TY  - JOUR
PY  - 2010//
TI  - Understanding Factors That Influence Success of Home- and Community-Based Services in Keeping Older Adults in Community Settings
JO  - Journal of aging and health
A1  - Chen, Ya-Mei
A1  - Thompson, Elaine Adams
SP  - 267
EP  - 291
VL  - 22
IS  - 3
N2  - 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 />
LA  - 
SN  - 0898-2643
UR  - http://dx.doi.org/10.1177/0898264309356593
ID  - ref1
ER  -