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Updated: Apr 29, 2026

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
Improving unsafe environments to support aging independence with limited resources.
Sarah L Szanton1, Jill Roth1, Manka Nkimbeng1
1Department of Community and Public Health, School of Nursing, Johns Hopkins University, 525 North Wolfe Street, Baltimore, MD 21205, USA.
The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program helps older adults maintain independence at home. By improving both personal abilities and home environments, CAPABLE aims to enhance function and reduce healthcare costs.
Area of Science:
- Gerontology
- Health Services Research
- Environmental Health
Background:
- Maintaining independence is crucial for older adults' well-being and societal benefit.
- Functional ability in older adults is influenced by personal capabilities and home environment.
- The Affordable Care Act supports innovative programs for elder care.
Purpose of the Study:
- To describe the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program.
- To highlight the program's dual intervention on older adults and their home environments.
- To assess the potential for national scalability and impact on health outcomes and costs.
Main Methods:
- The CAPABLE program integrates clinical care with home modifications and health support.
- Interventions are tailored to individual needs, addressing both personal function and environmental barriers.
- Program outcomes are evaluated based on improvements in health and reductions in healthcare utilization.
Main Results:
- The CAPABLE program demonstrates promise in enhancing functional ability for aging in place.
- Interventions targeting both the individual and their home environment are effective.
- Successful outcomes could lead to significant healthcare cost savings.
Conclusions:
- The CAPABLE program offers a scalable model for supporting independent living in older adults.
- This intervention has the potential to improve health and decrease healthcare expenditures nationally.
- Further evaluation is needed to confirm long-term success and cost-effectiveness.
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