scholarly journals CAPABLE Program Improves Disability in Research and Implementation Settings

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 118-118
Author(s):  
Sarah Szanton ◽  
Qiwei Li ◽  
Laura Gitlin
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Cost Savings ◽  
Community Dwelling ◽  
Community Based ◽  
Adults With Disabilities ◽  
Community Based Organizations ◽  
Cognitively Intact ◽  
Community Dwelling Older Adults ◽  
Multiple Health

Abstract Interventions to reduce disability are crucial for older adults with disabilities to avert unnecessary hospitalizations or nursing home placements and improve daily life. Developed and tested at one research site, multiple health systems and community based organizations have since implemented CAPABLE. All published or peer reviewed tests of CAPABLE were reviewed (six studies, 11 sites) with a total of 1087 low-income community-dwelling older adults with disabilities. Participants were an average age of 74-79, cognitively intact, and self-reported difficulty with one or more activities of daily living (ADL). These trials were reviewed by extracting the participants’ scores on main outcomes, ADLs and IADLs, and when available, fall efficacy, depression, pain and cost savings. All studies yielded improvements in ADL and IADL limitations, with small to strong effect sizes. Studies with the complete dose of CAPABLE showed more improvement in ADLs and cost savings than the studies that implemented a decreased dose.

scholarly journals Recruiting Older Adults With Functional Difficulties Into a Community-Based Research Study: Approaches and Costs

2018 ◽  
Vol 39 (6) ◽  
pp. 644-650 ◽  
Author(s):  
Manka Nkimbeng ◽  
Laken Roberts ◽  
Roland J. Thorpe ◽  
Laura N. Gitlin ◽  
Alice Delaney ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Low Cost ◽  
Community Outreach ◽  
Community Dwelling ◽  
Community Based ◽  
Community Based Research ◽  
Government Organizations ◽  
Functional Difficulties ◽  
Community Based Organizations

The CAPABLE (Community Aging in Place, Advancing Better Living for Elders) trial in Baltimore City tested whether an interdisciplinary team of occupational therapists, nurses, and handymen reduces disability and health expenditures in community-dwelling older adults with functional difficulties. This study describes methods and associated costs of recruiting 300 low-income, cognitively intact, older adults with functional difficulties into this study. Sources of participant enrollment included direct mailings (35%), government program referrals (19%), community-based organizations (16%), ambassador referrals (15%), and media (4%). Fifty six (30%) of 187 older adults referred through government organizations were enrolled, while 49 (7.6%) of 648 referred from community-based organizations were enrolled. Total recruitment costs were US$81,453.12. Costs per participant for mailings, media, ambassadors, and community-based organizations were respectively US$745.10, US$256.82, US$22.28, and US$1.00. Direct mailings yielded the most participants but was the most costly method per participant. Ambassadors were least expensive and may offer a low-cost addition to community outreach for recruitment of older adults into research.

Community-dwelling older adults who are low-income and disabled weathering financial challenges

2021 ◽  
Vol 42 (4) ◽  
pp. 901-907
Author(s):  
Laura J. Samuel ◽  
Rebecca Wright ◽  
Marianne Granbom ◽  
Janiece L. Taylor ◽  
Ciara Hupp ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Community Dwelling ◽  
Financial Challenges ◽  
Community Dwelling Older Adults

Activity-Monitor Accuracy in Measuring Step Number and Cadence in Community-Dwelling Older Adults

2008 ◽  
Vol 16 (2) ◽  
pp. 201-214 ◽  
Author(s):  
P. Margaret Grant ◽  
Philippa M. Dall ◽  
Sarah L. Mitchell ◽  
Malcolm H. Granat
Keyword(s):  
Older Adults ◽  
Activity Monitor ◽  
Community Dwelling ◽  
Percentage Error ◽  
Criterion Measure ◽  
Community Based ◽  
Walking Speeds ◽  
Exercise Classes ◽  
Community Dwelling Older Adults ◽  
Step Number

The primary purpose of this study was to investigate the accuracy of theactivPAL physical activity monitor in measuring step number and cadence in older adults. Two pedometers (New-Lifestyles Digi-Walker SW-200 and New-Lifestyles NL-2000) used in clinical practice to count steps were simultaneously evaluated. Observation was the criterion measure. Twenty-one participants (65-87 yr old) recruited from community-based exercise classes walked on a treadmill at 5 speeds (0.67, 0.90, 1.12, 1.33, and 1.56 m/s) and outdoors at 3 self-selected speeds (slow, normal, and fast). The absolute percentage error of theactivPAL was <1% for all treadmill and outdoor conditions for measuring steps and cadence. With the exception of the slowest treadmill speed, the NL-2000 error was <2%. The SW-200 was the least accurate device, particularly at slower walking speeds. TheactivPAL monitor accurately recorded step number and cadence. Combined with its ability to identify primary postures, theactivPALmight be a useful and versatile device for measuring activity in older adults.

scholarly journals Prevalence of frailty and prefrailty among community-dwelling older adults in low-income and middle-income countries: a systematic review and meta-analysis

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e018195 ◽  
Author(s):  
Dhammika D Siriwardhana ◽  
Sarah Hardoon ◽  
Greta Rait ◽  
Manuj C Weerasinghe ◽  
Kate R Walters
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Meta Analysis ◽  
Community Dwelling ◽  
Low Income Countries ◽  
Middle Income ◽  
Middle Income Countries ◽  
Pooled Prevalence ◽  
Registration Number ◽  
Community Dwelling Older Adults

ObjectiveTo systematically review the research conducted on prevalence of frailty and prefrailty among community-dwelling older adults in low-income and middle-income countries (LMICs) and to estimate the pooled prevalence of frailty and prefrailty in community-dwelling older adults in LMICs.DesignSystematic review and meta-analysis. PROSPERO registration number is CRD42016036083.Data sourcesMEDLINE, EMBASE, AMED, Web of Science, CINAHL and WHO Global Health Library were searched from their inception to 12 September 2017.SettingLow-income and middle-income countries.ParticipantsCommunity-dwelling older adults aged ≥60 years.ResultsWe screened 7057 citations and 56 studies were included. Forty-seven and 42 studies were included in the frailty and prefrailty meta-analysis, respectively. The majority of studies were from upper middle-income countries. One study was available from low-income countries. The prevalence of frailty varied from 3.9% (China) to 51.4% (Cuba) and prevalence of prefrailty ranged from 13.4% (Tanzania) to 71.6% (Brazil). The pooled prevalence of frailty was 17.4% (95% CI 14.4% to 20.7%, I2=99.2%) and prefrailty was 49.3% (95% CI 46.4% to 52.2%, I2=97.5%). The wide variation in prevalence rates across studies was largely explained by differences in frailty assessment method and the geographic region. These findings are for the studies with a minimum recruitment age 60, 65 and 70 years.ConclusionThe prevalence of frailty and prefrailty appears higher in community-dwelling older adults in upper middle-income countries compared with high-income countries, which has important implications for healthcare planning. There is limited evidence on frailty prevalence in lower middle-income and low-income countries.PROSPERO registration numberCRD42016036083.

scholarly journals Behavioral Health, Social Engagement, and Long-Term Care Services Use Among Community Older Adults: USA vs. Taiwan

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 348-349
Author(s):  
Su-I Hou ◽  
Chien-Ching Li ◽  
Darren Liu
Keyword(s):  
Older Adults ◽  
Behavioral Health ◽  
Social Engagement ◽  
Long Term Care ◽  
Community Dwelling ◽  
Community Based ◽  
Term Care ◽  
Aging In Community ◽  
Community Dwelling Older Adults

Abstract As healthcare advances, older adults are living longer. While 90% of older adults prefer aging in their own homes and communities, it is important to examine key factors influencing healthy aging-in-community and community-based long-term care (LTC) services available in different countries. This symposium examines behavioral health, social engagement, and LTC services utilization among community-dwelling older adults in the USA and Taiwan. Lessons learned from older adults across countries will provide insights for tailored community-based LTC services and program development. Dr. Hou from The University of Central Florida (UCF) will highlight similarities and differences in behavioral health profiles and the topics that most interest community-dwelling older Americans participating in three aging-in-community programs in Central Florida. Dr. Wang from Case Western Reserve University will examine the impact of neighborhood social cohesion on mobility among community-dwelling older Americans aged 65 and older from the national Health and Retirement Study. Dr. Liu from National Cheng-Kung University in Taiwan will share results of healthy lifestyle on quality of life among community-dwelling older adults in southern Taiwan. Dr. Young from State University of New York at Albany will compare long-term care use among community-dwelling older adults with and without dementia in Central Taiwan. Finally, Drs. Cao and Hou from UCF will analyze home and community-based services in the USA versus Taiwan. This symposium will further discuss similarities and differences of key factors related to healthy aging-in-community, along with practical recommendations and lessons learned across countries and cultural environments to improve community-based long-term care services and programs.

Frailty and Its Correlates in Cognitively Intact Community-Dwelling Older Adults

2021 ◽  
pp. 1-7
Author(s):  
Audai A. Hayajneh ◽  
Hanan Hammouri ◽  
Mohammad Rababa ◽  
Sami Al-Rawashedeh ◽  
Debra C. Wallace ◽  
...  
Keyword(s):  
Older Adults ◽  
Short Form ◽  
Secondary Analysis ◽  
Depression Scale ◽  
Community Dwelling ◽  
High Rate ◽  
Comorbid Conditions ◽  
High Prevalence ◽  
Cognitively Intact ◽  
Community Dwelling Older Adults

<b><i>Background:</i></b> Frailty syndrome is characterized by a decline in physiological and psychological reserve and may be associated with poor health outcomes. <b><i>Objectives:</i></b> The current study explored frailty and its correlates among cognitively intact community-dwelling older adults. <b><i>Methods:</i></b> A secondary analysis of data collected from 109 community-dwelling older adults who are cognitively intact was conducted for the purpose of this study. The Arabic versions of the culturally adapted Tilburg Frailty Indicator, the Montreal Cognitive Assessment, the Geriatric Depression Scale, and the Short Form-36 Quality of Life (QOL) survey. Multiple linear regression was used to examine the relationships between frailty and depression. <b><i>Results:</i></b> The results indicated a high prevalence of frailty (78%) and depression (38%) among cognitively intact community-dwelling older adults. Frailty was found to be associated with increased age, being single or illiterate, living alone, having a high number of comorbid conditions, having high rate of depression, and having poor QOL. <b><i>Conclusion:</i></b> High prevalence of frailty is associated with high depression scores, a high number of comorbid conditions, and poor QOL among cognitively intact community-dwelling older adults.

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