TY - JOUR AU - Gardner, Brandt AU - Bishop, Alex AU - Smith, Brenda AU - Struckmeyer, Kristopher PY - 2019 DA - 2019/02/27 TI - Exploring the Paradox of Care: Differences in Older Adult and Proxy Ratings of Health and Subjective Well-Being JO - OBM Geriatrics SP - 037 VL - 03 IS - 01 AB - (1) Background: The purpose of this study was to examine discrepancies in self-proxy agreement of biopsychosocial factors and the influence of objective well-being and psychosocial resources influence self and proxy appraisals of subjective well-being in older care recipients. (2) Methods: Seventy-two care recipient-proxy dyads rated the biopsychosocial health of non-cognitively impaired older adults. (3) Results: Proxies underestimated functional ability, psychosocial factors, and overrated negative health outcomes compared to older care recipient’s. Older care recipient ratings of place attachment ( = .39, p < .01) and relationship quality ( = .39, p < .01) were significant predictors of their subjective well-being. Proxies focused on both objective well-being and psychosocial resources to rate the older care recipient’s well-being, especially in quality of life (R2 = .87, adj. R2 = .82). (4) Conclusions: These findings indicate that discrepancies may exist between care recipient-proxy ratings of health due to focusing on different components of well-being. SN - 2638-1311 UR - https://doi.org/10.21926/obm.geriatr.1901037 DO - 10.21926/obm.geriatr.1901037 ID - Gardner2019 ER -