Long-term care preferences among older adults: A moving target?

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37 Scopus citations


This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n = 420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.

Original languageEnglish (US)
Pages (from-to)182-200
Number of pages19
JournalJournal of Aging and Social Policy
Issue number2
StatePublished - 2008


  • Home and community-based care
  • Long-term care
  • Nursing home
  • Patient preference

ASJC Scopus subject areas

  • Demography
  • Gerontology
  • Life-span and Life-course Studies


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