. Author manuscript; available in PMC: 2017 Aug 14.

Published in final edited form as: Med Care Res Rev. 2010 Apr 30;67(4 Suppl):65S–81S. doi: 10.1177/1077558710366862

Table 3.

Factors Associated With Long-Term Care Specialists’ Number-One Ranked Barrier to Nursing Home Culture Change: Multivariate Logistic Regressions

	The Number-One Ranked Barrier to Nursing Home Culture Change; AOR (95% CI)
Factors of Interest	Cost	Senior Leadership Resistance	Regulation
Gender (female)	0.9 (0.66–1.13)	1.5 (1.15–1.98)^**	0.9 (0.64–1.18)
Age group^a (years)
45–54	0.8 (0.55–1.19)	1.0 (0.67–1.42)	1.2 (0.78–1.91)
55–64	0.8 (0.52–1.09)	0.8 (0.59–1.22)	1.3 (0.82–1.98)
65+	1.1 (0.66–1.94)	0.5 (0.30–0.99)^*	0.9 (0.44–1.74)
Familiarity with nursing home culture change^b
Moderately familiar	0.7 (0.44–0.99)^*	1.7 (1.04–2.80)^*	1.4 (0.84–2.27)
Familiar	0.5 (0.37–0.78)^***	2.7 (1.73–4.21)^***	1.1 (0.68–1.71)
Extremely familiar	0.3 (0.18–0.39)^***	5.0 (3.26–7.69)^***	0.8 (0.52–1.28)
Top-ranked challenge facing long-term care^c
Finance	1.3 (0.99–1.82)^†	0.7 (0.50–0.95)^*	1.0 (0.67–1.36)
Regulation/enforcement	1.1 (0.59–2.12)	0.6 (0.33–1.15)	1.9 (1.01–3.42)^*
Achieving quality	0.9 (0.57–1.32)	1.5 (1.03–2.17)^*	0.7 (0.41–1.07)
Nursing home provider representative (yes vs. no)	1.1 (0.71–1.80)	0.4 (0.22–0.56)^***	2.8 (1.77–4.27)^***

Note: AOR = adjusted odds ratio; 95% CI = 95% confidence interval.

Reference group: age <45 years.

Reference group: not at all familiar and slightly familiar.

Reference group: workforce, supply of home- and community-based services, accelerating demand, information for consumers/families, and other.

^†

p = .06.

p < .05.

^**

p < .01.

^***

p ≤ .001.