Building skill in heart failure self-care among community dwelling older adults: Results of a pilot study

2014 ◽  
Vol 96 (2) ◽  
pp. 188-196 ◽  
Author(s):  
Victoria Vaughan Dickson ◽  
Gail D’Eramo Melkus ◽  
Stuart Katz ◽  
Alissa Levine-Wong ◽  
Judy Dillworth ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Pilot Study ◽  
Self Care ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

Reducing depression among community-dwelling older adults using life-story review: A pilot study

2014 ◽  
Vol 35 (2) ◽  
pp. 105-110 ◽  
Author(s):  
Moon Fai Chan ◽  
Katherine S.P. Leong ◽  
Boon Ling Heng ◽  
Blessy Koottappal Mathew ◽  
Sher Banu A.L. Khan ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Life Story ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

Heart Failure and Disability in Community-Dwelling Older Adults in the United States—1999 to 2018: Data From National Health and Nutrition Examination Survey

2021 ◽  
pp. 105477382110616
Author(s):  
Yaewon Seo ◽  
Jing Wang ◽  
Donelle Barnes ◽  
Surendra Barshikar
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Logistic Regression ◽  
National Health ◽  
The United States ◽  
Community Dwelling ◽  
Nutrition Examination Survey ◽  
Mediating Effects ◽  
Health And Nutrition ◽  
Community Dwelling Older Adults

To examine the associations of heart failure (HF) with five domains of disability while controlling for covariates. Subjects with HF and aged ≥ 50 years were selected from the 1999 to 2018 National Health and Nutrition Examination Survey data. Five domains of disability were measured with 19 physical tasks. Logistic regression with adjustment for covariates was conducted. The prevalence of HF in 27,185 adults aged ≥ 50 years was 6.37%. After controlling for demographics and smoking, logistic regression showed that HF was associated with 2.8 to 3.4 times increased odds of all domains of disability compared to adults without HF, but with additional adjustments of covariates, the association was attenuated indicating the mediating effects of covariates. The future study may examine the mediating effects of covariates when intervening difficulties with lower extremity mobility and activities of daily living while considering in community-dwelling older adults with HF.

Identifying Barriers in the Home Environment among Urban Community-Dwelling Older Adults with Functional Difficulty: A Multi-Method Pilot Study

2018 ◽  
Vol 43 (4) ◽  
pp. 315-333 ◽  
Author(s):  
David Russell ◽  
Mia R. Oberlink ◽  
Nicole Onorato ◽  
Jodi L. Feinberg ◽  
Kathryn H. Bowles ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Home Environment ◽  
Urban Community ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Effects of Self-Care for Older PErsons (SCOPE) on Functional and Physiological Measures: A Cluster Randomized Controlled Trial

2020 ◽  
Vol 9 (3) ◽  
pp. 885
Author(s):  
Ted Kheng Siang Ng ◽  
David Bruce Matchar ◽  
Rehena Sultana ◽  
Angelique Chan
Keyword(s):  
Older Adults ◽  
Older Persons ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Self Care ◽  
Community Dwelling ◽  
Physiological Measures ◽  
Randomized Controlled ◽  
Cluster Randomized ◽  
Community Dwelling Older Adults

Background: Population aging poses unprecedented demands on the healthcare system. There is also a scarcity of evidence on self-care intervention to improve objective measures of morbidity and aging-associated functional and physiological measures in a low-income multi-ethnic population setting. Methods: We conducted a cluster randomized controlled trial (ClinicalTrials.gov Identifier: NCT01672177) to examine the effects of the Self-Care for Older PErsons (SCOPE) program. We randomized 14 Senior Activity Centers and randomly selected older adults within these centers. Functional and physiological measurements were performed at baseline, 10-month, and 18-month periods. The primary outcome was a composite of three morbidity-specific measures, which include hemoglobin A1c (HbA1C), peak expiratory flow, and systolic blood pressure. Aging-associated functional and physiological measures were examined as secondary outcomes. Repeated-measure mixed models were employed to examine the effects of SCOPE on these measures. Results: 378 community-dwelling older adults participated in either the treatment (n= 164) or the control arm (n = 214). The primary outcome was not significantly improved. For the secondary outcomes, SCOPE participants demonstrated slower oxygen desaturation at an 18-month period (p = 0.001), improved time to complete the chair-stand test (p < 0.001) at a 10-month period with the effect persisting at the 18-month period (p < 0.001). SCOPE participants also had significantly improved vitamin B12 levels at the 18-month period (p < 0.001), increased hemoglobin concentration (p < 0.001), decreased mean corpuscular volume (p = 0.001), and decreased creatinine (p = 0.002) at the 10-month period. Conclusions: SCOPE did not improve morbidity-specific measures. However, it improved several aging-associated measures implicated in geriatric syndromes. This study highlights the potential of a self-care program in the prevention of geriatric syndromes in community-dwelling older adults, while emphasizing self-management to manage existing morbidities.

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