[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-428873-105":59,"doc-detail-428873-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","transitions-between-self-and-proxy-completion-of-nursing-home-resident-care-and-activity-preferences-2025-vol-9-no-s2","TRANSITIONS BETWEEN SELF AND PROXY - Completion of Nursing Home Resident Care and Activity Preferences - 2025 Vol. 9 No. S2","","Identification of nursing home residents’ preferences for care and activities is essential for person-centered care, yet the accuracy and downstream effects of proxy reporting remain uncertain. This retrospective cohort study used MDS 3.0 data (2019; N=357,321) with two preference assessments to examine transitions across self and proxy respondents. Preference respondent changed in 40,799 residents, with distinct self-to-family, self-to-staff, family-to-resident, and staff-to-resident patterns. Dementia rates and cognitive trajectories varied by transition type, and reporter-specific differences were observed in which preferences were deemed important, informing early preference assessment and proxy-report impact.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/transitions-between-self-and-proxy-completion-of-nursing-home-resident-care-and-activity-preferences-2025-vol-9-no-s2/428873/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/transitions-between-self-and-proxy-completion-of-nursing-home-resident-care-and-activity-preferences-2025-vol-9-no-s2/428873.png","ImageObject",300,407,{"name":92,"@type":93},"jayni","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the study’s main purpose?","Question",{"text":113,"@type":114},"To investigate transitions between self and proxy respondents for nursing home residents’ care and activity preferences and to assess related predictors and impacts on preference patterns.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What data and criteria were used for the cohort?",{"text":118,"@type":114},"The retrospective cohort included residents with two completed preference assessments from the 2019 MDS 3.0, totaling N=357,321 residents.",{"name":120,"@type":111,"acceptedAnswer":121},"How did cognition change when preference reporting shifted?",{"text":122,"@type":114},"Cognition worsened in all cases where self-report was lost and improved in all cases where self-report was resumed.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},428873,1790812769,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},3985747859343,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Innovation in Aging, 2025, Vol. 9, No. S2 899  \nSet (MDS) and assessed through self and proxy report. Concerns surrounding accuracy of proxy report exist. Yet, transitions between self and proxy report of preferences, related predictors, and impact on preference patterns are unknown. This retrospective cohort study identified all residents with two preference assessments completed in the 2019 MDS 3.0 (N = 357,321) and examined transitions across preference respondent. Of the residents for whom preference respondent changed (n = 40,799), 31.8% transitioned from self to family report while 14% transitioned from self to staff report. In contrast, 21.8% transitioned from family to resident report and 12% from staff to resident report. Rates of dementia were only somewhat higher among residents who transitioned from resident to family (50.0%) versus family to resident report (46.5%) . Cognition worsened in all cases of loss of self-report and improved in all cases of resuming self-report. Preferences reported as important varied across reporter. Findings have implications for understanding the potential impact of proxy report of preference reports and the importance of early preference assessment among individuals with dementia. Future research examining a wider range of factors that predict return of self-report capacity is needed.  \nAbstract citation ID: igaf122.3040  \nTRANSITIONS BETWEEN SELF AND PROXY  \nCOMPLETION OF NURSING HOME RESIDENT CARE  \nAND ACTIVITY PREFERENCES  \nLaura Block, and Tonya Roberts, University of WisconsinMadison, Madison, Wisconsin, United States  \nIdentification of nursing home (NH) resident preferences for care and activities is crucial to informing person-centered care.  \nPreferences are systematically recorded in the Minimum Data","cbCaioHdKVX9QX00","https://ap.wps.com/l/cbCaioHdKVX9QX00","pdf",45948,"English","# Background\n## Person-centered care and preference identification\n# Study design and data\n## Retrospective cohort using MDS 3.0 (2019)\n# Results\n## Transition patterns across respondent types\n## Dementia rates and cognition changes\n## Reporter differences in preference importance\n# Implications and future research\n## Importance of early preference assessment","[{\"question\":\"What was the study’s main purpose?\",\"answer\":\"To investigate transitions between self and proxy respondents for nursing home residents’ care and activity preferences and to assess related predictors and impacts on preference patterns.\"},{\"question\":\"What data and criteria were used for the cohort?\",\"answer\":\"The retrospective cohort included residents with two completed preference assessments from the 2019 MDS 3.0, totaling N=357,321 residents.\"},{\"question\":\"How did cognition change when preference reporting shifted?\",\"answer\":\"Cognition worsened in all cases where self-report was lost and improved in all cases where self-report was resumed.\"}]","TRANSITIONS BETWEEN SELF AND PROXY - Completion of Nursing Home Resident Care and Activity Preferences - 2025 Vol. 9 No. S2 | PDF",1790647968]