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Related Concept Videos

Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Intellectual Disability01:29

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Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
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Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
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Community-based disability prevention programs for elders: predictors of program completion.

Almas Dossa1, John A Capitman

  • 1Center for Health Quality, Outcomes, and Economic Research, ENRM Veterans Hospital, Bedford, Massachusetts 01730, USA. adossa@bu.edu

Journal of Gerontological Social Work
|March 26, 2010
PubMed
Summary

Community disability prevention programs improve elder well-being but face completion barriers. Stronger provider relationships and higher client self-efficacy enhance program completion, while minority status may hinder it.

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Area of Science:

  • Gerontology
  • Public Health
  • Health Services Research

Background:

  • Effective community disability prevention programs are crucial for enhancing elder well-being and reducing long-term care costs.
  • Program completion is a significant barrier affecting the overall effectiveness of these interventions.
  • Understanding factors influencing program completion is essential for optimizing service delivery to older adults.

Purpose of the Study:

  • To examine the association between provider-client relationships, client variables, and program completion in community-based senior center programs.
  • To identify key predictors of program completion to inform strategies for improving intervention effectiveness.
  • To explore the perspectives of service providers and site managers on factors influencing client engagement and completion.

Main Methods:

  • A mixed-methods approach was employed, integrating quantitative analysis of secondary data from 719 clients with qualitative data from semi-structured telephone interviews.
  • Interviews were conducted with 20 nurses, 23 social workers, and 18 site managers involved in delivering senior center programs.
  • Quantitative analysis examined the influence of client baseline self-efficacy and minority status on program completion.

Main Results:

  • Quantitative findings indicated that higher client baseline self-efficacy was positively associated with program completion.
  • Conversely, minority status was found to be negatively associated with program completion.
  • Qualitative data revealed a strong positive association between a greater focus on provider-client relationships and high program completion rates.

Conclusions:

  • Strengthening provider-client relationships and enhancing client self-efficacy are key strategies to improve program completion in community disability prevention initiatives for seniors.
  • Addressing barriers related to minority status is important for equitable program participation and effectiveness.
  • Interventions should prioritize relationship-centered approaches and support mechanisms to boost client engagement and successful program outcomes.