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Reducing Disability Via a Bundled Bio-Behavioral-Environmental Approach

Not Applicable
Completed
Conditions
Quality of Life
Registration Number
NCT01576133
Lead Sponsor
Johns Hopkins University
Brief Summary

The purpose of the study is to determine whether a combination of occupational therapy visits, nursing visits, and handyman repair are effective in helping low income older adults avoid costly health care services

Detailed Description

We will recruit low-income age 65 or older

-principally African-American, adults from the Baltimore Department of Housing Energy Assistance Program.

-We will interview them at home and randomize participants to either the treatment (CAPABLE intervention) or control (attention-control) group. Participants in the treatment group will receive up to 10 in-home sessions -- 6 visits with an occupational therapist and 4 visits from a nurse - and $1200 in safety and modification services from a licensed handyman. Each treatment participant will receive each intervention component but interventionists will systematically tailor content to the participants' risk profile and goals based on protocols.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
300
Inclusion Criteria
  • at least 65 years old
  • cognitively intact
  • difficulty with at least one activity of daily living or two instrumental activities of daily living
  • less than 175% of the Federal Poverty level
  • be able to stand with or without assistance
  • agree to study participation
Exclusion Criteria
  • hospitalized more than three times in the last year
  • receiving in home rehabilitation
  • have a terminal diagnosis with less than one year life expectancy
  • plan to move in less than one year

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Activities of Daily Living (ADLs)5 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Johns Hopkins University School of Nursing

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins University School of Nursing
🇺🇸Baltimore, Maryland, United States

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