Saint Louis University, MO, USA.
Washington University School of Medicine in St. Louis, MO, USA.
OTJR (Thorofare N J). 2023 Oct;43(4):683-690. doi: 10.1177/15394492231151885. Epub 2023 Feb 7.
This study explores the implementation and impact of an evidence-based client-driven program, CAPABLE (Community Aging in Place Advancing Better Living for Elders), during the COVID-19 pandemic. The study reviews outcomes related to client engagement and retainment, client-directed goals, therapeutic intervention, home modifications, and functional outcomes of older adult participants. The CAPABLE program addresses basic and instrumental activities of daily living, medication use, pain, mobility, fall prevention, and environmental modifications within the home. The services were provided by an interprofessional team which included an occupational therapist, a registered nurse, and home contractor professional. The study team utilized descriptive, paired test, and correlational analyses to evaluate the CAPABLE programs' influence on the functional outcomes of older adults living within the city of St. Louis, during the COVID-19 pandemic. This study identified significant improvement in instrumental activities of daily living (IADLs) independence, readiness to change, self-reported health status, and depressive symptoms, and 11 significant correlations were found between age, implementation expenses, and functional outcomes.
这项研究探讨了在 COVID-19 大流行期间,基于证据的以客户为驱动的计划 CAPABLE(社区老龄化,为老年人提供更好的生活)的实施和影响。该研究回顾了与客户参与和保留、客户导向的目标、治疗干预、家庭改造以及老年参与者的功能结果相关的结果。CAPABLE 计划解决了基本和工具性日常生活活动、药物使用、疼痛、活动能力、跌倒预防以及家庭环境改造等问题。这些服务由一个多专业团队提供,其中包括一名职业治疗师、一名注册护士和一名家庭承包商专业人员。研究团队利用描述性、配对 t 检验和相关分析来评估 CAPABLE 计划对在 COVID-19 大流行期间居住在圣路易斯市的老年人的功能结果的影响。这项研究确定了在工具性日常生活活动(IADLs)独立性、改变的准备、自我报告的健康状况和抑郁症状方面的显著改善,并且在年龄、实施费用和功能结果之间发现了 11 个显著相关性。