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Journal article
Long-Term Effect on Mortality of a Home Intervention that Reduces Functional Difficulties in Older Adults: Results from a Randomized Trial
Journal of the American Geriatrics Society (JAGS), v 57(3), pp 476-481
01 Mar 2009
PMID: 19187417
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To evaluate the long-term mortality effect of a home-based intervention previously shown to reduce functional difficulties and whether survivorship benefits differ according to initial mortality risk level.
Two-group randomized trial with survivorship followed up to 4 years from study entry.
Homes of urban community-living elderly people.
Three hundred nineteen adults aged 70 and older with difficulties performing daily activities.
Occupational and physical therapy sessions to instruct participants in compensatory strategies, home modifications, home safety, fall recovery techniques, and balance and muscle strength exercises.
Survival time was number of days between baseline interview and date of death, as determined using data from the National Death Index or December 31, 2005. Participants were stratified according to baseline mortality risk (low, moderate, high) using a prognostic indicator.
At 2 years, intervention participants (n=160) had a 5.6% mortality rate (n=9 deaths) and controls (n=159) a 13.2% rate (n=21 deaths; P=.02). Mortality rates remained lower for intervention participants up to 3.5 years from study entry. At 2 years, intervention participants with moderate mortality risk had a 16.7% mortality rate (n=16 deaths/96), compared with 28.2% for equivalent control group participants (n=24 deaths/85; P=.02). By 3 years, mortality rates were not statistically significantly different between the experimental and control groups.
The intervention extended survivorship up to 3.5 years and maintained statistically significant differences for 2 years. Subjects at moderate mortality risk derived the most intervention benefit. Findings suggest that the intervention could be a low-cost clinical tool to delay functional decline and mortality.
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Details
- Title
- Long-Term Effect on Mortality of a Home Intervention that Reduces Functional Difficulties in Older Adults: Results from a Randomized Trial
- Creators
- Laura N. Gitlin - Thomas Jefferson UniversityWalterW Hauck - Product Innovation and Engineering (United States) (United States, Saint James) - LLCMarie P. Dennis - Thomas Jefferson UniversityLaraine Winter - Thomas Jefferson UniversityNancy Hodgson - Thomas Jefferson UniversitySandy Schinfeld - Thomas Jefferson University
- Publication Details
- Journal of the American Geriatrics Society (JAGS), v 57(3), pp 476-481
- Publisher
- Wiley
- Number of pages
- 6
- Grant note
- R01AG013687 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01 AG13687 / 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; Drexel University
- Web of Science ID
- WOS:000263859600012
- Scopus ID
- 2-s2.0-61449263637
- Other Identifier
- 991020100048304721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology