Details:

Alternative Title:
J Community Health
Personal Author:
Zgibor, Janice C. ; Ye, Lei ; Boudreau, Robert M. ; Conroy, Molly B. ; Bilt, Joni Vander ; ... More +
Zgibor, Janice C. ; Ye, Lei ; Boudreau, Robert M. ; Conroy, Molly B. ; Bilt, Joni Vander ; Rodgers, Elizabeth A. ; Schlenk, Elizabeth A. ; Jacob, Mini E. ; Brandenstein, Jane ; Albert, Steven M. ; Newman, Anne B. Less -
Description:
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.
Subjects:
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Aged Aging Arthritis Article Behavioral Interventions Cluster Randomization Community Health Services Community Health Workers Comorbidity Diabetes Mellitus, Type 2 Exercise Therapy Female Health Promotion Health Services For The Aged Health Status Healthy Aging Humans Hypertension Male Middle Aged Multimorbidity
Source:
J Community Health. 42(2):390-399.
Pubmed ID:
27900515
Pubmed Central ID:
PMC5967256
Document Type:
Journal Article
Funding:
U48 DP001918/DP/NCCDPHP CDC HHS/United States ; U48 DP005001/DP/NCCDPHP CDC HHS/United States
U48 DP001918/DP/NCCDPHP CDC HHS/United States ; U48 DP005001/DP/NCCDPHP CDC HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:d42453d3c16522d28e0c50ef42593975ade068b90213004024bc1b9a3d5cece7
Download URL:
https://stacks.cdc.gov/view/cdc/55078/cdc_55078_DS1.pdf
File Type:

Supporting Files

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