Effects of a community-based early intervention program on the subjective well-being, institutionalization, and mortality of low-income elders.
Effects of a community-based early intervention program on the subjective well-being, institutionalization, and mortality of low-income elders.
复制标题
基于社区的早期干预计划对低收入老年人的主观幸福感、机构化和死亡率的影响。
DOI：
10.1093/geront/42.3.334
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Taylor,Miles
中科院分区：
文献类型：
--
作者：
Shapiro,Adam;Taylor,Miles
目的：本研究探讨了早期干预社会服务计划对低收入社区居住老年人的主观幸福感、永久收容和死亡风险的影响。设计和方法：从社区服务等候名单中招募了 105 名“中度风险”社区居住老年人。其中四十人被随机分配接受干预，其余人没有接受干预。参与者每 3 个月接受一次访谈，持续 18 个月。主要结局指标是抑郁症、社会关系满意度、环境掌控力、生活满意度、永久收容和死亡率。结果：基线时，干预组和对照组之间的社会人口统计学或健康特征没有发现显着差异。在 18 个月的时间里，接受干预的老年人的主观幸福感明显高于对照组，并且被送入收容机构或死亡的可能性较小。 意义：结果有力地证明了基于社区的项目对老年人福祉的重要性。从业者和政策制定者应继续寻找具有成本效益并改善老年人生活质量的社区计划。
Purpose:This study examined the effects of an early interventive social service program on the subjective well-being, permanent institutionalization, and mortality risk of low-income community-dwelling elders.Design and Methods:From a waiting list for community-based services, 105 "moderately at-risk" community-dwelling elders were recruited. Forty of these persons were randomly assigned to receive the intervention, and the remainder did not receive the intervention. Participants were interviewed every 3 months for 18 months. Primary outcome measures were depression, satisfaction with social relationships, environmental mastery, life satisfaction, permanent institutionalization, and mortality.Results:No significant differences in sociodemographic or health characteristics were found between the intervention and control groups at baseline. Those elders who received the intervention had significantly higher subjective well-being and were less likely to be institutionalized or die than those in the comparison group across the 18-month period.Implications:The results make a strong case for the importance of community-based programs to the well-being of elders. Practitioners and policy makers should continue the search for community-based programs that are cost-effective and improve the quality of life for elders.