@article{ref1,
title="Understanding Factors That Influence Success of Home- and Community-Based Services in Keeping Older Adults in Community Settings",
journal="Journal of aging and health",
year="2010",
author="Chen, Ya-Mei and Thompson, Elaine Adams",
volume="22",
number="3",
pages="267-291",
abstract="Objectives: To understand factors that influence success of home- and community-based services in keeping older adults in community settings, we examined the causal relationships among older adults’ personal factors, older adults’ home- and community-based services use, and older adults’ remaining in communities.  Methods: Structural equation modeling was employed to test a home- and community-based services model based on Andersen’s Health Behavioral Model. Data from 5,294 elders in a nationally representative dataset, the Second Longitudinal Study of Aging, were included for analysis. Results: Two significant supportive factors for older adults to remain in communities were use of paid instrumental activities of daily living (IADL) personal care services and awareness of unmet needs. Discussion: Our findings suggest the importance of encouraging older adults to acknowledge their unmet needs and to seek community-based support services early, rather than wait until they have developed more serious needs, such as difficulties in activities of daily living (ADL).<p />",
language="",
issn="0898-2643",
doi="10.1177/0898264309356593",
url="http://dx.doi.org/10.1177/0898264309356593"
}