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Faculty & Research

 

Community Aging in Place—Advancing Better Living for Elders (CAPABLE)

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National Institutes of Health R01 (4/1/2012 - 3/31/2017)
Center for Medicaid and Medicare Services Innovation Grant (7/1/12 – 6/30/15)
Robert Wood Johnson Nurse Faculty Scholars Program (9/1/11 – 8/31/14)

With the number of older adults expected to double to 71 million by 2030, reducing the societal burden of age-related chronic disease is crucial. The Community Aging in Place—Advancing Better Living for Elders (CAPABLE) is a client-centered home-based intervention to increase mobility, functionality, and capacity to "age in place" for low-income older adults. Abstract

Meet the Investigators

Method

Capable StudyWith the number of older adults expected to double to 71 million by 2030, reducing the societal burden of age-related chronic disease is crucial. Currently, the United States spends $250 billion annually on medical care for older adults, of which the majority is spent on chronic conditions. Even though many chronic conditions lead to disability, little information exists on interventions that can delay the onset of chronic-disease related disability. Given the multi-factorial nature of many of the age-related conditions and their associated risk factors, the best interventions are likely multi-component with the components synergistically targeting multiple risks for disability. However, this is not yet known.

The Community Aging in Place –Advancing Better Living for Elders (CAPABLE) study is a client-centered home-based intervention to increase mobility, functionality, and capacity to “age in place” for low-income older adults. CAPABLE is comprised of an occupational therapist intervention (R01 AG13687, Gitlin, PI), a client-centered nurse intervention and safety and access handyman services. Each service synergistically builds on the others by increasing the participants’ bio-psycho-functional capacity to function at home. This is theorized to avert costly health utilization by increasing medication management, problem-solving ability, strength, balance, nutrition, and home safety, while decreasing isolation, depression, and fall risk.

Publications

Szanton, S.L., Thorpe, R.J., Boyd, C., Tanner, E.K., Leff, B., Agree, E.A, Xue, Q., Allen, J.K., Seplaki, C.S., Weiss, C.M., Guralnik, J.M., Gitlin, L.N. , (2011) Community Aging in Place, Advancing Better Living for Elders:  a Bio-Behavioral-Environmental Intervention to Improve Function and Health-Related Quality of Life in Disabled Older Adults.  Journal of the American Geriatrics Society

Pho, A.T., Tanner, E.K., Greeley, M.E., Dorsey, C.D., Szanton, S.L. (2012) Nursing Strategies for Promoting and Maintaining Function among Community-Living Older Adults: The CAPABLE intervention.  Geriatric Nursing

Additional Resources

In the News

Contact

For more information on the project, contact:

Alice Delaney, M.Ed, MA
Sr. Research Program Supervisor
Office of Nursing Research
Johns Hopkins University School of Nursing
511 N. Washington Street 2nd Floor
Baltimore, Maryland 21205
Ph. 443-287-1584 | Fx. 410-614-7128
adelane7@jhmi.edu

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