A Community-Based Collaborative Care Model to Improve Functional Health in Underserved Community-Dwelling Older Adults.
J Aging Health
; 31(3): 379-396, 2019 03.
Article
em En
| MEDLINE
| ID: mdl-29254408
ABSTRACT
OBJECTIVE:
Examine the effects of a 6-month health multidimensional intervention on physical function, bone density, and mood in a diverse sample of community-dwelling older adults at risk for frailty and excess disability.METHOD:
A quasi-experimental, pre- post-program design was implemented. Adults aged 55 years and older ( n = 337, 60% African American) participated in the intervention and received assessments at baseline, 6 months, and 12 months.RESULTS:
Physical function was maintained during the intervention for both African American and White elders but declined at 12 months for both groups ( p < .0001). Symptoms of depression improved during the intervention ( M = 0.65 ± 0.07, M = 0.15 ± 0.04, M = 0.68 ± 0.07, p < .001, respectively) but worsened at 12 months ( M = 0.68 ± 0.07, p < .001). Bone density scores remained stable from baseline (distal -1.62 ± 1.17, proximal -2.73 ± 1.85) to 12 months (distal -1.72 ± 1.21, proximal -3.11 ± 1.85, ps > .05) for both groups.DISCUSSION:
Program findings may serve as a basis for the development of a randomized, controlled study to provide empirical evidence of intervention efficacy. Such findings may help inform the development of community-based programs to identify vulnerable older adults and provide vital preventative care to decrease frailty and excess disability.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços de Saúde Comunitária
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Vida Independente
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Fragilidade
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Área Carente de Assistência Médica
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Prognostic_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article