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Home-Based Care Program Reduces Disability And Promotes Aging In Place.

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The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program helps low-income older adults with disabilities. This program improved daily living activities for 75% of participants, enabling them to age in place safely.

Keywords:
Health ReformOlder adultsSpecial Populations

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Area of Science:

  • Gerontology
  • Public Health
  • Health Services Research

Background:

  • Low-income older adults with disabilities face challenges aging in place.
  • The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program addresses these challenges.
  • Interprofessional teams are crucial for supporting older adults' independence.

Purpose of the Study:

  • To evaluate the effectiveness of the CAPABLE program.
  • To assess the program's impact on activities of daily living (ADLs) and depression symptoms.
  • To determine the potential of CAPABLE for improving older adults' ability to age in place.

Main Methods:

  • A demonstration project enrolled 281 dual-eligible Medicare and Medicaid participants aged 65+ with ADL difficulties.
  • Participants engaged in a five-month program involving an interprofessional team (occupational therapist, registered nurse, handyman).
  • The program provided assistive devices, home repairs, and modifications tailored to participant goals.

Main Results:

  • 75% of participants showed improvement in performing ADLs after the five-month program.
  • Average ADL difficulties decreased from 3.9 to 2.0.
  • Improvements were observed in instrumental ADLs and reduced symptoms of depression.

Conclusions:

  • The CAPABLE program effectively improves functional abilities and well-being in low-income older adults.
  • The program demonstrates significant potential for enhancing the capacity of older adults to age in place.
  • Further scaling of the CAPABLE program is warranted based on positive outcomes.