For older adults, moving into assisted living facilities places a huge financial burden on the person, his or her family, or both. By keeping older adults healthy, safe, and independent at home, families are able to save money, which can then be used for other needs.
For the Aging Gracefully project, NCHH will investigate how partners in four U.S. regions replicate the Johns Hopkins School of Nursing’s CAPABLE (Community Aging in Place-Advancing Better Living for Elders) model.[i] [ii] [iii]
This model, which has shown initial promise in Baltimore, MD, is an integrated, client-directed, home-based set of interventions utilizing occupational therapist (OT), registered nurse (RN), and home improvement professional services to increase elderly residents’ control over their physical function and
improve their housing conditions so that they can remain and move more safely in their own homes and move more independently within their communities. The Aging Gracefully project will demonstrate the impact of the CAPABLE model on resident health and physical function and also evaluate the national partners’ process of implementing the model using a variety of organizational structures, housing stocks, and client bases.
[i] Szanton SL, Thorpe RJ, Boyd C, Tanner EK; Leff B; Agree E; Xue Q-L; Allen JK; Seplaki CL; Weiss CO; Guralnik JM; Gitlin LN. 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. J Am Geriatr Soc 59:2314-2320.
[ii] Szanton SL, et al. 2014. CAPABLE trial: A randomized controlled trial of nurse, occupational therapist, and handyman to reduce disability among older adults: Rationale and design. Contemporary Clinical Trials, 38(2014): 102-112. doi: 10.1016/j.cct.2014.03.005.
[iii] Szanton SL, Wolff JL, Leff B, Roberts L, Thorpe RJ, Tanner EK, Boyd CM, et al. 2015. Community aging in place, advancing better living for elders: A patient-directed, team-based intervention to improve physical function and decrease nursing home utilization: The first 100 individuals to complete a Centers for Medicare and Medicaid Services Innovation Project. J Am Geriatr Soc 63(2015):371-375.