Quality of Life
Conditions
Keywords
Quality of Life
Brief summary
The purpose of the study is to determine whether a combination of occupational therapy visits, nursing visits, and handyman repair are effective in helping low income older adults avoid costly health care services
Detailed description
We will recruit low-income age 65 or older -principally African-American, adults from the Baltimore Department of Housing Energy Assistance Program. -We will interview them at home and randomize participants to either the treatment (CAPABLE intervention) or control (attention-control) group. Participants in the treatment group will receive up to 10 in-home sessions -- 6 visits with an occupational therapist and 4 visits from a nurse - and $1200 in safety and modification services from a licensed handyman. Each treatment participant will receive each intervention component but interventionists will systematically tailor content to the participants' risk profile and goals based on protocols.
Interventions
BEHAVIORALCAPABLE
Occupational therapy visits plus nursing visits plus handyman repair
BEHAVIORALAttention visits
Participants in the attention control arm will receive 10 one hour visits over the course of 16 weeks. These visits will consist of sedentary activities
Sponsors
National Institute on Aging (NIA)
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcomes assessor did not know which study group the person they visited was in and told participant not to reveal it.
Intervention model description
Time limited home based intervention of a Nurse, Occupational Therapist, and a handyman to work with low income older adults to assess, prioritize and meet their functional goals.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* at least 65 years old * cognitively intact * difficulty with at least one activity of daily living or two instrumental activities of daily living * less than 175% of the Federal Poverty level * be able to stand with or without assistance * agree to study participation
Exclusion criteria
* hospitalized more than three times in the last year * receiving in home rehabilitation * have a terminal diagnosis with less than one year life expectancy * plan to move in less than one year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Activities of Daily Living (ADLs) | 5 months |
Countries
United States
Outcome results
None listed