Open AccessA Preference-Based Model of Care: An Integrative Theoretical Model of the Role of Preferences in Person-Centered Care
Author(s) -
Kimberly Van Haitsma,
Katherine Abbott,
Annabelle Arbogast,
Lauren R. Bangerter,
Allison R. Heid,
Liza Behrens,
Caroline Madrigal
Publication year - 2019
Publication title -
the gerontologist/the gerontologist
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.524
H-Index - 138
eISSN - 1758-5341
pISSN - 0016-9013
DOI - 10.1093/geront/gnz075
Subject(s) - preference , cornerstone , competence (human resources) , psychology , affect (linguistics) , long term care , cognition , context (archaeology) , social psychology , art , paleontology , communication , neuroscience , psychiatry , economics , visual arts , biology , microeconomics
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.