Predictors of care coordination versus social visitation with long-term care facility residents.

Abstract

Background and objectives: Most studies to date have assessed visitation between family and residents via the overall frequency of in-person visits. This approach fails to account for 2 different types of involvement included in visitation: care coordination and social visitation. This study aimed to identify facilitators and barriers of care coordination distinct from social visitation with a specific focus on long-term care (LTC) site characteristics and resident functionality.

Research design and methods: One hundred and seventy-five adult participants in the United States with a close friend or relative residing in a LTC facility completed an online survey regarding their care coordination and social visitation in LTC facilities, LTC facility characteristics, and residents' functionality.

Results: Shorter travel time and visitors' experiences communicating with the resident (e.g., comfort, frustration) emerged as the strongest predictors of both care coordination involvement and social visitation. Both greater comfort communicating with the resident and greater frustration predicted greater care coordination involvement, whereas only comfort communicating with the resident predicted social visitation. Resident length of stay, type of LTC facility, and resident communication factors (e.g., verbal abilities, recognition of visitors) were not significant predictors of care coordination involvement nor social visitation.

Discussion and implications: Logistical barriers and visitors' emotional experiences when communicating with residents may have a stronger influence on visitor engagement compared to resident's functional abilities and LTC facility characteristics. Interventions targeting the identified facilitators of visitation may help to facilitate and support family involvement with residents of LTC facilities.