Personal and Organizational Factors as Predictors of Life Satisfaction Among Older Adults in Long-Term Care Settings
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Background and Aims Resident satisfaction is a critical indicator of the quality of care in long-term care facilities (LTCF). Yet, the relative importance quality of care factors in predicting resident satisfaction remains unclear for guiding resident support initiatives. This study aims to identify relative contribution of personal and facility care service factors as predictors of satisfaction LTCFs residents. Methods This cross-sectional study included 326 older adult residents from LTCFs in Shanghai, Nanjing, and Changsha, China (females = 215, mean age = 89.16, SD = 8.50). Hierarchical multiple regressions were utilized to examine self-report survey data on ten resident personal variables and seven care facility service domains were examined for their relative contribution to resident care satisfaction. Moreover, the analysis included the interaction between person factors and care service attributes. Results The combined personal and care service factors explained 26.1% of the variance in overall resident satisfaction. Personal factors that predicted resident satisfaction included age, level of independence, and length of stay (ΔR² = 0.11). Of the care facility factors, the significant predictors of higher resident satisfaction were spending time (β = 0.60, p < 0.01, ΔR² = 0.09) and environment domains (β = 0.62, p < 0.01, ΔR² = 0.03). Age moderated the relationship between Spending Time domain and overall satisfaction, with the positive effect for residents aged 70-79 compared to those aged 60-69 (β = -1.26, p < 0.05). Conclusion This study provides evidence to suggest that important of personal and care facility characteristics to LTFC resident satisfaction. Based on these findings, improved resident satisfaction is likely with LTCF care services that provide tailored care plans by the resident characteristics.