study explored the association of race with importance ratings of self-dominion preferences (i.e., preferences for control). Methods PELI-NH interviews were conducted with 250 NH residents. Tests of mean differe...
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Background: Instruments to identify and assess pref- erences for everyday living are important tools for health professionals. For research purposes, they appear equally es- sential, for example, to develop new care approaches based on the preferences of the older adults. So far, it seemed un- known which instruments already exist to identify and a...
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With changes in funders’ requirements, engagement of persons with “lived experience” in the planning, conduct, and dissemination of research is increasingly common. Although patient and stakeholder engagement is expected, the body of literature describing necessary structures and processes is severely limited. Therefore, the purpose of this symposi...
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Effective management of the perceived risks associated with delivering preference-based person-centered care (PBPCC) is historically challenging for nursing home staff. Existing research lacks the granularity needed to guide clinicians who fear negative health and safety outcomes for residents. This study examined direct-care nursing staff percepti...
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There have been concerns about how social distance policies and lockdowns due to COVID-19 have affected loneliness and depression among older adults in ways that may magnify racial disparities in health. We conducted panel logistic regression analyses with random effects using national data spanning 2004 to 2016 and the COVID-19 module (Wave 2020,...
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Photo-supported verbal assessments have shown to improve comprehension and expression of choices by older adults living with cognitive-communication challenges. The purpose of this study was to assess content validity (CV) of photographs used to supplement the Preferences for Everyday Living Inventory-Nursing Home (PELI-NH) from the perspective of...
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Person-centered care (PCC) is an approach to care that both nursing homes (NH) and assisted living (AL) communities strive to provide. PCC is a philosophy that recognizes knowing the person and honoring individual preferences. However, when COVID-19 emerged, the NH and AL environments were ground zero for infection spread and disproportionate numbe...
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Official complaints are one tool for addressing nursing home quality concerns in a timely manner. Similar to trends nationwide, the Ohio Department of Health (ODH) has noticed a trend in increasing nursing home complaints and has partnered with the Scripps Gerontology Center to learn more about facilities that receive complaints. Greater understand...
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Background The Preferences for Everyday Living Inventory assists nursing home (NH) providers in assessing residents’ preferences and can be used to make Preferences for Activity and Leisure (PAL) Cards, which are personalized 5x7 laminated cards that reflect a resident’s recreation and leisure preferences. We sought to understand the barriers and f...
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MyCare Ohio is a prospective blended managed care payment model program tasked to provide comprehensive and coordinated care to Ohio residents who are dully eligible for Medicare and Medicaid. To understand the administration and day-to-day implementation of care management within MyCare Ohio, n=75 interviews with a total of n=331 personnel from Ar...
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Prior to the global pandemic, the United States struggled to coordinate, deliver, and finance quality, person-centered long-term services and supports (LTSS) through the default primary payer, Medicaid. The pandemic highlights the challenges of not having a LTSS system. LTSS workers are underpaid, overworked, and turning over at alarming rates. Fam...
Article
The way we respond emotionally to others can impact how we provide care. Research has shown that employees with high emotional intelligence (EI) know what they are feeling, stop to think before they act, and have strategies for appropriately managing negative feelings and promoting positive feelings. These characteristics are vital to care team mem...
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Introduction Leisure activities appear to be an important factor in maintaining and improving health in old age. To better understand what people want to do when visiting an adult day service (ADS), it is important to systematically assess their preferences. Currently, there is no instrument for assessing preferences for leisure activities for peop...
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Introduction Consideration of the preferences for everyday living of older people with various care needs is a prerequisite for person-centred and evidence-based nursing care. Knowledge of and respect for these preferences by nursing staff are associated with better care outcomes for older people with various care needs. To assess preferences in a...
Article
Objectives The objective of this study was to examine the relationship between high wages and empowerment practices on certified nursing assistant (CNA) retention, necessary for providing high-quality care for nursing home (NH) residents. Methods Measures of provider-level CNA empowerment and wages from the 2015 Ohio Biennial Survey were used to e...
Article
Person-centered care (PCC) in nursing homes is an elusive organizational goal that has attracted the attention of pay-for-performance (P4P) programs. P4P programs are used to incentivize providers to improve the quality of care delivered. However, P4P programs have both overarching policy initiatives (big “P”) that must incorporate an implementatio...
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Objectives: The purpose of this quality improvement project was to evaluate the implementation of a person-centered communication tool in nursing homes (NH). The Preferences for Activity and Leisure (PAL) Cards were developed to communicate residents’ preferences for activities across care team members. Methods: Providers were recruited to assess r...
Article
The coronavirus disease 2019 (COVID-19) has challenged the way nursing homes deliver person-centered care (PCC). Preferences for Activity and Leisure (PAL) Cards are a tool to communicate residents' important preferences to staff. Monthly interviews (N = 32) were conducted with champions who were conducting a PAL Card quality improvement project in...
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The Preferences for Everyday Living Inventory (PELI) was mandated as a pay for performance indicator by the Ohio Department of Medicaid in 2015. This study explored the impacts of PELI implementation on regulatory outcomes in 2017. The level of PELI implementation from n=551 Ohio nursing home providers between 2015 and 2017 were linked with Centers...
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The US federal government mandates nursing homes (NHs) provide preference-based, person-centered care for residents. Yet only 2% of NHs successfully implement person-centered care. The Care Preference Assessment of Satisfaction (ComPASS) is a 16-item tool that facilitates residents’ preference fulfillment (i.e., satisfaction with quality of daily c...
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Advancing our knowledge related to honoring nursing home resident preferences is a cornerstone of person-centered care (PCC). While there are multiple approaches to providing PCC, we focus on resident preferences as assessed via the Preferences for Everyday Living Inventory (PELI). The PELI is an evidenced-based, validated instrument that can be us...
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Nursing home (NH) staff perceptions of risks to residents’ health and safety is a major barrier to honoring resident preferences, the cornerstone of person-centered care delivery. This study examined direct-care nursing staff perceptions of risk (possibilities for harm or loss) associated with honoring residents’ preferences for everyday living and...
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Background: The Preferences for Everyday Living Inventory (PELI) was developed to assess the psychosocial preferences of older adults receiving home care (PELI-HC) and then revised for nursing home residents (PELI-NH). While the PELI-HC has been tested to identify patterns in preference ratings by race, the PELI-NH has not. We sought to explore whe...
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Patient (also referred to as User or Older Adult) engaged research is a unique approach to research design, implementation, and dissemination. The practice of engaged research, in its broader sense, involves service recipients, caregivers, clinicians, and other stakeholders in prioritization of research questions, approach, and practice translation...
Preprint
Full-text available
Background: Person-centered care (PCC) is a philosophy that recognizes “knowing the person” and honoring individual preferences. The purpose of this study was to evaluate the implementation of a novel PCC communication tool in nursing homes (NH). The tool is based on an assessment of NH resident likes and dislikes via the Preferences for Everyday L...
Preprint
Full-text available
Background: Person-centered care (PCC) is a philosophy that recognizes “knowing the person” and honoring individual preferences. The purpose of this study was to evaluate the implementation of a novel PCC communication tool in nursing homes (NH). The tool is based on an assessment of NH resident likes and dislikes via the Preferences for Everyday L...
Article
Background and objectives: Nursing home (NH) staff perceptions of risks to residents' health and safety is a major barrier to honoring resident preferences, the cornerstone of person-centered care delivery. This study explored direct-care nursing staff perceptions of risk (possibilities for harm or loss) associated with honoring residents' prefere...
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Full-text available
Stabilizing certified nursing assistant (CNA) employment is necessary for maintaining care networks and providing high quality of care for nursing home (NH) residents. This study’s objective was to examine the relationship of high wages and empowerment practices on CNA retention. We used the 2015 Ohio Biennial Survey to construct a facility-level d...
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The purpose of this study was to assess the acceptability, feasibility, and appropriateness of the PAL Card intervention. The data for this study came from monthly logs and final calls completed by n=26 NH providers. Staff from multiple departments contributed to the PAL card implementation. Common places for placing PAL cards were wheelchairs, wal...
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The PAL Card QIP Project sought to understand the intervention characteristics associated with effective implementation. Telephone interviews were conducted with n=26 NH providers who completed the project. Calls were recorded, transcribed verbatim and checked for accuracy. The Consolidated Framework for Implementation Research was utilized as an a...
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The purpose of this study was to assist Ohio NH providers in implementing PAL Cards. Providers were recruited to utilize the recreation and leisure items from the PELI to assess resident important preferences and create PAL cards for 15-20 residents. A total of n=43 providers registered and n=26 (60%) providers completed the project, which involved...
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This symposium describes the development and implementation of an interdisciplinary and novel person-centered care (PCC) communication tool in nursing homes (NH). PCC is a philosophy that recognizes “knowing the person” and honoring individual preferences. The communication tool is based on an assessment of NH resident likes and dislikes via the Pr...
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The Institute for Healthcare Improvement’s Triple Aim calls for measures of the ‘patient care experience’ to understand and improve the quality of care delivery. But, quality measures in the nursing home (NH) historically lack the resident perspective. Measuring whether residents are satisfied with the fulfillment of their care preferences using th...
Article
Culture change (CC) is an innovation to improve nursing home resident quality of life. Inconsistencies in how CC is measured make the interpretation of findings inconclusive. The purpose of this study is to determine the underlying factors of CC among Ohio nursing homes to extract the core essence of CC. Data from the 2015 Ohio Biennial Survey of L...
Article
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 unders...
Article
This study investigated barriers to fulfilling food preferences from nursing home (NH) residents’ perspectives, and the reasons preferences changed (situational dependencies). Interviews were completed with 255 residents in 28 NHs across greater Philadelphia, PA using six food items from the Preferences for Everyday Living Inventory-NH (PELI-NH). P...
Article
Objective: Nursing home (NH) residents’ preferences for everyday living are the foundation for delivering individualized care. Yet, work has not examined the impact of demographic and clinical characteristics of NH residents on the stability of their preferences over time. Method: This study examined the rate of change in reports of importance of 2...
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Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments. The aims of this secondary data analysis were to identify the prevalence and predictors of EDS among older adults receiving long-term services and supports (LTSS) in assisted living communities (ALCs), nursing home...
Article
Person-centered care (PCC) has a wide range of definitions, most based on expert opinion rather than empirical analysis. The current study used an empirical concept mapping approach to identify core components of PCC used in long-term services and supports (LTSS). The aim is to help providers and researchers develop a unified set of domains that ca...
Article
Research needs to further understand care preferences in home health care. The present quality improvement (QI) study convened an expert panel with key stakeholders. Methods included a modified Delphi card sort to (1) rank the Preferences for Everyday Living Inventory (PELI) categories from most to least important, and (2) select one PELI item from...
Article
Objective: To examine size and composition of the activities of daily living (ADL) helper network as predictors of a long-term nursing home (NH) stay. Method: Using the Health and Retirement Study (2002–2012), our sample included N=1,466 community-dwelling older adults (65 years+) with one or more ADL limitation who completed 2 or more waves (N=3,9...
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Nursing homes using the Preferences for Everyday Living Inventory (PELI-NH) to assess important preferences find the number of items (72) to be a barrier to using the assessment. Using the 16 MDS preferences from a sample of n=255 nursing home residents we developed a machine learning recommender system to identify additional PELI-NH items that may...
Article
The Centers for Medicare and Medicaid Services Quality of Life guidelines, call for a shift in focus to deliver person-centered care (PCC). Increasingly, PCC is recognized as the gold standard to promote wellbeing among older adults receiving long-term services and supports. Although PCC is recognized as an optimal approach, at present there is lit...
Article
The often stated goal of empowering older adults to make their own decisions can be very difficult to implement in health care settings. The health of the older adult, including cognitive status, as well as limits placed on choices by diagnosis, available treatments and other factor such as cost often leave few choices in the hands of the patient....
Article
The Preferences for Everyday Living Inventory (PELI) was selected as pay for performance quality indicator by the Ohio Department of Medicaid in 2015. A statewide questionnaire conducted in 2016 asked providers to indicate their level of PELI use. Out of 964 NHs, the majority (62%) of providers were conducting regular PELI assessments and integrati...
Article
The Preferences for Everyday Living Inventory (PELI) was selected as pay for performance quality indicator for nursing homes by the Ohio Department of Medicaid in 2015. A state wide Qualtrics questionnaire conducted in 2016 with n=964 nursing home providers sought to identify the barriers to implementing the PELI. Results: Major barriers reported b...
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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 re...
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Background and objectives: Nursing homes (NHs) using the Preferences for Everyday Living Inventory (PELI-NH) to assess important preferences and provide person-centered care find the number of items (72) to be a barrier to using the assessment. Research design and methods: Using a sample of n = 255 NH resident responses to the PELI-NH, we used t...
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Objectives: Although assessing individual consumer preferences are an important first step in providing person-centered care, the purpose of this study was to identify the top 10 shared preferences that are important to a majority of consumers receiving long-term services and supports. Design: A cross-sectional survey design was used. Setting a...
Article
The current study explored the contribution of non-clinical professionals, such as housekeepers and maintenance mechanics, in promoting person-centered care (PCC) for older adults residing in assisted living. Semi-structured face-to-face interviews with staff (n = 8), concierge (n = 2), maintenance mechanics (n = 2), housekeepers (n = 3), and an ad...
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The Advancing Excellence Campaign (AE) is a national quality improvement initiative sponsored by a consortium of stakeholder organizations. The campaign selects and disseminates evidence-based best practices. The person-centered care (PCC) goal is based on established, effective programs for improving quality of life. The PCC toolkit includes a bri...
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Background and objectives: U.S. Nursing homes (NH) are shifting toward a person-centered philosophy of care, where staff understand each residents preferences, goals and values, and seek to honor them throughout the care delivery process. Social interactions are a major component of life and while low rates of social interactions are typically fou...
Article
Nursing home (NH) residents routinely complete surveys that assess their health, well-being, preferences, and care needs. Such surveys reveal important information, however, are largely based on the concerns of providers as opposed to the concerns of residents. Thus, researchers must enhance efforts to ensure that these surveys are guided by the pr...
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Background: Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in LTSS recipients. However, the combination of MCCs and diseases associated with hospitalizations of LTSS recipients is unclear. Objective:...
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Objective: The purpose of this study is to identify nursing home (NH) staff perceptions of facilitators and barriers to learning about and meeting residents' preferences and reasons why staff feel residents change their minds about preferences. Methods: Focus group sessions and interviews were conducted with 36 NH staff members working in a faci...
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Purpose of the study: The nursing home (NH) culture change movement advocates for residents to be able to make choices about important aspects of their care. This study seeks to understand NH residents' perceptions of choice that they have in the care they receive while in the NH setting. We examine the association between residents' perceived cho...
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Design and methods: Measures of social network structure were calculated from self-reported social contact data within three cohorts of residents in one dementia special care unit. Pearson correlations were used to describe associations between overall quality of life and cognition, with network characteristics indicative of social integration. R...
Article
Nursing homes are embracing person-centered care, an approach that emphasizes "knowing the person" and honoring each individual's preferences. As providers shift toward person-centered care, they need timely, efficient tools and methods to gauge whether they are meeting consumer preferences and to identify areas in need of improvement. The Preferen...
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Although much research has examined end-of-life care preferences of nursing home (NH) residents, little work has examined resident preferences for everyday health care. The current study conducted interviews with 255 residents recruited from 35 NHs. Content analysis identified barriers (i.e., hindrances to the fulfillment of resident preferences) a...
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Objective: There remains a significant gap in the field regarding the measurement of preference-based care over time in nursing homes (NHs). This study discusses the use of a quality indicator that tracks recreational preference congruence (PC; that is, the match between NH residents' important preferences in recreational activities and their week...
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Objectives: Advance knowledge about changes in multiple dimensions of health related quality of life (HRQoL) among older adults receiving long-term services and supports (LTSS) over time and across settings. Design: A prospective, observational, longitudinal cohort design. Setting: Nursing homes (NHs), assisted living facilities (ALFs), commun...
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The physical and mental health of older adults with dementia is affected by levels of social integration. The development of dementia special care units (D-SCU) arose, in part, to facilitate more meaningful social interactions among residents implying greater social integration of D-SCU residents as compared to residents in a traditional nursing ho...
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Assessing and honoring older adults' preferences is a fundamental step in providing person-centered care in long-term care facilities. Researchers and practitioners have begun to develop measures to assess nursing home (NH) residents' everyday preferences. However, little is known about how residents interpret and conceptualize their preferences an...
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T he changes we have experienced in the home and community-based services (HCBS) arena over the last couple of decades are extraordinary. We have gone from spending the vast majority of Medicaid long-term funds for older people in institutional settings to a much more balanced system. A number of states are now approaching a point where 50 percent...
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Limited work has examined how well family proxies understand nursing home residents' preferences. With 85 dyads of a nursing home resident and relative, we utilize descriptive statistics and multi-level modeling to examine the concordance in reports of importance ratings of 72 everyday preferences for residents. Results reveal significant mean diff...