Improvements of Disability Outcomes in CAPABLE Older Adults Differ by Financial Strain Status.

Improvements of Disability Outcomes in CAPABLE Older Adults Differ by Financial Strain Status.
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DOI:
10.1177/0733464820975551
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发表时间:
2022-03
期刊:
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子:
--
通讯作者:
Szanton SL
Szanton SL
中科院分区:
其他
文献类型:
--
作者:
Liu M;Xue QL;Samuel L;Gitlin LN;Guralnik J;Leff B;Szanton SL

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CAPABLE计划减少了低收入老年人的残疾。在这项研究中,我们使用CAPABLE基线和五个月的数据来检查其在减少日常生活活动(ADL)和工具性ADL(IADL)困难方面的效果是否因参与者的经济紧张状况而异。在基线时,与没有经济压力的参与者相比,有经济压力的参与者更有可能报告更高的抑郁评分(p <0.001),精力低下(p<0.001),通常感到疲倦(p=0.004),但ADL/IADL评分没有差异。与接受注意力控制的财务紧张参与者相比,财务紧张参与者在减少ADL(相对风险[RR]:0.61,95%CI:0.43,0.86)和IADL残疾(RR:0.69,95%CI:0.54,0.87)方面受益于该计划。有经济压力的个人受益于家庭为基础的残疾措施比那些没有经济压力的干预。改善残疾的干预措施可能对经济紧张的老年人有益。
The CAPABLE program reduces disability in low-income older adults. In this study, we used CAPABLE baseline and five-month data to examine whether its effects in reducing activities of daily living (ADLs) and instrumental ADLs (IADLs) difficulties differed by participants’ financial strain status. At baseline, participants with financial strain were more likely to report higher scores on depression (p<0.001), have low energy (p<0.001), and usually feel tired (p=0.004) compared to participants without financial strain, but did not differ in ADL/IADL scores. Participants with financial strain benefited from the program in reducing ADL (relative risk [RR]: 0.61, 95% CI: 0.43, 0.86) and IADL disabilities (RR: 0.69, 95% CI: 0.54, 0.87), compared to those with financial strain receiving attention control. Individuals with financial strain benefited more from a home-based intervention on measures of disability than those without financial strain. Interventions that improve disability may be beneficial for financially strained older adults.
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