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Centre for Policy on Ageing | |
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Effectiveness of preventive in-home geriatric assessment in well functioning, community-dwelling older people
— secondary analysis of a randomised trial | | Author(s) | Christopher J Büla, Anick Clerc Bérod, Andreas E Stuck |
| Journal title | Journal of the American Geriatrics Society, vol 47, no 4, April 1999 |
| Pages | pp 389-395 |
| Keywords | Cognitive processes ; Evaluation ; Self care capacity ; Mobility ; Appointments system ; Longitudinal surveys ; United States of America. |
| Annotation | The 414 participants in this Santa Monica, California survey were people aged 75+ and living at home, who participated in a trial testing the effectiveness of annual preventive in-home comprehensive geriatric assessment (CGA). In a first sub-group analysis, 27 were excluded who were dependent in in one or more basic activity of daily living (BADL); for a second sub-group, 93 additional subjects were excluded who were dependent in one or more instrumental ADL (IADL). Functional status data were collected through yearly in-home interviews by independent observers. Subjects were classified as: independent in both BADL and IADL; dependent in IADL but independent in BADL; or dependent in both IADL and BADL. In both subgroups, there was no difference in survival between intervention and control subjects. In the subgroup with no BADL impairment at baseline, intervention subjects spent significantly fewer days dependent in both BADL and IADL during the 3-year study. The findings support the hypothesis that in-home preventive visits delay onset of disability in those without initial BADL impairment. Studies using larger samples are needed to determine optimal intervention strategies and effectiveness with able-bodied older people. (RH). |
| Accession Number | CPA-990825291 A |
| Classmark | DA: 4C: CA: C4: L5M: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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