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. 2020 Apr 2;60(3):376-384.
doi: 10.1093/geront/gnz075.

A Preference-Based Model of Care: An Integrative Theoretical Model of the Role of Preferences in Person-Centered Care

Kimberly Van Haitsma  1 , Katherine M Abbott  2 , Annabelle Arbogast  2 , Lauren R Bangerter  3 , Allison R Heid  4 , Liza L Behrens  1 , Caroline Madrigal  1
Affiliations

A Preference-Based Model of Care: An Integrative Theoretical Model of the Role of Preferences in Person-Centered Care

Kimberly Van Haitsma et al. Gerontologist. .

Abstract

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 understood. This article proposes a theoretical model of PCC entitled the Preference-Based Model of Care that integrates the Theory of Human Motivation, Self-determination Theory, the Competence-Press Model of person and environment fit, the Living Systems Framework, and the Broaden-and-Build theory of positive emotions to deepen our understanding of the processes through which preference-based care affects well-being among older adults receiving LTSS. The Preference-Based Model of Care illustrates how goal-directed behaviors facilitate need fulfillment through the expression of individual preferences and how these behaviors mediate the relationship between person-environment fit and affect balance within a particular social, cultural, and political context. The Preference-Based Model of Care can advance research on PCC in LTSS and can inform LTSS clinical practice guidelines for older adults, regardless of functional or cognitive capacity.

Keywords: Long-term care; Person–environment fit; Preference-based care; Theory.

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Figures

Figure 1.
Figure 1.
Defining the relationship between values, goals, needs, and preferences.
Figure 2.
Figure 2.
The Preference-Based Model of Care.
See this image and copyright information in PMC

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