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Updated: Feb 4, 2026
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Using Cholesky Decomposition to Explore Individual Differences in Longitudinal Relations between Reading Skills
Published on: September 17, 2019
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A Pilot Study Exploring Treatment Burden in a Skilled Nursing Population.
Nathanial Schreiner1, Barbara Daly1
1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Summary
Treatment burden in adults with multiple chronic conditions was measured during home transitions. Findings suggest moderate, fluctuating levels, not high risk, indicating potential for better discharge planning.
Area of Science:
- Gerontology
- Health Services Research
- Chronic Disease Management
Background:
- Multiple chronic conditions (MCC) present complex care needs.
- Transitions from skilled nursing facilities (SNF) to home are critical junctures for patient management.
- Understanding treatment burden during these transitions is essential for effective care.
Purpose of the Study:
- To quantify treatment burden in adults with MCC.
- To assess treatment burden in patients transitioning from SNF to home.
- To identify factors influencing treatment burden.
Main Methods:
- Prospective, two-time point cohort study.
- Convenience sampling from one SNF in Northeast Ohio.
- Seventy-four participants completed self-report measures of treatment burden pre-discharge and 30 days post-discharge.
Main Results:
- No statistically significant difference in treatment burden between pre-discharge and 30 days post-discharge (p > .05).
- Multivariate analysis identified severity of MCC and caregiver presence as significant predictors of treatment burden (p < .05).
- Variance explained by these factors was 23%.
Conclusions:
- Contrary to hypothesis, patients with MCC transitioning home did not exhibit high treatment burden.
- Moderate, fluctuating treatment burden levels were observed.
- Estimating treatment demands pre-discharge can improve SNF discharge planning for patients with MCC.
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