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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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Feasibility and acceptability of the community-based program: Plan Ahead.

Jeong Eun Lee1, Dahee Kim1, Eva Kahana2

  • 1Human Development and Family Studies, Iowa State University, Ames, IA, USA.

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|March 14, 2022
PubMed
Summary

The "Plan Ahead" program is a feasible and acceptable way to help community-dwelling older adults with future care planning. It significantly improved resource building and future care planning activities, especially for those with lower competence levels.

Keywords:
Proactivitycommunity interventionfuture care planningself-advocacy

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Area of Science:

  • Gerontology
  • Public Health
  • Healthcare Management

Background:

  • Community-dwelling older adults often require support for future care planning.
  • Proactive planning for future care needs is crucial for maintaining autonomy and well-being in older age.

Purpose of the Study:

  • To assess the feasibility and acceptability of the "Plan Ahead" program for community-dwelling older adults.
  • To evaluate the program's effect on future care planning (FCP) activities and resource building.
  • To examine if program completion and FCP depend on participants' competence levels.

Main Methods:

  • A single-group feasibility study involving 234 community-residing older adults.
  • Trained facilitators delivered the "Plan Ahead" program.
  • Pre- and post-assessments measured program acceptability, FCP activities, and resource building.

Main Results:

  • High participant acceptance and satisfaction reported.
  • Feasibility confirmed by strong participation rates.
  • Statistically significant improvements in resource building and FCP activities were observed.
  • These improvements were particularly pronounced in participants with lower competence levels.

Conclusions:

  • The "Plan Ahead" program is a feasible and acceptable short community-based intervention.
  • The program effectively enhances proactive future care planning among older adults.
  • The intervention shows particular promise for enhancing planning among older adults with lower initial competence.