ABSTRACT

Common Bond Communities (CBC) is a nonprofit organization that provides housing for low-income individuals and families. CBC utilized the Live Well at Home-Rapid Screen (LWAH-RS) to identify the risks for nursing home admission or assisted living entry among housing residents aged 60 or above. Drawing data from 842 assessments, we studied how well the LWAH-RS predicted moves to nursing homes or assisted living settings. Cox regression models showed that the LWAH-RS did predict which residents would move to a care setting. Every 1-point higher in the LWAH-RS assessment score was associated with a 38% higher risk of moving to a higher-level care facility due to health issues. Given this demonstrated predictive validity in a real-world setting, we suggest more systematic approaches for housing practitioners to combat low assessment completion rates and unclear protocols for actions based on the scores.

摘要

Common Bond Communities (CBC) 是一个为低收入个人和家庭提供住房的非营利组织。CBC 利用居家快速筛查 (LWAH-RS) 来确定 60 岁或以上的住房居民入住疗养院或辅助生活的风险。从 842 项评估中提取数据，我们研究了 LWAH-RS 对搬到疗养院或辅助生活环境的预测效果。Cox 回归模型显示，LWAH-RS 确实预测了哪些居民会搬到护理机构。LWAH-RS 评估分数每提高 1 分，因健康问题而转移到更高级别护理机构的风险增加 38%。鉴于这在现实世界中证明了预测有效性，