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Journal article
Community aging in place, advancing better living for elders: a bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults
Journal of the American Geriatrics Society (JAGS), v 59(12), pp 2314-2320
Dec 2011
PMID: 22091738
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To determine effect size and acceptability of a multicomponent behavior and home repair intervention for low-income disabled older adults.
Prospective randomized controlled pilot trial.
Participants' homes.
Forty low-income older adults with difficulties in one or more activities of daily living (ADLs) or two or more instrumental activities of daily living (IADLs).
The Community Aging in Place, Advancing Better Living for Elders (CAPABLE), coordinated occupational therapy, nursing, and handyman visits, was compared with attention-control visits. The intervention consisted of up to six visits with an occupational therapist, up to four visits with a nurse, and an average of $1,300 in handyman repairs and modifications. Each intervention participant received all components of the intervention clinically individualized to risk profile and goals. Each attention-control participant received the same number of visits as the intervention participants, involving sedentary activities of their choice.
difficulty in performing ADLs and IADLs.
health-related quality of life and falls efficacy.
Thirty-five of 40 adults (87%) completed the 6-month trial, and 93% and 100% of the control and intervention group, respectively, stated that the study benefited them. The intervention group improved on all outcomes. When comparing mean change in the intervention group with mean change in the control group from baseline to follow-up, the CAPABLE intervention had effect sizes of 0.63 for reducing difficulty in ADLs, 0.62 for reducing difficulty in IADLs, 0.89 for quality of life, and 0.55 for falls efficacy.
The CAPABLE intervention was acceptable to participants and feasible to provide and showed promising results, suggesting that this multicomponent intervention to reduce disability should be evaluated in a larger trial.
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Details
- Title
- Community aging in place, advancing better living for elders: a bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults
- Creators
- Sarah L Szanton - Johns Hopkins UniversityRoland J Thorpe - Department of Health Policy and ManagementCynthia Boyd - Johns Hopkins MedicineElizabeth K Tanner - Johns Hopkins MedicineBruce Leff - Johns Hopkins MedicineEmily Agree - Bloomberg (United States)Qian-Li Xue - Johns Hopkins MedicineJerilyn K Allen - Johns Hopkins MedicineChristopher L Seplaki - Bloomberg (United States)Carlos O Weiss - Michigan State UniversityJack M Guralnik - University of Maryland, BaltimoreLaura N Gitlin - Department of Health Systems and Outcomes
- Publication Details
- Journal of the American Geriatrics Society (JAGS), v 59(12), pp 2314-2320
- Publisher
- Wiley
- Grant note
- R24 HD042854 / NICHD NIH HHS 1KL2RR025006-01 / NCRR NIH HHS KL2 RR025006 / NCRR NIH HHS K23 AG032910 / NIA NIH HHS K01 AG031332 / NIA NIH HHS K01AG031332 / NIA NIH HHS P30 AG034460 / NIA NIH HHS P30AG034460 / NIA NIH HHS KL2 RR025006-02 / NCRR NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000298600300016
- Scopus ID
- 2-s2.0-84155170904
- Other Identifier
- 991020100183804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology