Long-Term Care Resident Awareness and Interest in Spasticity Treatments
Spasticity is common in long-term care settings (affecting up to one in three residents), yet it remains under-treated despite safe and effective, Food and Drug Administration (FDA)-approved therapies. One barrier to treatment may be lack of awareness of available therapies for long-term care reside...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-03-01
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| Series: | Geriatrics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3417/6/1/21 |
| _version_ | 1797415693782614016 |
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| author | Mallory L. Hacker Michael S. Putman Chandler E. Gill Maxim Turchan Taylor S. Hudson Amanda D. Currie Fenna T. Phibbs David Charles |
| author_facet | Mallory L. Hacker Michael S. Putman Chandler E. Gill Maxim Turchan Taylor S. Hudson Amanda D. Currie Fenna T. Phibbs David Charles |
| author_sort | Mallory L. Hacker |
| collection | DOAJ |
| description | Spasticity is common in long-term care settings (affecting up to one in three residents), yet it remains under-treated despite safe and effective, Food and Drug Administration (FDA)-approved therapies. One barrier to treatment may be lack of awareness of available therapies for long-term care residents living with spasticity. A standardized spasticity treatment awareness and interest interview was conducted with 18 nursing home residents and 11 veterans’ home residents in this cross-sectional study. Veterans’ home residents were also asked about potential barriers to receiving spasticity treatment. Many residents across both long-term care facilities were unaware of most of the treatment options for spasticity. Participants were most aware of physical/occupational therapy (83%, 95% CI: 65–93%) and least aware of intrathecal baclofen (21%, 95% CI: 9–39%). After learning about treatments, only 7% of participants (95% CI: 0–23%) were not interested in receiving any form of spasticity treatment. Among residents previously unaware of spasticity treatments, at least one quarter became interested in receiving treatment and at least one-fifth indicated possibly being interested in the treatment after learning about it. Potential barriers to receiving treatment included traveling to see a doctor and limited knowledge of insurance coverage of spasticity treatments. These results suggest that patient-centered approaches, including education and discerning patient preferences, may improve spasticity treatment in long-term care settings. |
| first_indexed | 2024-03-09T05:52:11Z |
| format | Article |
| id | doaj.art-615de97edd4446ca803a9ed27488326d |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-09T05:52:11Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-615de97edd4446ca803a9ed27488326d2023-12-03T12:16:09ZengMDPI AGGeriatrics2308-34172021-03-01612110.3390/geriatrics6010021Long-Term Care Resident Awareness and Interest in Spasticity TreatmentsMallory L. Hacker0Michael S. Putman1Chandler E. Gill2Maxim Turchan3Taylor S. Hudson4Amanda D. Currie5Fenna T. Phibbs6David Charles7Department of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Rheumatology, Northwestern University, Chicago, IL 60611, USADepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL 60612, USADepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212, USAGeneral Surgery, Duke University Hospital, Durham, NC 27710, USADepartment of Medicine, Duke University Medical Center, Durham, NC 27710, USADepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212, USADepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212, USASpasticity is common in long-term care settings (affecting up to one in three residents), yet it remains under-treated despite safe and effective, Food and Drug Administration (FDA)-approved therapies. One barrier to treatment may be lack of awareness of available therapies for long-term care residents living with spasticity. A standardized spasticity treatment awareness and interest interview was conducted with 18 nursing home residents and 11 veterans’ home residents in this cross-sectional study. Veterans’ home residents were also asked about potential barriers to receiving spasticity treatment. Many residents across both long-term care facilities were unaware of most of the treatment options for spasticity. Participants were most aware of physical/occupational therapy (83%, 95% CI: 65–93%) and least aware of intrathecal baclofen (21%, 95% CI: 9–39%). After learning about treatments, only 7% of participants (95% CI: 0–23%) were not interested in receiving any form of spasticity treatment. Among residents previously unaware of spasticity treatments, at least one quarter became interested in receiving treatment and at least one-fifth indicated possibly being interested in the treatment after learning about it. Potential barriers to receiving treatment included traveling to see a doctor and limited knowledge of insurance coverage of spasticity treatments. These results suggest that patient-centered approaches, including education and discerning patient preferences, may improve spasticity treatment in long-term care settings.https://www.mdpi.com/2308-3417/6/1/21spasticityneurologic diseaselong-term carepatient preferences |
| spellingShingle | Mallory L. Hacker Michael S. Putman Chandler E. Gill Maxim Turchan Taylor S. Hudson Amanda D. Currie Fenna T. Phibbs David Charles Long-Term Care Resident Awareness and Interest in Spasticity Treatments Geriatrics spasticity neurologic disease long-term care patient preferences |
| title | Long-Term Care Resident Awareness and Interest in Spasticity Treatments |
| title_full | Long-Term Care Resident Awareness and Interest in Spasticity Treatments |
| title_fullStr | Long-Term Care Resident Awareness and Interest in Spasticity Treatments |
| title_full_unstemmed | Long-Term Care Resident Awareness and Interest in Spasticity Treatments |
| title_short | Long-Term Care Resident Awareness and Interest in Spasticity Treatments |
| title_sort | long term care resident awareness and interest in spasticity treatments |
| topic | spasticity neurologic disease long-term care patient preferences |
| url | https://www.mdpi.com/2308-3417/6/1/21 |
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