Journal article
Home-Based Care Program Reduces Disability And Promotes Aging In Place
Health affairs (Millwood, Va.), v 35(9), pp 1558-1563
01 Sep 2016
PMID: 27605633
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program, funded by the Center for Medicare and Medicaid Innovation, aims to reduce the impact of disability among low-income older adults by addressing individual capacities and the home environment. The program, described in this innovation profile, uses an interprofessional team (an occupational therapist, a registered nurse, and a handyman) to help participants achieve goals they set. For example, it provides assistive devices and makes home repairs and modifications that enable participants to navigate their homes more easily and safely. In the period 2012-15, a demonstration project enrolled 281 adults ages sixty-five and older who were dually eligible for Medicare and Medicaid and who had difficulty performing activities of daily living (ADLs). After completing the five-month program, 75 percent of participants had improved their performance of ADLs. Participants had difficulty with an average of 3.9 out of 8.0 ADLs at baseline, compared to 2.0 after five months. Symptoms of depression and the ability to perform instrumental ADLs such as shopping and managing medications also improved. Health systems are testing CAPABLE on a larger scale. The program has the potential to improve older adults' ability to age in place.
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Details
- Title
- Home-Based Care Program Reduces Disability And Promotes Aging In Place
- Creators
- Sarah L. Szanton - Johns Hopkins UniversityBruce Leff - Johns Hopkins UniversityJennifer L. Wolff - Johns Hopkins UniversityLaken Roberts - Johns Hopkins UniversityLaura N. Gitlin - Johns Hopkins Medicine
- Publication Details
- Health affairs (Millwood, Va.), v 35(9), pp 1558-1563
- Publisher
- Project Hope
- Number of pages
- 6
- Grant note
- 1C1CMS330970-01 / Centers for Medicare and Medicaid Services (CMS); Comision Nacional de Investigacion Cientifica y Tecnologica (CONICYT); CONICYT PIA/BASAL
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000387114300002
- Scopus ID
- 2-s2.0-84988373336
- Other Identifier
- 991020112077704721
UN Sustainable Development Goals (SDGs)
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- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services