Promoting Seniors’ Health with Home Care Aides: A Pilot

Details

• Personal Author:
  Berbaum ML ; Cruz Madrid KY ; Jurivich DA ; Marquez DX ; Muramatsu N ; Walton SM ; Yin L ; Zanoni JP
• Description:
  Purpose: Regular physical activity (PA) benefits older adults. However, frail older adults lack opportunities to be physically active. This pilot study aimed to test and enhance the feasibility of a PA program delivered by home care aides (HCAs) for community-dwelling older adults in a Medicaid-funded home care setting and to generate preliminary efficacy and cost data. Design and Methods: HCAs were trained to deliver a brief motivational enhancement and three chair-bound movements to motivate their older clients to do PA daily and to help maintain their independence in the community. Mixed methods were used to evaluate clients' function and health before and after the 4-month intervention. Results: Clients' daily activity function and health outcomes (physical fitness, self-rated health, pain interference, and fear of falling) improved significantly. The program was well-received by clients (N = 54) and their HCAs (N = 46) as indicated by high retention rates among client participants (93%) and remarks provided by clients. Implications: Building PA into the everyday care of older adults and the routine work of HCAs is feasible. The intervention has the potential for further implementation and dissemination. [Description provided by NIOSH]
• Subjects:
  Aging Community Health Services Health Promotion Home Care Services Occupational Health Safety
• Keywords:
  Author Keywords: Activities Of Daily Living Community Health Health Promotion Home And Community-based Services Home Health Care Implementation Science Intervention Effectiveness Medicaid Physical Activity Physical Exercise Quality Improvement Quality Of Life

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• ISSN:
  0016-9013
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; North Dakota ; OSHA Region 5 ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  58
• Issue:
  4
• NIOSHTIC Number:
  nn:20063628
• Citation:
  Gerontologist 2018 Aug; 58(4):779-788
• Contact Point Address:
  Naoko Muramatsu, PhD, Division of Community Health Sciences at School of Public Health, and Institute for Health Research and Policy, University of Illinois at Chicago, 1603 W. Taylor St., Chicago, IL 60612
• Email:
  naoko@uic.edu
• Federal Fiscal Year:
  2018
• Performing Organization:
  University of Illinois at Chicago
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  The Gerontologist
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5035acf341f624bb607918ee1e3edac7c41ffbdad283982f5c6ccbd0be323d62b9b4ce2022e68b7c244dc7f0e222e629c55e911f1c1dbe1f741bcf6f26f7ae3e
• Download URL:
  https://stacks.cdc.gov/view/cdc/222200/cdc_222200_DS1.pdf
• File Type:
  [PDF - 412.18 KB ]