Journal article
CAPABLE for People After Hospitalization: A Randomized Trial
Journal of the American Geriatrics Society (JAGS), v 73(12), pp 3663-3669
Dec 2025
PMID: 40990312
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Following hospitalization, nearly 30% of older adults lose some independence. This can lead to rehospitalization, nursing home admission, and increased dependence. CAPABLE, an evidence-based program, increases independence among older adults with functional limitations but has not been tested in recently hospitalized people.Methods This randomized clinical trial enrolled 268 low-income community-dwelling adults who had been discharged to home from the hospital 60 days prior, had a home health episode, yet had remaining difficulties in at least one activity of daily living. Participants were randomized to no further care or to CAPABLE, which involved up to 10 home visits over 5 months with an occupational therapist, a registered nurse, and a handyworker to address an older adult's self-identified functional goals. Main outcomes were (1) improvement in difficulty with and assistance needed for 10 activities of daily living (range 10-50); (2) five instrumental activities of daily living and mobility: walking up a set of stairs and walking a block.Results The CAPABLE group decreased their ADL difficulty by -1.76 (CI -2.98, -0.54) and the control group decreased (-0.63: CI -1.86, 0.60) over 5 months, which was not statistically or clinically significant. However, the CAPABLE treatment group demonstrated greater improvement in a composite mobility measure than control participants (-0.52 and -0.02, respectively, p = 0.028). Additionally, among participants with four or more co-morbidities at baseline, the CAPABLE group showed significantly improved ADL independence compared to control participants.Conclusions Among recently hospitalized persons receiving skilled home health care, CAPABLE did not improve ADLs. However, it improved functional mobility and benefited those with >= 4 comorbidities. This study provides novel information on targeting CAPABLE in the post-hospitalization period.
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Details
- Title
- CAPABLE for People After Hospitalization: A Randomized Trial
- Creators
- Sarah L. Szanton - Johns Hopkins UniversityDavid L. Roth - Johns Hopkins UniversityKathryn Bowles - Visiting Nurse Service of New YorkNicole Onorato - Visiting Nurse Service of New YorkLaura N. Gitlin - Drexel University, College of Nursing and Health ProfessionsBruce Leff - Johns Hopkins Medicine
- Publication Details
- Journal of the American Geriatrics Society (JAGS), v 73(12), pp 3663-3669
- Publisher
- Wiley
- Number of pages
- 7
- Grant note
- R01 AG056607 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:001577552700001
- Scopus ID
- 2-s2.0-105017821455
- Other Identifier
- 991022116863104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology