This study examines use of a quality indicator that tracks recreational preference congruence (PC; the match between NH residents’ important preferences in recreational activities and activity attendance). With a sample of 199 nursing home residents, the study explored the change in PC over 52 weeks using multilevel-mixed effects regression analyses. Results show PC is variable and residents with greater functional limitations have lower PC over time. Providers should pay particular attention to recreational attendance of at-risk residents with incontinence, and visual and language comprehension difficulties.

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Program for Person-Centered Living Systems of Care at The Pennsylvania State University, National Institute of Nursing Research (1R21NR011334), National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health (UL1 TR000127)


Heid, A. R., VanHaitsma, K., Kleban, M., Rovine, M. J., & Abbott, K. M. (2017). Examining clinical predictors of change in recreational preference congruence among nursing home residents over time. Journal of Applied Gerontology, 36(11), 1351-1369. doi: 10.1177/0733464815617288

Team Members as Authors

Members of the the PELI Team who contributed to this publication.

Kimberly VanHaitsma, Ph.D., FGSA

Avatar for Dennis Cheatham

Dennis Cheatham

Communication Director

Professor, Penn State Ross and Carol Nese College of Nursing
Director, Program for Person-Centered Living Systems of Care

Kimberly VanHaitsma, Ph.D., FGSA