Examining clinical predictors of change in recreational preference congruence among nursing home residents over time.

This study examines use of a quality indicator that tracks recreational preference congruence (PC; the match between NH residents’ important preferences in recreational activities and activity attendance). With a sample of 199 nursing home residents, the study explored the change in PC over 52 weeks using multilevel-mixed effects regression analyses. Results show PC is variable and residents with greater functional limitations have lower PC over time. Providers should pay particular attention to recreational attendance of at-risk residents with incontinence, and visual and language comprehension difficulties.