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Preventing disability and managing chronic illness in frail older adults: a randomised trial of a community-based partnership with primary care
Author(s)Suzanne G Leveille, Edward H Wagner, Connie Davies
Journal titleJournal of the American Geriatrics Society, vol 46, no 10, October 1998
Pagespp 1191-1198
KeywordsChronic illness ; Health [elderly] ; Preventative medicine ; Hospital services ; Usage [services] ; United States of America.
AnnotationEffective new strategies that complement primary care are needed to reduce disability risks and improve self-management of chronic illness in frail older people in the community. This US study evaluated the impact of a one-year, senior centre-based, chronic illness self-management and disability prevention programme on health, functioning, and health care utilisation in 201 older adults with chronic illness. Each of the 101 intervention participants met with a geriatric nurse practitioner between 1 and 8 times during the year. The intervention group showed less decline in function as measured by disability days and lower scores on the Health Assessment Questionnaire. The number of hospitalised participants increased by 69% among the controls and decreased by 38% in the intervention group. The intervention led to significantly higher levels of physical activity and senior centre participation, and significant reduction in the use of psychoactive medication. (AKM).
Accession NumberCPA-981118407 A
ClassmarkCI: CC: LK2: LD: QLD: 7T

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