A Five State Dissemination of a Community-based Disability Prevention Program for Older Adults

Overview

Journal Clin Interv Aging

Publisher Dove Medical Press

Specialty Geriatrics

Date 2007 Dec 1

PMID 18046880

Citations 7

Authors

Elizabeth A Phelan

Barbara Williams

Susan J Snyder

Sally Sizer Fitts

James P LoGerfo

Affiliations

Soon will be listed here.

Abstract

Objective: To describe challenges in disseminating the Health Enhancement Program (HEP), a community-based disability prevention program for community dwelling elders, and to examine program effectiveness in geographically dispersed sites.

Methods: Within-group, pre-test-post-test comparisons of disability risk factors, health and functional status, and hospitalizations for 115 participants completing one year in HEP, and primary care provider awareness and perceptions of the program.

Results: Most (77%) participants were women, with an average age of 73 years and an average of 3.5 chronic conditions. At one-year follow-up, compared with enrollment, fewer participants were depressed (8.8% vs 15.9%), physically inactive (15.8% vs 38.6%), at high nutritional risk (24.3% vs 44.1%), or experiencing restricted activity days (35% vs 48%). Severity scores on most measures also improved significantly. The proportion hospitalized was unchanged from the year prior to HEP, although risk factors predicted an increase in hospitalizations as for the control group in the randomized trial.

Conclusions: HEP reduced participants' disability risk factors. Sites varied on numbers enrolled and time to implement the program, likely due to differing referral bases, degree of physician awareness of HEP, and site readiness. However, the benefits of HEP participation were comparable with those reported previously.

Citing Articles

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Factors that influence implementation at scale of a community-based health promotion intervention for older adults.

Sims-Gould J, McKay H, Hoy C, Nettlefold L, Gray S, Lau E BMC Public Health. 2019; 19(1):1619.

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Implementation of a co-designed physical activity program for older adults: positive impact when delivered at scale.

McKay H, Nettlefold L, Bauman A, Hoy C, Gray S, Lau E BMC Public Health. 2018; 18(1):1289.

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A Web-based health promotion program for older workers: randomized controlled trial.

Cook R, Hersch R, Schlossberg D, Leaf S J Med Internet Res. 2015; 17(3):e82.

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What is the Optimal Duration of Participation in a Community-Based Health Promotion Program for Older Adults?.

Fitts S, Won C, Williams B, Snyder S, Yukawa M, Legner V J Appl Gerontol. 2010; 27(2):201-214.

PMID: 20502613 PMC: 2874867. DOI: 10.1177/0733464807309188.

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