Muscle Weakness
Conditions
Keywords
Medical Costs, improved IADLs, and/or ADL's, decreased nursing home admissions
Brief summary
The Johns Hopkins School of Nursing offers this research study which aims to learn more about whether services that help with medications, muscle strengthening, pain management and changes to houses can help improve older adults' ability to, walk, and take care of themselves while saving costs by reducing hospitalizations and nursing home admissions.
Detailed description
* 65yrs or older * Be able to stand (with or without assistance) * Have some difficulty with getting dressed, or preparing food, bathing * Receive a low monthly income * Have no plans to move in the next year * NOT be receiving home nursing or other therapy right now
Interventions
BEHAVIORAL10 home-based functional services sessions over 4 months.
The program consists of up to 10 home-based functional services sessions over 4 months.
Sponsors
Centers for Medicare and Medicaid Services
Baltimore City Health Department
Johns Hopkins University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 65 or older * Cognitively intact (≥ 10 on Brief Interview of Mental Status) * Difficulty with ≥ 2 IADLS or ≥ 1 ADL * ≤ 199% of Federal Poverty level
Exclusion criteria
* Terminally ill --Active cancer treatment * Hospitalized \> 3 times in last 3 years * Receiving home nursing, Occupational Therapy or Physical Therapy * Don't have phone or do plan to move in less than a year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cost Effective | one year after intervention | Chart review to see change between cost of intervention to medicaid before and after CAPABALE |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life as assessed by the Activities of Daily Living (ADL) Questionnaire | four months post intervention | The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance. |
| Quality of Life as assessed by the ADL Questionnaire | eight months post intervention | The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance. |
| Quality of Life as assessed by the Instrumental Activities of Daily Living (IADL) Questionnaire | four months post intervention | The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance. |
| Quality of Life as assessed by the IADL Questionnaire | eight months post intervention | The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance. |
Countries
United States
Outcome results
None listed