{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:27:52Z","timestamp":1783423672246,"version":"3.54.6"},"reference-count":67,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2018,12,8]],"date-time":"2018-12-08T00:00:00Z","timestamp":1544227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100006510","name":"Duke University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006510","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Pain and functional limitations can severely impede older adults\u2019 quality of life. In Chinese residential care facilities, limited research suggests that residents potentially have significant unmet care needs with pain and related functional limitations. Therefore, we aimed to explore residents\u2019 challenges and self-management strategies in these two areas. This knowledge is essential to developing care interventions to improve quality of care and quality of life in Chinese residential care facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>We conducted semi-structured open-ended interviews with residents (n = 21) in two facilities in eastern and central China and assessed their pain and functional status using self-report measures from Minimum Data Set 3.0. We applied descriptive statistics to the self-reported data and analyzed the interview data using thematic analysis by drawing on the Adaptive Leadership Framework. This framework proposes that individuals living with chronic conditions need to engage in work to address their complex health concerns and that they need support from the environment to facilitate problem-solving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Residents described significant unmet care needs with pain and functional limitations. To address these care needs, they adopted a substantial number of self-management strategies. While doing so, they faced significant barriers, including service gaps and inadequate direct care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>The findings suggest further research to explore long-term care policy change that is needed to provide comprehensive health and medical services and adequate direct care in these facilities. The importance of establishing various types of long-term care facilities is also highlighted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geront\/gny154","type":"journal-article","created":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T23:14:02Z","timestamp":1541459642000},"page":"89-100","source":"Crossref","is-referenced-by-count":1,"title":["Resident Challenges With Pain and Functional Limitations in Chinese Residential Care Facilities"],"prefix":"10.1093","volume":"60","author":[{"given":"Yuting","family":"Song","sequence":"first","affiliation":[{"name":"Faculty of Nursing, University of Alberta , Edmonton,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth A","family":"Anderson","sequence":"additional","affiliation":[{"name":"School of Nursing, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bei","family":"Wu","sequence":"additional","affiliation":[{"name":"Rory Meyers College of Nursing, New York University , Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kezia","family":"Scales","sequence":"additional","affiliation":[{"name":"PHI , Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"McConnell","sequence":"additional","affiliation":[{"name":"School of Nursing, Duke University , Durham, North Carolina"},{"name":"Department of Veterans Affairs Medical Center , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela Y M","family":"Leung","sequence":"additional","affiliation":[{"name":"School of Nursing, The Hong Kong Polytechnic University ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten N","family":"Corazzini","sequence":"additional","affiliation":[{"name":"Rory Meyers College of Nursing, New York University , Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,12,8]]},"reference":[{"key":"2026010622470990300_CIT0001","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.pain.2009.10.008","article-title":"Pain in European long-term care facilities: cross-national study in Finland, Italy and The Netherlands","volume":"148","author":"Achterberg","year":"2010","journal-title":"Pain"},{"issue":"1","key":"2026010622470990300_CIT0002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/00207144.2013.841471","article-title":"A meta-analysis of hypnosis for chronic pain problems: a comparison between hypnosis, standard care, and other psychological interventions","volume":"62","author":"Adachi","year":"2014","journal-title":"International Journal of Clinical and Experimental Hypnosis"},{"key":"2026010622470990300_CIT0003","author":"American Medical Directors Association","year":"2012"},{"key":"2026010622470990300_CIT0004","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/ANS.0000000000000063","article-title":"Adaptive leadership framework for chronic illness: framing a research agenda for transforming care delivery","volume":"38","author":"Anderson","year":"2015","journal-title":"Advances in Nursing Science"},{"key":"2026010622470990300_CIT0006","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1093\/brain\/awt354","article-title":"Does cognitive functioning predict chronic pain? 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