1. Community-Based Healthy Aging Interventions for Older Adults with Arthritis and Multimorbidity.
- Author
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Zgibor, Janice, Ye, Lei, Boudreau, Robert, Conroy, Molly, Bilt, Joni, Rodgers, Elizabeth, Schlenk, Elizabeth, Jacob, Mini, Brandenstein, Jane, Albert, Steven, and Newman, Anne
- Subjects
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AGING , *ARTHRITIS , *COMMUNITY health workers , *COMMUNITY health services , *EXERCISE , *HEALTH behavior , *KNEE diseases , *OSTEOARTHRITIS , *RESEARCH funding , *STATISTICAL sampling , *COMORBIDITY , *RANDOMIZED controlled trials , *DATA analysis software - Abstract
Examine the impact of programs led by community health workers on health and function in older adults with arthritis and other health conditions. We conducted a cluster-randomized trial of the Arthritis Foundation Exercise Program (AFEP) enhanced with the '10 Keys'™ to Healthy Aging compared with the AFEP program at 54 sites in 462 participants (mean age 73 years, 88 % women, 80 % white). Trained Community health workers delivered the 10-week programs. Outcomes assessed after 6 months included physical performance [Short Physical Performance Battery (SPPB)], Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, and preventive health behaviors. Both groups experienced improvements. Performance improved by 0.3 SPPB points in the AFEP/'10 Keys'™ group and 0.5 in AFEP alone; WOMAC scores declined by 3.0 and 3.9 points respectively. More participants had controlled hypertension at 6 months in both groups (60.1 % baseline to 76.7 % in AFEP/10 Keys and from 76.5 to 84.9 % in AFEP alone) and greater diabetes control (from 15.0 to 34.9 and 15.5 to 34.1 %, respectively). These community-based programs showed similar improvements in preventive health, mobility and arthritis outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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