TY - JOUR
T1 - Aging Gracefully in Place
T2 - An Evaluation of the Capability of the CAPABLE© Approach
AU - Breysse, Jill
AU - Dixon, Sherry
AU - Wilson, Jonathan
AU - Szanton, Sarah
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the U.S. Department of Housing and Urban Development, Office of Policy Development and Research, cooperative agreement number RP-15-MD-008. CAPABLE services to participants were funded by grants to the National Center for Healthy Housing from the Harry and Jeannette Weinberg Foundation, Owings Mills, MD, ID number 18981; Archstone Foundation, Long Beach, CA, grant number 15-04-53; and a grant to Community Housing Solutions from the Evergreen Foundation, Greensboro, NC. ©
Funding Information:
The authors thank the residents who graciously allowed study staff to meet with them and collect data in their homes. The authors also thank our partners at Community Housing Solutions, Greensboro, NC; Catholic Social Services, Wilkes-Barre, PA; Cathedral Square Corporation, Burlington, VT; and Family Health Centers of San Diego, CA, whose dedicated staff built trust with participants and collected the data which support this manuscript?s findings. The authors acknowledge the assistance of Johns Hopkins University staff who provided technical assistance to NCHH and its partners, and Mike Eriksen (Interim Director, University of Cincinnati Real Estate Center) who provided technical assistance with the medical event cost analysis. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the U.S. Department of Housing and Urban Development, Office of Policy Development and Research, cooperative agreement number RP-15-MD-008. CAPABLE? services to participants were funded by grants to the National Center for Healthy Housing from the Harry and Jeannette Weinberg Foundation, Owings Mills, MD, ID number 18981; Archstone Foundation, Long Beach, CA, grant number 15-04-53; and a grant to Community Housing Solutions from the Evergreen Foundation, Greensboro, NC.
Publisher Copyright:
© The Author(s) 2021.
PY - 2022/3
Y1 - 2022/3
N2 - As American adults live longer, society must prioritize effective strategies promoting safe aging-in-place and decreasing institutional health care costs. Social determinants of health, especially housing, critically influence older adult health, particularly for disadvantaged, low-income older adults. Johns Hopkins University developed Community Aging in Place—Advancing Better Living for Elders (CAPABLE©), a client-centered, home-based program to improve older adults’ function and capacity to age in place. This evaluation studied CAPABLE’s long-term effectiveness in four distinct locations in California, North Carolina, Pennsylvania, and Vermont. Seven months after CAPABLE, intervention group participants experienced greater improvements than the control group in activities of daily living limitations (2-point vs. 0.7-point improvement, p =.012), falls efficacy (8.9-point improvement vs. 0.1-point worsening, p =.012), depression (1.3-point improvement vs. 0.4-point worsening, p =.021), and pain (1.5-point improvement vs. 0.3-point worsening, p =.002). These results add to existing research on short-term effectiveness in urban locales, showing CAPABLE yields long-term health improvement for older adults in micropolitan and small urban locations, with different implementation organizations, housing stocks, and clients.
AB - As American adults live longer, society must prioritize effective strategies promoting safe aging-in-place and decreasing institutional health care costs. Social determinants of health, especially housing, critically influence older adult health, particularly for disadvantaged, low-income older adults. Johns Hopkins University developed Community Aging in Place—Advancing Better Living for Elders (CAPABLE©), a client-centered, home-based program to improve older adults’ function and capacity to age in place. This evaluation studied CAPABLE’s long-term effectiveness in four distinct locations in California, North Carolina, Pennsylvania, and Vermont. Seven months after CAPABLE, intervention group participants experienced greater improvements than the control group in activities of daily living limitations (2-point vs. 0.7-point improvement, p =.012), falls efficacy (8.9-point improvement vs. 0.1-point worsening, p =.012), depression (1.3-point improvement vs. 0.4-point worsening, p =.021), and pain (1.5-point improvement vs. 0.3-point worsening, p =.002). These results add to existing research on short-term effectiveness in urban locales, showing CAPABLE yields long-term health improvement for older adults in micropolitan and small urban locations, with different implementation organizations, housing stocks, and clients.
KW - CAPABLE model
KW - depression
KW - falls
KW - older adults
KW - physical function
UR - http://www.scopus.com/inward/record.url?scp=85114507080&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85114507080&partnerID=8YFLogxK
U2 - 10.1177/07334648211042606
DO - 10.1177/07334648211042606
M3 - Article
C2 - 34474609
AN - SCOPUS:85114507080
SN - 0733-4648
VL - 41
SP - 718
EP - 728
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 3
ER -